MICA week 9 Flashcards

1
Q

How do you dignose Asthma?

A

combination

History + test+ response to treatment

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2
Q

How do you diagnose

it

A

everyone should have spirometry and reversibility

6 weeks of treatment and then re do

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3
Q

how do you interpret the asthma results

A
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4
Q

What are other test you can do apart from spirometry

A
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5
Q

if someone is finding it difficult to use the inhaler

what woudl

A
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6
Q

what is the treatment for asthma

A
  1. SABA
  2. low dose ICS+ SABA
  3. low does Leukotriene antagonist (NOT LABA)
  4. ICS+SABA+ Leukotriene + LABA
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7
Q

How do you know if they are controlled? What do you ask them on a review

A

3question

haveyour

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8
Q

what do you do in a subactute asthma flare up

A
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9
Q

acute asthma mangement

A
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10
Q

acute asthma management

A
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11
Q

what arethe symptoms and sign in pneumonia and broncitis

What is their management

A

bronchitis - viral -corizal symptoms -runny nose

pneumonia-

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12
Q

when do you admit a patient to hospital

A
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13
Q

what is the management of pneumonia

A
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14
Q

What are symptoms of COPD

A
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15
Q

Who has COPD

who would you suspect has copd

A
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16
Q

what are risk factors for COPD

A

smoking

passive smoking

maternal smoking in utero

occupation: dust, chemical, burns wood indoor

alpha one anti trypsine

premature

17
Q

What are the investigations for COPD

18
Q

what is the non pharamcological management of COPD

19
Q

What is the management of COPD

A

steroid responsiveness

oesinophilia, history of Atopy (eczema, hay fever)

they go on a LABA and ICS

LTOT- lon term oxygen therapy on for more than 15 hours

20
Q

what are symptomsof an exacerbation of COPD

21
Q

whendo you admitsomeone with COPD

A

signsof sepsis

pneumonia -CURB65

confused

breathlessness

can not keep medication down

sats below 90

22
Q

what is the manaement of acute copd

23
Q

What are the symptoms of bronchiectasis

What is the pathology in bronchiectasis

A

congenital predispositions:

primary ciliarydyskinesias,cystic fibrosis