06/01

Question 1

What is the treatment of choice in acute bronchitis?

Answer 1

Doxycycline

Given when someone is systemically unwell/has comorbidities or a high CRP

Question 2

How do you differentiate between acute bronchitis and pneumonia?

Answer 2

Sputum, wheeze and breathlessness can be absent in AB

On examination in AB there will be no crepitations, bronchial breathing, only chest finding will be wheeze

Question 3

What type of cancer does alpha 1 antitrypsin deficiency increase the risk of?

Answer 3

Hepatocellular carcinoma

Question 4

What is the target sats in a patient presenting with an acute asthma attack?

Answer 4

94-98%

Question 5

What is the first line treatment in sarcoidosis?

Answer 5

Prednisolone

-if patient symptomatic or high grade disease

Question 6

What are the indications for non invasive ventilation?

Answer 6

COPD with resp acidosis (pH 7.25-7.35)
T2RF secondary to chest wall deformities, neuromuscular disease, obstructive sleep apnoea
Cardiogenic Pulmonary oedema which does not respond to CPAP
Weaning from tracheal intubation

Question 7

What is defined as a pack year?

Answer 7

20 cigarettes a day= 1 pack year