Buzz words: Respiratory

Question 1

SOB on exertion
“Winter bronchitis”
Wheeze
Chronic productive cough
Inv: post-bronchodilator Spirometry

Answer 1

COPD

Question 2

Inv: post-bronchodilator Spirometry

Answer 2

COPD

Question 3

Fever
Chronic Cough
Weight loss
Asian
Lowenstein Jensen Medium
Red Ziehl-Nelson Stain
“Acid fast bacilli”
RIPE treatment

Answer 3

TB

Question 4

Lowenstein Jensen Medium

Answer 4

TB

Question 5

Red Ziehl-Nelson Stain

Answer 5

TB

Question 6

“Acid fast bacilli”

Answer 6

TB

Question 7

TB drug SE: orange tears

Answer 7

Rifampicin

Question 8

TB drug SE: peripheral neuropathy

Answer 8

Isoniazid

Question 9

Red-green colour blindness

Answer 9

Ethambutol

Question 10

Steatorrhoea, diabetes
Clubbing, Signet rings
Recurrent Infections
Bronchiectasis
Sodium >60mmol

Answer 10

Cystic Fibrosis

Question 11

Shipyard/power station worker
End-inspiratory crackles
Non-productive cough
Pleural effusion

Answer 11

Mesothelioma

Question 12

Mouldy hay

Answer 12

Farmer’s lung (EAA)

Question 13

Parakeets/Pigeons

Answer 13

Bird fancier’s lung (EAA)

Question 14

Lung Ca:
Horner’s syndrome
Arm pain

Answer 14

Pancoast’s tumour

Question 15

Lung Ca:
Hypercalcaemia (constipation, polyuria)
Ectopic PTHrP
Epithelial cells

Answer 15

Squamous cells carcinoma

Question 16

Lung Ca:
Neuroendocrine symptoms
Paraneoplastic syndomes:
ACTH: cushing’s
ADH: SIADH
Anti-Ca ABs: Lambert Eaton
Mets early

Answer 16

Small cell carcinoma

Question 17

Lung Ca:
Goblet cell origin
NON-smoker, woman

Answer 17

Adenocarcinoma

Question 18

Lung Ca:
Goblet cell origin
NON-smoker, woman
Mets

Answer 18

Adenocarcinoma

Question 19

Fever, SOB, productive cough
Bronchial breath sounds
Coarse creps
Assess with CURB-65
CRP, urea, RR, BP, >65yo
IV clarithromycin, oral amoxicillin

Answer 19

Pneumonia

Question 20

Pneumonia:

rusty sputum, younger pt

Answer 20

S. pneumoniae

Question 21

Pneumonia:
small segmental
infiltrates, sinusitis, pharyngitis, laryngitis

Answer 21

Chlamydia pneumonia

Question 22

Pneumonia:
adolescents,
erythema nodosum, pericarditis,
haemolytic anaemia

Answer 22

Mycoplasma pneumoniae

Question 23

Pneumonia:

Abscesess

Answer 23

S. aureus

Question 24

Pneumonia:

purulent dark sputum

Answer 24

Klebsiella

Question 25

Pneumonia: AIDS, widespread infiltrates, low O2 sats

Answer 25

Pneumocytitis jiroveci

Question 26

Pneumonia: legionnaire’s, low Na, low albumin, air conditioning

Answer 26

legionnaire’s, low | Na, low albumin, air conditioning

Question 27

Pneumonia: birds, hepatosplnomegaly, conjunctivitis, arthralgia, lower lobe consolidation

Answer 27

Chlamydophila psittaci

Question 28

Child coughing up blood

Answer 28

Inhaled foreign body

Question 29

``` Night cough Intermittent wheeze Eczema/hayfever (atopy) Stepwise Treatment Diurnal variation ```

Answer 29

Stable asthma

Question 30

Nocturnal cough | Diurnal variation

Answer 30

Stable asthma

Question 31

Nocturnal cough | Diurnal variation

Answer 31

Stable asthma

Question 32

Silent chest, apparent improving O2, fatigue, bradycardia IV magnesium sulphate, intubate

Answer 32

Life-threatening exacerbation of asthma

Question 33

60% O2 via facemask Back-to-back nebs Systemic steroids

Answer 33

severe exacerbation of asthma

Question 34

60% O2 via facemask Back-to-back nebs Systemic steroids

Answer 34

severe exacerbation of asthma