DPD_2

Question 1

Causes breathlessness onset: seconds

Answer 1

Pneumothorax
Pulmonary Embolism
Foreign Body

Question 2

Causes breathlessness onset: mins/hrs

Answer 2

Airways (inflam/obstr)
Chest Infection (pus)
Acute Hearth Failure (fluid)

Question 3

Causes breathlessness onset: Days/weeks

Answer 3

chronic lung disease
Interstitial lung disease
Malignancy/Large Pleural Effusion
Neuromuscular 
Anaemia/thyrotoxicosis

Question 4

Management of primary pneumothorax

Answer 4

< 2cm: discharge, repeat CXR

> 2cm: Aspiration, failing that chest drain

Question 5

Management of secondary pneumothorax

Answer 5

<2cm: aspiration

> 2cm: chest drain

Question 6

How to determine axis of ECG

Answer 6

I and II: either -ve? then axis deviation

is avL +ve?
Yes: Left axis dev.
No: Right axis dev.

Question 7

Pleuritic Chest Pain with PMHx of DVT, next step in management BP:120/80

Answer 7

LMWH

would only thrombolyse if pt is haemodynamically unstable

Question 8

Why do you continue LMWH while pt still on warfarin

Answer 8

warfarin has thromboembolic effects initially

Question 9

what is the significance of FEV1/FVC >80%

Answer 9

restrictive lung disease

Question 10

what is the significance of FEV1/FVC <80%

Answer 10

Obstructive lung disease

Question 11

List restrictive lung diseases

Answer 11

pulmonary fibrosis
sarcoidosis
TB

Question 12

List Obstructive lung diseases

Answer 12

Asthma
Bronchiectasis
COPD

Question 13

Radiographic sign of pulmonary oedema

Answer 13

fluffy white shadowing

Question 14

Radiographic sign of pulmonary fibrosis

Answer 14

Reticular shadowing