19 November

Question 1

What are symptoms of sarcoidosis?

Answer 1

Erythema Nodosum
Bilateral Hilar Lymphadenopathy
Fever
Polyarthralgia
Dyspnoea
Cough
Weight loss
Uveitis
Hypercalcaemia

Question 2

What are features of Eosinophilic Granulomatosis with polyangiitis (Churg Strauss Syndrome)

Answer 2

Eosinophilia
Vasculitis
Asthma

Question 3

What are symptoms of Eosinophilic Granulomatosis with polyangiitis

Answer 3

Sinusitis
New onset or worsening allergies
Asthma
Then systemic vasculitis symptoms

Question 4

What are causes of transudative pleural effusion?

Answer 4

Heart failure
Liver cirrhosis
Renal failure

Question 5

What are causes of exudative pleural effusion?

Answer 5

Malignancy
Sepsis
Inflammation

Question 6

What are signs of tension pneumothorax?

Answer 6

Trachea deviation from affected side
Reduced expansion
Hyper resonant percussion
Absent breath sounds

Question 7

What is the Epworth score?

Answer 7

To assess daytime sleepiness
Patients rank 0-3 on how likely they are to fall asleep in 8 circumstances e.g. watching TV
Score >10 warrants further investigation sleep apnoea

Question 8

What are indications for LTOT?

Answer 8

Primary Pulmonary HTN
COPD
Interstitial lung disease
Chronic cardiac failure
Malignancy
Cystic Fibrosis
Chronic Asthma
Chronic Hypoxaemia PaO2 <7.3 or 7.3-8 with polycythaemia

Question 9

What are the stages of pertussis infection?

Answer 9

Catarrhal stage- resembles URTI
Coughing stage- bouts of severe coughing followed by high pitched gasp (whoop) and sometimes vomiting
Convalescence stage- recovery