What Do You Know About Pulmonology? Trivia Quiz

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| By Ashley_work_2002
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Ashley_work_2002
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Quizzes Created: 2 | Total Attempts: 2,671
| Attempts: 920
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  • 1/18 Questions

    Obstructive lung disorders have problems with _______. Restrictive lung disorders have problems with _______.

    • Exhaling, exhaling
    • Exhaling, inhaling
    • Inhaling, exhaling
    • Inhaling, inhaling
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About This Quiz

Explore Pulmonology through this engaging trivia, focusing on lung disorders, diagnostic criteria, and clinical scenarios. Test your knowledge on obstructive and restrictive lung disorders, understand key symptoms like stridor and pulsus paradoxus, and diagnose conditions like sarcoidosis.

What Do You Know About Pulmonology? Trivia Quiz - Quiz

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  • 2. 

    Your patient has dyspnea and significant lymphadenopathy.  You take a lung biopsy and find noncaseating granulomas, and you have ruled out all other granulomatous disorders. It is:

    • Sarcoidosis

    • P. carinii infection

    • Bronciectasis

    • Tuberculosis

    Correct Answer
    A. Sarcoidosis
    Explanation
    The patient's symptoms of dyspnea and significant lymphadenopathy, along with the presence of noncaseating granulomas in the lung biopsy, suggest a diagnosis of sarcoidosis. Sarcoidosis is a systemic inflammatory disease that can affect multiple organs, commonly the lungs and lymph nodes. The characteristic noncaseating granulomas are a hallmark of sarcoidosis. Other granulomatous disorders have been ruled out, making sarcoidosis the most likely diagnosis in this case.

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  • 3. 

    If your patient has contact with live birds, it's:

    • Histoplasmosis

    • Stannosis

    • Asbestosis

    • Psittacosis

    Correct Answer
    A. Psittacosis
    Explanation
    Histoplasmosis is from soil contaminated by bird or bat droppings.

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  • 4. 

    These are obstructive lung disorders:

    • ALS

    • Anklyosing spondylitis

    • Chronic bronchitis

    • Emphysema

    Correct Answer(s)
    A. Chronic bronchitis
    A. Emphysema
    Explanation
    ALS and ankylosing spondylitis are restrictive lung disorders, not obstructive.

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  • 5. 

    Pulsus paradoxus is:

    • Two heartbeats close together followed by a pause

    • When the apical heart rate and radial pulse are not the same

    • An abnormally wide pulse pressure

    • An abnormally large decrease (20+ mmHg) in arterial pressure on inhalation

    Correct Answer
    A. An abnormally large decrease (20+ mmHg) in arterial pressure on inhalation
    Explanation
    Pulmonary causes of pulsus paradoxus include: COPD, asthma, tension pneumothorax, PE

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  • 6. 

    Stridor is usually heard best on:

    • Expiration

    • Inspiration

    • Biphasic

    Correct Answer
    A. Inspiration
    Explanation
    Stridor is a high-pitched, harsh sound that occurs during breathing when there is a blockage or narrowing of the airway. It is usually heard best on inspiration because during this phase, the air is being drawn into the lungs through the narrowed or obstructed airway, causing the sound to be more audible. On the other hand, during expiration, the air is being expelled from the lungs, and the sound of stridor may be less prominent or even absent.

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  • 7. 

    This unusual radiographic finding strongly suggests silicosis.

    • Bibasilar consolidation

    • Reticular opacities

    • "eggshell" calcification

    • Diffuse ground glass

    Correct Answer
    A. "eggshell" calcification
    Explanation
    The presence of "eggshell" calcification on a radiograph is a characteristic finding in silicosis. Silicosis is a lung disease caused by long-term exposure to silica dust, commonly found in industries such as mining, construction, and sandblasting. The term "eggshell" calcification refers to the thin, calcified nodules that form on the surface of the lungs in advanced stages of silicosis. This finding is distinct and highly suggestive of the disease, as it is not commonly seen in other lung conditions.

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  • 8. 

    What is the recommended vaccination schedule for pneumonia?

    • All adults over 65 (PCV23), all children under 5 (PCV13)

    • All adults working in healthcare

    • All patients over the age of 6 months

    • All at-risk adults

    Correct Answer
    A. All adults over 65 (PCV23), all children under 5 (PCV13)
    Explanation
    Current, CDC

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  • 9. 

    These are restrictive lung disorders:

    • ALS

    • Scoliosis

    • Guillain-Barre

    • Alpha-1 antitrypsin deficiency

    Correct Answer(s)
    A. ALS
    A. Scoliosis
    A. Guillain-Barre
    Explanation
    Alpha-1 antitrypsin deficiency is a genetic disorder that causes COPD/emphysema, i.e. obstructive lung disorders, not restrictive.

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  • 10. 

    The following are indications for referral for specialty care in a COPD patient.

    • Severe or rapidly progressive COPD.

    • Smoker.

    • Need for long-term oxygen therapy.

    • COPD onset occurs before the age of 40.

    Correct Answer(s)
    A. Severe or rapidly progressive COPD.
    A. Need for long-term oxygen therapy.
    A. COPD onset occurs before the age of 40.
    Explanation
    Current 2014 p. 256

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  • 11. 

    These are elements of the CURB-65 scoring system for community-acquired pneumonia.

    • BUN greater than or equal to 19

    • Age 65+

    • Respirations greater than or equal to 30

    • Heart rate above 110

    • SBP less than 90 or DBP less than 60

    • Confusion

    Correct Answer(s)
    A. BUN greater than or equal to 19
    A. Age 65+
    A. Respirations greater than or equal to 30
    A. SBP less than 90 or DBP less than 60
    A. Confusion
    Explanation
    This answer includes the elements of the CURB-65 scoring system for community-acquired pneumonia. BUN greater than or equal to 19 is included because an elevated blood urea nitrogen (BUN) level indicates impaired kidney function, which can be a sign of more severe illness. Age 65+ is included because older age is a risk factor for complications and mortality in pneumonia. Respirations greater than or equal to 30 is included because rapid breathing can indicate respiratory distress. SBP less than 90 or DBP less than 60 is included because low blood pressure can indicate poor perfusion and organ dysfunction. Confusion is included because it can be a sign of severe illness and altered mental status.

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  • 12. 

    Which is the correct vaccination recommendation for influenza?

    • All adults working with immunocompromised populations; yearly

    • All patients over the age of 10; yearly

    • All patients over the age of 6 months; yearly

    • All adults over the age of 65; yearly

    Correct Answer
    A. All patients over the age of 6 months; yearly
    Explanation
    From Current and CDC

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  • 13. 

    The following are indications for referral for specialty care in an asthma patient.

    • Patient is not meeting goals of asthma therapy after 3–6 months of treatment.

    • More than two courses of oral prednisone therapy in the past 12 months.

    • Any life-threatening asthma exacerbation/exacerbation requiring hospitalization in the past 12 months.

    • Complicating comorbid problems e.g. rhinosinusitis, tobacco use, multiple environmental allergies, suspected allergic bronchopulmonary mycosis.

    Correct Answer(s)
    A. Patient is not meeting goals of asthma therapy after 3–6 months of treatment.
    A. More than two courses of oral prednisone therapy in the past 12 months.
    A. Any life-threatening asthma exacerbation/exacerbation requiring hospitalization in the past 12 months.
    A. Complicating comorbid problems e.g. rhinosinusitis, tobacco use, multiple environmental allergies, suspected allergic bronchopulmonary mycosis.
    Explanation
    Current 2014 p. 250

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  • 14. 

    African-Americans are more likely to die than Caucasians of the following diseases:

    • Lung cancer

    • COPD

    • Sarcoidosis

    • Asthma

    Correct Answer(s)
    A. Lung cancer
    A. Sarcoidosis
    A. Asthma
    Explanation
    http://www.lung.org/assets/documents/publications/lung-disease-data/solddc_2010.pdf

    Caucasians are more likely than any other ethnic group to develop and die from COPD.

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  • Current Version
  • Mar 20, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Feb 04, 2014
    Quiz Created by
    Ashley_work_2002

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