1.
A 30-year-old comatose man on ventilatory support in the ICU develops an infection and dies. Autopsy reveals a pus-filled cavity in his right lung. What is the likely etiology: Aspiration → lung absecess
2.
A 55-year-old man who is a smoker and heavy drinker presents with a new cough and flu-like symptoms. Gram stain shows no organisms; silver stain of sputum shows gram-negative rods. What is the diagnosis?: Legionella pneumophila
3.
A 75-year-old patient of yours that has a 60 pack-year history comes to your office complaining of difficulty standing up from his bed when he wakes up in the morning and difficulty raising his arms in the morning to wash his hair. What do you immediately suspect is going on with this patient?: Lambert Eaton Syndrome- from small cell lung cancer
4.
A patient of yours develops bronchogenic lung cancer but has never smoked. He is a coal miner. Exposure to what substance has put him at risk for developing lung cancer?: Radon gas
5.
CXR shows collapse of middle lobe of right lung and mass in right bronchus; patient has history of recurrent pneumonias. What is the diagnosis?: bronchogenic carcinoma
6.
Examination of a lung at autopsy reveals peripheral lesion with caseous necrosis. What is the diagnosis?: Tuberculosis
7.
What are the 3 most common locations of lung cancer mets?: Brain
Bone
Liver
8.
What complications can arise from lung cancer?: "SPHERE"
a) SVC syndrome
b) Pancoast tumor
c) Horner's syndrome
d) Endocrine (paraneoplastic)
-Lambert-eaton syndome
-PTH related peptide → hypercalcemia
-ACTH → Cushing's syndrome
-SIADH → hyponatremia
e) Recurrent laryngeal symptoms (hoarseness)
f) Effusions (pleural or pericardial)
9.
What histologic change takes place in the trachea of a smoker?: Columnar to squamous metaplasia
10.
What infectious agent fits the following description?
-Assocaited with pneumonia acquired from air conditioners: Legionella pneumophila
11.
What infectious agent fits the following description?
-Can cause an interstitial pneumonia in bird handlers: Chlamydia psittaci
12.
What infectious agent fits the following description?
-Causes a wool-sorter's disease (a life-threatening pneumonia): Bacillus anthracis
13.
What infectious agent fits the following description?
-common bacterial cause of COPD exacerbation: Haemophilus influenzae
14.
What infectious agent fits the following description?
-Common causative agent for pneumonia in alcoholics: Klebsiella pneumoniae
15.
What infectious agent fits the following description?
-Common cause of pneumonia in immunocompromised patients: pneumocystic jirovecii
16.
What infectious agent fits the following description?
-common cause of pneumonia in patients with other health problems: Klebsiella pneumoniae
17.
What infectious agent fits the following description?
-Common pneumonia in ventilator patients and those with cystic fibrosis: psuedomonas aeruginosa
18.
What infectious agent fits the following description?
-endogenous flora in 20% of adults: strep pneumoniae
19.
What infectious agent fits the following description?
-most common cause of atypical/walking pneumonia: mycoplasma pneumoniae
20.
What infectious agent fits the following description?
-Most common cause of pneumonia in children 1-year-old or younger: RSV
21.
What infectious agent fits the following description?
-Most common cause of pneumonia in children and young adults (including college students, military recruits. and prison inmates): mycoplasma pneumoniae
22.
What infectious agent fits the following description?
-Most common cause of pneumonia in the neonate (birth-28 days): group B strep (strep agalactiae)
E. coli
23.
What infectious agent fits the following description?
-Most common cause of viral pneumonia: RSV
24.
What infectious agent fits the following description?
-Often the cause of pneumonia in a patient who has recently visited South California, New Mexico, or West Texas: Coccidioidies
25.
What infectious agent fits the following description?
-Often the cause of pneumonia in a patient with a history of exposure to bats and bat droppings: Histoplasma
26.
What infectious agent fits the following description?
-pneumonia associated with "currant jelly" sputum: Klebsiella
27.
What infectious agent fits the following description?
-Q fever: coxiella burnetii
28.
What infectious agent fits the following description?
Pontiac fever: Legionella pneumophila
29.
What infectious agent is the cause of pneumonia based on the following lab test?
-Gram (-) rods in 80-year-old: E. coli
30.
What infectious agent is the cause of pneumonia based on the following lab test?
-Gram (-) rods in neonate: E. coli
31.
What infectious agent is the cause of pneumonia based on the following lab test?
-Gram (+) cocci in clusters: Staph aureus
32.
What infectious agent is the cause of pneumonia based on the following lab test?
-Gram (+) cocci in neonate: Group B strep (Streptococcus agalactiae)
33.
What infectious agent is the cause of pneumonia based on the following lab test?
-Gram (+) cocci in pairs: Strep pneumonia
34.
Which tumors arise centrally in the lung and are linked to smoking?
Which tumors arise peripherally in the lung and are less linked to smoking (if at all)?: Central: small cell (oat cell) carcinoma; Squamous cell carcinoma
-"S", small, squamous, "s"entral, smoking
Peripheral: Adenocarcinoma (bronchial, bronchioloalveolar); large cell carcinoma
