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Core Exam Flip JK Amorosa
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Name 5 causes of ptx 1.Spontaneous most common 2.COPD 3.Chronic cystic lung disease such as LAM, histiocytosis 4.Mets 5.Catamenial ptx
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Rad signs of tension ptx 1.Contralateral mediastinal shift 2.Diaphragmatic depression 3.Rib cage expansion 4.Flattening of the contours of the R heart border and /or SVC
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Nodule 1.Spiculated margins 2.Squamous cell ca 3.T1 mass size Best method of Dx
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Pleural plaques are seen in people who have worked in 1.Mining 2.Insulation 3.Ship building 4.Brake lining
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Pleural plaques 1.Unilateral 2.Symptomatic 3.Premalignant
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Emphysema 1.Overinflation 2.Reduced vascularity 3.Flattening of diaphragms 4.Best imaging method: HRCT
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Tracheal stenosis, etiologies: -trauma, most common: following prolonged ET, Sx, radiation -chronic inflammatory diseases (amyloidosis, sarcoidosis, relapsing polychondritis), -benign neoplasm (respiratory papillomatosis), -malignant neoplasm (primary tracheal, secondary invasion, metastatic) -collagen vascular diseases (tracheopathia osteoplastica, Wegener granulomatosis). Wenzel emedicine
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Miliary pattern 1.TB, fungal, silicosis, sarcoidosis, met thyroid or melanoma 2.How does it disseminate: hematogenously
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Pulmonary contusion occurs 1.Early: within 6 hours 2.Later: within 7 day 3.Resolves within 6 hours 4.Resolves within 7 days
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Pulmonary Laceration
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Mesothelioma 1.More than 1 cm thick 2. circumferential 3.involves mediastinal surface 4.Nodular
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Mesothelioma, pleural calcifications seen in 1.50% 2.20% 3.75% 4.80%
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Pneumothorax on supine image 1.Hyperlucent upper abdominal quadrant 2.Double diaphragmatic contour 3.Deep sulcus sign
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Anterior junction line is made up of how many pleural layers 1. 2 2. 4 3. 6
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Posterior junction line 1. Extends above the clavicles 2. Does not extend above the clavicles
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Which is seen more frequently? 1.Anterior junction line 2.Posterior junction line
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ARDS 1.Clinical dx of acute respiratory failure with profound hypoxia and lung parenchymal opacities on chest X-ray
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ARDS causes 1.Trauma 2.Sepsis 3.Aspiration 4. Inhaled toxins 5. Drug overdose 6.Transfusion
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Cavity 1.Reactivation TB 2.Squamous cell ca 3.Vasculitis 4.Granulomatous
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Right cardiophrenic mass 1.Pericardial cyst 2.Pericardial fat pad 3. Morgagni’s hernia 4.Lipoma 5.Thymolipoma 6.Epicardial lymphnodes
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Cystic Fibrosis Inheritance Pattern 1.Autosomal recessive 2.Autosomal dominant
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Treatment of hemoptysis for invasive aspergillosis 1.Surgical resection 2.Bronchialartery embolization
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RLL andLLL segments RLL ALPM (anterior, lateral, posterior, medial) LLL ALP (anteromedial, lateral, posterior)
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Anterior mediastinal mass Most common: thymic origin
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Thymic mass 1.Thymoma – most common 2.Thymic hyperplasia 3. Thymolipoma 4.Thymic cyst 5.Thymic carcinoma-metastasizes hematogeneously 6.Thymic carcinoid
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Subcarinal mass 1.Subcarinal LN 2.Bonchogenic cyst 3.Left atrial enlargement
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Pneumomediastinum Decubitus image will show layering?
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