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Started By
Message
1
Posted on 5/23/13 at 6:30 pm to PresidentialPerch
quote:
Had to lick a slimy fish to get the taste out of my mouth
Posted on 5/23/13 at 6:32 pm to DrTyger
Picking up some wings at Ivars, leftover pastalaya at house.
Posted on 5/23/13 at 6:33 pm to DrTyger
quote:
Give me a board question. Lets see if I know it.
He must be digging up a hard one.
Posted on 5/23/13 at 6:33 pm to Nodust
It was bad 
Posted on 5/23/13 at 6:36 pm to SmackoverHawg
The questions are all third order paragraphs now.
Posted on 5/23/13 at 6:36 pm to DrTyger
quote:
Give me a board question. Lets see if I know it.
65 y/o man has progressive dyspnea on exertion for the past several months. He is able to walk two to three blocks on a flat surface but becomes short of breath when going upstairs or uphill. He also notes shortness of breath when he lies down. He does not have cough or sputum production. He has a 7.5-pack-year history of smoking but quit 20 years ago. He takes no medications.
On PE, he is alert, oriented, and in no acute distress. Temperature is 98.6 °F, blood pressure is 115/75 mm Hg, pulse rate is 78/min, and respiration rate is 22/min; BMI is 26. No jugular venous distention is noted. Pulmonary examination discloses minimal crackles and reduced breath sounds at the lung bases. Cardiac examination is normal. There is no leg edema.
PFTs reveal an FEV1 of 75% of predicted, an FVC of 68% of predicted with no change after administration of a bronchodilator, a total lung capacity of 68% of predicted, and a residual volume of 125% of predicted. FEV1/FVC ratio is 82%. Chest radiograph shows low lung volumes with suggested bibasilar atelectasis.
What's the diagnosis?
A. COPD
B. Heart Failure
C. Interstitial Lung Disease
D. Respiratory muscle weakness
Posted on 5/23/13 at 6:37 pm to SmackoverHawg
quote:
He must be digging up a hard one.
TWSS
Posted on 5/23/13 at 6:37 pm to SmackoverHawg
quote:
He must be digging up a hard one.
Doing pulmonary right now batting around 0.80, but there are a few interesting ones.
Posted on 5/23/13 at 6:38 pm to Dr Beardface
D due to MG
Posted on 5/23/13 at 6:39 pm to Dr Beardface
c or d
How you get myasthenia gravies from that?
How you get myasthenia gravies from that?
This post was edited on 5/23/13 at 6:40 pm
Posted on 5/23/13 at 6:40 pm to DrTyger
Will let Smackover guess too then I'll reveal it.
Posted on 5/23/13 at 6:41 pm to Dr Beardface
c
Posted on 5/23/13 at 6:42 pm to Dr Beardface
Party
Posted on 5/23/13 at 6:42 pm to SmackoverHawg
I was thinking c due to cancer
Posted on 5/23/13 at 6:43 pm to KingRanch
Did you find a SR1911 yet?
Posted on 5/23/13 at 6:43 pm to Dr Beardface
Answer is: D. Respiratory muscle weakness
If it were ILD, both TLC and RV would be decreased.
ETA: Only 21% of people got that one right in the pretest data.
If it were ILD, both TLC and RV would be decreased.
ETA: Only 21% of people got that one right in the pretest data.
This post was edited on 5/23/13 at 6:45 pm
Posted on 5/23/13 at 6:44 pm to Nodust
I ended up getting
Posted on 5/23/13 at 6:45 pm to Dr Beardface
quote:
If it were ILD, both TLC and RV would be decreased.
frick, that's right.
Posted on 5/23/13 at 6:45 pm to DrTyger
Age and sex. History tells ya they dont want chf or copd and no risk factors given for c
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