3. Cystic Fibrosis, Lung Cancer and Sleep Apnoea Flashcards

1
Q

What is cystic fibrosis (2)

A

Inherited disorder

Caused by CFTR recessive gene (chromosome 7)

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2
Q

What does CFTR gene cause

A

Defect in cell chloride channels

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3
Q

Result of cystic fibrosis (what does the CFTR gene cause)

A

Excess sticky solid mucus (rather than rubbery) that traps bacteria

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4
Q

Organs mainly affected by cystic fibrosis (2)

A

Lungs

Pancreas

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5
Q

Cystic fibrosis diagnostic methods (2)

A
Perinatal testing (blood test at birth)
Sweat test
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6
Q

What does a sweat test measure

A

Salt content of sweat

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7
Q

Difference in normal/cystic fibrosis sweat test

A

Cystic fibrosis - greater salt content in sweat

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8
Q

Major symptoms of cystic fibrosis (4)

A

Troublesome cough
Repeated chest infections
Prolonged diarrhoea
Poor weight gain

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9
Q

Minor symptoms of cystic fibrosis (4)

A
Liver dysfunction
Prone to osteoporosis
Diabetes symptoms (prolonged pancreas disease)
Reduced fertility (mainly male)
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10
Q

Cystic fibrosis treatment (4)

A

Physiotherapy
Medication
Exercise
Transplantation

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11
Q

Role of cystic fibrosis physiotherapy

A

Remove mucus secretion from lungs

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12
Q

Types of medications used for cystic fibrosis treatment (4)

A

Bronchodilators (lungs - open airways)
Antibiotics - reduce chest infection frequency
Steroids - reduce airway inflammation
DNase - break down mucus
(Pancreatic enzyme replacement and nutritional supplements)

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13
Q

Role of exercise in cystic fibrosis treatment (2)

A

Maintain optimal lung function

Build physical bulk and strength

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14
Q

When is transplantation performed

A

During end stage lung disease (ESLD)

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15
Q

What is ESLD

A

Extensive fibrosis of lung tissue causing dysfunction

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16
Q

Types and frequency of lung tumours (4)

A

Squamous cell carcinoma (40%)
Small cell (25%)
Large cell (20%)
Adenocarcinoma (15%)

17
Q

What lung tumour is associated with smoking

A

Squamous cell carcinoma

18
Q

Effects of lung tumours (5)

A
Cough
Haemoptysis (blood stained sputum)
Pneumonia 
Metastasis - bone, liver, brain
Other (dysphagia, SVC obstruction, recurrent laryngeal nerve palsy)
19
Q

Definition of sleep apnoea

A

Airway obstruction during sleep of a duration of 10s or greater

20
Q

Why does sleep apnoea occur

A

Because the airway muscle tone drops

21
Q

Effects of sleep apnoea

A

Increased risk of MI (low oxygen)

22
Q

Types of sleep apnoea (2)

A

Obstructive (OSA)
Central sleep apnoea
(Mixed form is possible)

23
Q

Measuring sleep apnoea

A

AHI - apnoea/hypopnoea index

<10 indicates few problems

24
Q

Sleep apnoea treatment (2)

A

CPAP - continuous positive airway pressure

Mandibular advancement devices can be used if the tongue falls back and blocks the airway