MCQ questions

Question 1

What is the causative agent of bird acquired pneumonia?

Answer 1

Chlamydia psittaci

Question 2

Give 4 characteristics of a moderate asthma attack

Answer 2

1. PEFR 50-75% OF PREDICTED
2. Speech normal
3. RR>25
4. pulse>110

Question 3

Give 4 characteristics of a severe asthma attack

Answer 3

1. PEFR 33-50% of predicted
2. Can’t complete sentences
3. RR>25
4. Pulse >110

Question 4

What is the mnemonic for rmembering a life threatening asthma attack

Answer 4

1. 33 PEFR below 33% predicted
2. 92- 02 sats below 92%
3. c- cyanosis
4. h- hypotension
5. e- exhaustion
6. s- silent chest
7. t- tachycardia

Question 5

In a patient with an acute asthma attack what should be prescribed if they are only on a SABA?

Answer 5

• Oral pred (to see them through to the inhaler taking effect)
• Beclometasone inhaler

Question 6

• What is a parapneumonic effusion?
• When is it an empyema? triad of signs

Answer 6

• Following a pneumonia, some patients develop a free-flowing exudate (parapneumonic effusion) that may become infected when there is bacterial invasion across the damaged lung epithelium.
• Empyemas are characterised by pH<7.2, low gluocse and high LDH

Question 7

What is the screening tool for obstructive sleep apnoea?

Answer 7

Epworth tool

Question 8

What ABG changes are seen in opiate overdose?

Answer 8

• respiratory acidosis
• Type 2 resp failure

Question 9

What are the components of the CURB score?

Answer 9

• Confusion +1
• Raised urea +1
• resp rate >30 +1
• Blood pressure sys<90 and/or dias<60
• greater than 65 +1

Question 10

Which organism is known to cause redcurrant sputum and lead to empyema?

Answer 10

Klebsiella

Question 11

What is the most common caustaive organism of IE in COPD?

Answer 11

haemophilus influenzae