Characteristic

Question 1

Allergic Aspergillus

Answer 1

productive cough, dyspnoea, and eosinophilia on a background of asthma - characteristic

Chest x-ray in these patients can show evidence of infiltrates.

Oral prednisolone is the treatment of choice

Question 2

Obstructive airway disease

Answer 2

Asthma
COPD
Allergic response to Aspergillus
Alpha antitrypsin deficiency disease

Question 3

High altitude pulmonary edema treatment

Answer 3

Descent
Oxygen
Vasodilation causing agents for pulmonary vasodilation :

Nifidipine, PDE inhibitor, dexamethasone

Acetazolamide (carbonic anhydrase inhibitor) causing metabolic acidosis, in reaction, causes respiratory alkalosis (high resp drive)

Question 4

Kartageners

Answer 4

Primary ciliary dyskinesia and organ reversal

• subfertility
• bronchiectasis
• sinusitis
• dextrocardia

Question 5

Pneumothorax + hemodynamic compromise

Answer 5

ANY pneumothorax with a low BP is a TENSION pneumothorax

Question 6

ARDS what is?

Answer 6

ARDS is characterised by acute onset of hypoxaemia (pO2/FiO2 ratio less than 300 mmHg), bilateral infiltrates on chest X-ray (CXR), and non-cardiogenic origin of pulmonary oedema

Not including RR in this criteria

American-European Consensus Conference)
1- acute onset (within 1 week of a known risk factor)

2- Bilateral pulmonary oedema: bilateral infiltrates on chest x-ray (‘not fully explained by effusions, lobar/lung collapse or nodules)

3- non-cardiogenic (pulmonary artery wedge pressure needed if doubt)

4- pO2/FiO2 < 40kPa (300 mmH

Question 8

Low threshold for intubation

Answer 8

Brittle Asthma

WARNING!!