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FRCR 2A (Crack the 2A High Yield) > 1.3. Chest High Yield > Flashcards

1.3. Chest High Yield Flashcards

1
Q

Obliteration of Raider’s triangle

A

Aberrant right subclavian

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2
Q

Flat waist sign

A

Left Lower Lobe Collapse

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3
Q

Terrorist & mediastinal widening

A

Anthrax

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4
Q

Bulging fissure

A

Klebsiella

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5
Q

Dental procedure, now jaw osteomyelitis and pneumonia

A

Actinomycosis

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6
Q

Culture negative pleural effusion, airspace opacity 3/12 later

A

TB

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7
Q

Hot-tub

A

hypersensitivity pneumonitis

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8
Q

Halo sign

A

Fungal pneumonia - Invasive aspergillus

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9
Q

Reverse halo or Atoll sign

A

COP (cryptogenic organising pneumonia)

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10
Q

Finger in glove

A

ABPA (Allergic Broncho Pulmonary Aspergillosis)

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11
Q

ABPA

A

Asthma

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12
Q

Septic emboli & Jugular vein thrombus

A

Lemierre

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13
Q

Lemierre

A

Fusobacterium necrophorum

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14
Q

Paraneoplastic syndrome with SIADH

A

Small cell lung Ca

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15
Q

Paraneoplastic syndrome with PTH

A

Squamous cell Ca

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16
Q

Squamous cell Ca & proximal weakness

A

Lambert Eaton

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17
Q

Cavity fills with air, post pneumonectomy

A

Bronchopulmonary fistula

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18
Q

Malignant bronchial tumour

A

carcinoid

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19
Q

Malignant tracheal tumour

A

Adenoid cystic

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20
Q

AIDS pt, lLung nodules, Lymphadenopathy, Pleural effusions

A

Lymphoma

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21
Q

Gallium negative

A

Kaposi

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22
Q

Thallium negative

A

PCP

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23
Q

Lung cysts in TS (tuberous sclerosis) patient

A

LAM (Lymphangioleiomyomatosis)

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24
Q

Macroscopic fat and popcorn calcifications

A

Hamartoma

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25
Q

Bizzare shaped cysts

A

LCH

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26
Q

Panlobular emphysema (not alpha-1)

A

Ritalin lung

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27
Q

Honeycombing

A

UIP (Usual Interstitial Pneumonia)

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28
Q

Histology was heterogenous

A

UIP

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29
Q

Ground glass with subpleural sparing

A

NSIP

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30
Q

UIP lungs & parietal pleural thickening

A

Asbestosis

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31
Q

Cavitation in the setting of silicosis

A

TB

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32
Q

Air trapping 6 months after transplant

A

Chronic rejection / bronchiolitis obliterans syndrome

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33
Q

Crazy paving

A

PAP

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34
Q

History of constipation

A

Lipoid pneumonia (suggests mineral oil use)

35
Q

UIP & Air Trapping

A

Chronic hypersensitivity syndrome

36
Q

Dilated oesophagus with ILD

A

Scleroderma (with NSIP)

37
Q

SoB when sitting up

A

Hepatopulmonary syndrome

38
Q

Episodic hypoglycaemia

A

Solitary fibrous tumour of the pleura

39
Q

Pulmonary HTN with normal wedge pressure

A

Pulmonary veno-occlusive disease

40
Q

Yellow nails

A

Oedema and chylous pleural effusions (Yellow Nail Syndrome)

41
Q

Persistent fluid collection after pleural drain/tube placement

A

Extrapleural haematoma

42
Q

Displaced extrapleural fat

A

Extrapleural haematoma

43
Q

Massive air leak, in trauma setting

A

Trachea or bronchial rupture

44
Q

Hot on PET around the periphery

A

Pulmonary infarct

45
Q

Multilobar collapse

A

Sarcoid

46
Q

Classic bronchial infection

A

TB

47
Q

Panbronchiolitis (CT appearance)

A

Tree in bud

48
Q

Bronchorrhoea

A

Mucinous BAC

49
Q

Most anterior heart valve

A

Tricuspid

50
Q

Most superior valve

A

Pulmonary

51
Q

How many lung segments per lung

A

10 - right
8 - left

52
Q

Which part of mediastinum is above the clavicles

A

Posterior

53
Q

Azygous lobe has how many layers of pleura

A

4

54
Q

Commonest pulmonary vein variant

A

Separate right middle lobe vein

55
Q

Commonest cause of pneumonia in AIDS

A

Strep. Pneumonia

56
Q

Commonest opportunistic infection in AIDS

A

PCP

57
Q

Aspergilloma can be seen in

A

pts with normal immune system

58
Q

Invasive aspergillus is seen in..

A

..Immunocompromised patients

59
Q

Fleishner society recommendations do NOT apply to

A

patients with known cancers

60
Q

Most suspicious calcification pattern in a solitary pulmonary nodule

A

Eccentric calcifications

61
Q

Most suspicious morphology for pulmonary nodule

A

Part solid, part ground glass

62
Q

Staging needed for lung Ca to be unresectable

A

3B (Contralateral nodal involvement,
Ipsilateral scalene or supraclavicular node involvement,
Tumour in different lobes)

63
Q

Commonest cause of unilateral lymphangetic carcinomatosis

A

bronchogenic carcinoma invading lymphatics

64
Q

latency between initial exposure and developing lung cancer or pleural mesothelioma

A

20 years

65
Q

Earliest and commonest finding of asbestos exposure

A

Pleural effusion

66
Q

Silicosis effect on infection risk

A

Triples risk of TB

67
Q

Silo Filler’s disease

A

Nitrogen Dioxide exposure, gives pulmonary oedema pattern

68
Q

First finding of UIP on CXR

A

Reticular pattern on posterior costopherenic angle

69
Q

Commonest recurrent lung disease after lung transplant

A

Sarcoid

70
Q

Pleural plaque distribution in asbestosis

A

Typically spares costophrenic angles

71
Q

Commonest manifestation of mets to pleura

A

Pleural effusion

72
Q

Mature teratomas are associated with (genetic)

A

Kleinfelters

73
Q

Injury close to the carina will cause

A

Pneumomediastinum rather than pneumothorax

74
Q

Best imaging for superior sulcus tumour

A

MRI (need to assess brachial plexus)

75
Q

Commonest benign oesophageal tumour

A

Leiomyoma (commonest in distal third)

76
Q

Oesophageal leiomyomatosis associated with

A

Alport syndrome

77
Q

Bronchial/tracheal injury may be evaluated with

A

Bronchoscopy

78
Q

COP associated with

A

Eosinophilic pneumonia

79
Q

BAC

A

lymphoma

80
Q

Bronchial atresia classic distribution

A

Left upper lobe

81
Q

Pericardial vs bronchogenic cysts

A

Pericardial cysts must be simple
Bronchogenic cysts dont have to be

82
Q

PAP prognosis post Rx

A

1/3 improve, 1/3 don’t, 1/3 progress to fibrosis

83
Q

Carcinoid on PET

A

Cold

84
Q

Dysphagia Lusoria

A

Presents later in life as atherosclerosis develops

FRCR 2A (Crack the 2A High Yield) (10 decks)

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