3rd Year Lecture's

Question 1

What peak flow indicates life threatening asthma?

Answer 1

< 33% peak flow

Question 2

Key features of mycobacterium tuberculosis?

Answer 2

• hole in apical cavity
• Lowenstein-Jenson medium
• pearly white cultures

Question 3

Pneumonia management

Answer 3

CURB 1
1st line = amoxicillin IV
2nd line = clarithromycin

CURB 2
1st line = amoxicillin & clarithromycin
2nd line = doxycycline

CURB 3
1st line = Co-amoxiclav and clarithromycin IV
2nd line = Vancomycin & clarithromycin

Question 4

Pulmonary TB treatment regime

Answer 4

4 drugs for 2 months
–> Rifampicin
–> Isoniazid
–> Pyrazinamide
–> Ethambutol

2 drugs for 4 months
–> Rifampicin
–> Isoniazide

Question 5

Test for TB

Answer 5

MANTOUX TEST

Question 6

What accounts for 25% of mutations in lung cancer?

Answer 6

KRAS

Question 7

Criteria used when deciding whether to prescribe antibiotics for acute exacerbation of COPD patients?

Answer 7

Anthonisen critieria
- increased dyspnoea
- sputum volume
- sputum purulence

Question 8

Pharmacological treatment - COPD

Answer 8

1. SABA / SAMA (ipatropium)

Asthmatic or non-asthmatic

If Asthmatic –> LABA & ICS

Non-asthmatic –> LABA & LAMA

THEN
–> triple inhaler
——> LABA & LAMA & ICS

Question 9

What might you give to a patient who has had 4 or more exacerbations of COPD in a year

Answer 9

long term azithromycin

Question 10

Interstitial lung disease is what type of respiratory failure

Answer 10

type 1 respiratory failure