Amir Sam - Resp

Question 1

Differentials for SOB - seconds

Answer 1

Pneumothorax (popped bullae)
PE
Foreign body

Question 2

SOB - minutes

Answer 2

Airway - inflammation or obstruction

Chest infection, asmtha, copd, pneumonia

Question 3

SOB - days

Answer 3

Interstitial lung disease
Mlaginnanyc
neruomuscluar
Anaemia 
Thyrotoxicsosis

Question 4

Management for pneumothorax

Answer 4

Oxygen

Chest drain

Question 5

Primary pneumothorax management

Answer 5

If under 2cm, ???????????????

distance from periphery to lung

Question 6

What is the cause of recurrent SOB after a chest drain?

Answer 6

Re-expansion pulmonary oedema

Question 7

First step in determining deviation

Answer 7

Look at leads 1 and 2 - do they look negative?

If so, there is axis devation

Question 8

Second step in determining deviation

Answer 8

aVL - is it more positive or negative?

If negative, it’s right axis devation

Question 9

PE management

Answer 9

LMWH

Question 10

What would you see on a CXR in fibrosis?

Answer 10

Reticular nodular shadowing

Question 11

What would you see in COPD?

Answer 11

Hyperexpanded

Flattened diagrams

Question 12

FEV1/FVC for restrictive disease

Answer 12

More than 70%

Question 13

FEV1/FVC for obstructive disease

Answer 13

Less than 70%

Question 14

Homogenous shadowing suggest???

Answer 14

Pleural effusion

Question 15

Pneumonia

Answer 15

Airspace fluffy shadowing

Question 16

Batwings

Answer 16

bilateral airspace shadowing

could be fluid
infection

Question 17

Cavitating lesion could be caused by?

Answer 17

Infection
Inflammation
Malignancy

Question 18

Cavitating lesion could be caused by?

Answer 18

Infection
Inflammation
Malignancy

Question 19

Bilateral hilar lymphadenopathy could be caused by

Answer 19

tb
sarcoidosis
malignancy

Question 20

What do plaques show?

Answer 20

Asbestos

Question 21

What is the difference between plaques and asbestosis?

Answer 21

Asbestosis is pulmonary fibrosis as a result of asbestos