Add: create new questions for bronchiectasis management, pneumonia se…

…verity, and pulmonary hypertension; update tags for existing questions
Skippou · Jan 2, 2025 · ab59696 · ab59696
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diff --git a/questions/cardiology/arrhythmias/afib.md b/questions/cardiology/arrhythmias/afib.md
@@ -3,7 +3,7 @@ id: CARD001
 specialty: cardiology
 topic: arrhythmias
 difficulty: medium
-tags: [afib, anticoagulation, strokePrevention]
+tags: [afib, anticoagulation, strokePrevention, claude35Sonnet]
 created: 2025-01-01
 lastUpdated: 2025-01-01
 ---

diff --git a/questions/critical-care/mods/fulminant-case.md b/questions/critical-care/mods/fulminant-case.md
@@ -3,7 +3,7 @@ id: CRIT002
 specialty: critical-care
 topic: MODS
 difficulty: ultra-hard
-tags: [multiOrganFailure, complexManagement, integrativePhysiology, hemodynamics, ARDS, sepsis, DIC]
+tags: [multiOrganFailure, complexManagement, integrativePhysiology, hemodynamics, ARDS, sepsis, DIC, claude35Sonnet, copilot]
 created: 2025-01-01
 lastUpdated: 2025-01-01
 ---

diff --git a/questions/pulmonology/copd/bronchiectasis.md b/questions/pulmonology/copd/bronchiectasis.md
@@ -0,0 +1,39 @@
+---
+id: PULM007
+specialty: pulmonology
+topic: bronchiectasis
+difficulty: medium
+tags: [respiratory, chronicCare, imaging, copilotO1]
+created: 2025-01-02
+lastUpdated: 2025-01-02
+---
+
+# Bronchiectasis Management
+
+## Question
+A 50-year-old patient with chronic productive cough and recurrent infections on CT shows dilated bronchi with thickened walls. Sputum grows Pseudomonas aeruginosa. Which therapy is most appropriate?
+
+## Options
+| Option | Description                           |
+|--------|---------------------------------------|
+| A)     | Chest physiotherapy + inhaled tobramycin |
+| B)     | Oral steroids indefinitely            |
+| C)     | Only supportive oxygen                |
+| D)     | Immediate lobectomy                   |
+| E)     | Macrolide monotherapy for 2 weeks     |
+
+<details>
+<summary>View Answer</summary>
+
+## Correct Answer
+A
+
+## Explanation
+1. Airway clearance plus inhaled antibiotics is standard for Pseudomonas.  
+2. Chronic oral steroids (B) not first-line.  
+3. Lobectomy (D) only for localized, refractory disease.
+
+## References
+- ERS Guidelines for Bronchiectasis 2021
+- NEJM 2018: "Bronchiectasis Management"
+</details>
diff --git a/questions/pulmonology/infections/pneumoniaSeverity.md b/questions/pulmonology/infections/pneumoniaSeverity.md
@@ -0,0 +1,44 @@
+---
+id: PULM006
+specialty: pulmonology
+topic: pneumonia
+difficulty: medium
+tags: [respiratory, treatment, clinicalCase, copilotO1]
+created: 2025-01-02
+lastUpdated: 2025-01-02
+---
+
+# Community-Acquired Pneumonia Severity
+
+## Question
+A 67-year-old man presents with pneumonia symptoms:
+- RR: 30/min
+- BP: 90/58 mmHg
+- Confusion
+- Elevated urea
+He has a CURB-65 score of 3. Which management is most appropriate?
+
+## Options
+| Option | Description                                     |
+|--------|-------------------------------------------------|
+| A)     | Outpatient antibiotics + follow-up              |
+| B)     | Oral macrolide + decongestants                  |
+| C)     | IV ceftriaxone + azithromycin, admit to hospital |
+| D)     | High-dose IV vancomycin + linezolid             |
+| E)     | Supportive care only                            |
+
+<details>
+<summary>View Answer</summary>
+
+## Correct Answer
+C
+
+## Explanation
+1. CURB-65 score ≥3 indicates high risk.  
+2. Admission with IV antibiotics recommended.  
+3. Vancomycin or linezolid (D) reserved for MRSA suspicion.  
+
+## References
+- NICE Pneumonia Guidelines 2023
+- IDSA/ATS CAP Guidelines
+</details>
diff --git a/questions/pulmonology/vascular/pulmHypertension.md b/questions/pulmonology/vascular/pulmHypertension.md
@@ -0,0 +1,39 @@
+---
+id: PULM008
+specialty: pulmonology
+topic: pulmonary-hypertension
+difficulty: hard
+tags: [respiratory, chronicCare, cardiovascular, copilotO1]
+created: 2025-01-02
+lastUpdated: 2025-01-02
+---
+
+# Pulmonary Hypertension Management
+
+## Question
+A 42-year-old woman with dyspnea on exertion undergoes right heart catheterization confirming pulmonary arterial hypertension (PAH). Which specific therapy is most appropriate?
+
+## Options
+| Option | Description                                                     |
+|--------|-----------------------------------------------------------------|
+| A)     | High-dose diuretics + vasopressors                             |
+| B)     | Prostacyclin analog (epoprostenol) infusion                    |
+| C)     | Beta-2 agonists + inhaled corticosteroids                      |
+| D)     | Empiric antibiotics + chest physiotherapy                      |
+| E)     | Oral nitrate plus digoxin                                      |
+
+<details>
+<summary>View Answer</summary>
+
+## Correct Answer
+B
+
+## Explanation
+1. PAH often requires targeted vasodilator therapy: prostanoids, PDE5 inhibitors, or endothelin receptor antagonists.  
+2. Epoprostenol improves outcomes in severe PAH.  
+3. Diuretics can help volume overload but are not definitive.  
+
+## References
+- CHEST 2022: "Pulmonary Arterial Hypertension Update"
+- NEJM 2021: "Advances in PAH Treatment"
+</details>