1MBChB Respiratory

Question 1

Stony dull to percussion

Answer 1

Pleural effusion

Question 2

Alveolar bat’s wings, Kerley B lines, Cardiomegaly, Dilated upper lobe vessels, Effusion (ABCDE!)

Answer 2

Pulmonary oedema

Question 3

Ground-glass appearance on CXR

Answer 3

Pulmonary fibrosis

ARDS in neonates

Question 4

ZN stain +ve for acid-fast bacilli

Answer 4

Tuberculosis

Question 5

+ve anti-glomerular basement membrane antibodies

Answer 5

Goodpasture’s syndrome

Question 6

Chest infection with a parrot/pigeon as a pet

Answer 6

Chlamydophila psittaci

Question 7

Drug cough and diarrhoea, with a background of holiday abroad + contact with foreign water

Answer 7

Legionella pneumophila

Question 8

Bilateral hilar lymphadenopathy
Erythema nodosum
Afro-Caribbean

Answer 8

Sarcoidosis

Question 9

Bronchiole widening, signet ring sign on CT

Answer 9

Bronchiectasis

Question 10

D-sign on CXR

Answer 10

Empyema

Question 11

Steeple sign on CXR

Answer 11

Laryngotracheobronchitis (croup)

Question 12

Red jelly sputum

Answer 12

Klebsiella pneumoniae

Question 13

Rusty sputum

Answer 13

Pneumococcal pneumonia

Question 14

Cannonball metastasis, weight loss and haematuria

Answer 14

Primary renal cell carcinoma

Question 15

ACTH-secreting lung tumour

Answer 15

Small cell carcinoma

Question 16

PTH-secreting lung tumour

Answer 16

Squamous cell carcinoma

Question 17

Eggshell calcification near the hila

Answer 17

Silicosis

Question 18

Apical lung lesion of secondary tuberculosis infection

Answer 18

Assmann focus

Question 19

Thumbprint sign on a head XR

Answer 19

Epiglottitis

Question 20

Inspiratory whoop/barking cough

Answer 20

Pertussis

Question 21

Snow-storm appearance on CXR

Answer 21

Baritosis

Silicosis

Question 22

Treatment of large PE

Answer 22

Thrombolysis

Question 23

Treatment of small PE

Answer 23

LMW heparin

Question 24

Swinging fever

Answer 24

Abscess

Question 25

Chest infection in a sheep farmer

Answer 25

Coxiella burnetti