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Pulmonology · USMLE Step 1

USMLE Pulmonology High-Yield Rapid Review

A condensed rapid review pass over the highest yield pulmonary pathology and physiology facts for final week review.

40 cards · basic cards · AI-written, checked twice. Edit anything.

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In obstructive lung disease, the FEV1/FVC ratio is ____.
decreased
In restrictive lung disease, the FEV1/FVC ratio is ____.
normal or increased
What is the clinical definition of chronic bronchitis?
Productive cough for at least 3 months per year, for 2 consecutive years
In emphysema, what lung structure is destroyed?
Alveolar walls (airspaces distal to the terminal bronchiole)
How does alpha-1 antitrypsin deficiency cause emphysema?
Unopposed neutrophil elastase destroys alveolar walls
Panacinar emphysema is classically associated with what condition?
Alpha-1 antitrypsin deficiency
Centriacinar (centrilobular) emphysema is most strongly associated with what exposure?
Cigarette smoking
Airway obstruction in asthma is driven by what type of hypersensitivity reaction?
Type I (IgE-mediated) hypersensitivity
What are Curschmann spirals, found in asthmatic sputum?
Spiral-shaped mucus plugs from small airways
Charcot-Leyden crystals in asthma sputum are derived from which cell type?
Eosinophils
How is bronchiectasis defined structurally?
Permanent, abnormal dilation of the bronchi and bronchioles
Cystic fibrosis is caused by mutation in which gene?
CFTR
The CFTR gene is located on chromosome ____.
7
What is the most common CFTR mutation causing cystic fibrosis?
Delta F508 (deletion of phenylalanine at position 508)
What classic high-resolution CT finding is seen in idiopathic pulmonary fibrosis?
Honeycomb lung (subpleural cystic changes)

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