MSRA - Resp Flashcards
1
Q
How to distinguish transudate vs exudate
A
- exudate have protein level >30g/L
- transudates have protein level <30g/L
- use Light’s criteria if protein level 25-35 g/L
2
Q
Light’s criteria
A
Exudate is likely if at least one of:
- pleural fluid protein/serum protein >0.5
- pleural fluid LDH/serum LDH >0.6
- pleural fluid LDH more than 2/3 upper limits normal serum LDH
3
Q
Indications to place chest drain
A
- purulent/turbid fluid
- fluid pH <7.2
4
Q
Adult asthma step 1
A
SABA
5
Q
Adult asthma step 2
not controlled on 1 or new diagnosis with symptoms >3/week or nocturnal
A
SABA + low-dose ICS
6
Q
Adult asthma step 3
A
SABA + low-dose ICS + LTRA
7
Q
Adult asthma step 4
A
SABA + low-dose ICS + LABA
+/- LTRA depending on response before
8
Q
Adult asthma step 5
A
Switch to MART:
-SABA
-MART (LABA + low-dose ICS)
+/- LTRA
9
Q
Adult asthma step 6
A
- SABA
-MART (LABA + medium-dose ICS)
+/- LTRA
10
Q
Adult asthma step 7
A
-SABA
-High dose ICS
- LABA
+/- LTRA
- trial LAMA/theophylline
-expert help
11
Q
Management of primary pneumothorax
A
Discharge if rim <2cm and not short of breath
12
Q
Management of secondary pneumothoraz
A
> 50 and rim >2cm and/pr breathless - chest drain
