Pulmonology: Key Clinical Conditions
Clinical features and management of major respiratory conditions.
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What post-bronchodilator FEV1/FVC ratio is diagnostic for airflow obstruction in COPD?
A ratio of less than 0.70.
What does the 'C' represent in the CURB-65 score for pneumonia severity?
Confusion (new onset).
What is the preferred initial imaging modality for a definitive diagnosis of Pulmonary Embolism?
Computed Tomographic Pulmonary Angiography (CTPA).
In which direction does the trachea deviate in a patient with a tension pneumothorax?
Away from the affected side (contralateral deviation).
What is the first-line medication class for the rapid relief of acute asthma symptoms?
Short-acting beta-2 agonists (SABA), such as Albuterol.
What type of granulomas are the hallmark histological finding in Sarcoidosis?
Non-caseating granulomas.
According to Light's criteria, what pleural fluid to serum protein ratio defines an exudate?
A ratio greater than 0.5.
What FEV1 percentage of predicted value defines GOLD Stage 2 (Moderate) COPD?
50% to 79% of the predicted value.
What is the recommended empiric antibiotic treatment for a healthy outpatient with CAP and no comorbidities?
Amoxicillin, Doxycycline, or a Macrolide (if local resistance is low).
A Peak Expiratory Flow (PEF) between 50% and 80% of a patient's personal best indicates which asthma action zone?
The Yellow Zone.
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