non malignant conditions

Question 1

Does COPD cause finger clubbing?

Answer 1

no

Question 2

What makes up the CURB65 score?

Answer 2

confusion
urea >7
RR >30
BP systolic <90 or diastolic <60
>65 yrs

Question 3

A CURB65 score of what indicates treatment as an outpatient?

Answer 3

0-1

Question 4

A CURB65 score of what indicates treatment in a hospital ward?

Answer 4

2

Question 5

A CURB65 score of what indicates treatment in intensive care?

Answer 5

3 or more

Question 6

Manage acute asthma attack

Answer 6

high flow oxygen
nebulised salbutamol 5mg
po prednisolone or IV hydrocortisone
nebulised ipratropium

call anaesthetist
intube or magnesium sulphate

Question 7

A 28 year old man has haemoptysis lasting 3 days. He reports four similar episodes over the previous 2 years. He has a history of multiple episodes of sinusitis and upper respiratory tract infections accompanied by production of purulent sputum. He had whooping cough as an infant. He has smoked 30 cigarettes per day since the age of 14 years.He is apyrexial and has right mid-zone inspiratory crackles.

Which is the most likely diagnosis? 
A. Bronchiectasis 
B. COPD 
C. Fibrosing alveolitis 
D. Recurrent pulmonary emboli  
E. Tuberculosis

Answer 7

A. bronchiectasis

Question 8

How does TB show up on CXR?

Answer 8

upper zone consolidation + cavitations

Question 9

How should ? pulmonary TB be investigated?

Answer 9

sputum microscopy + culture

Question 10

FEV1 of what indicates mild COPD?

Answer 10

80%

Question 11

FEV1 of what indicates mod COPD?

Answer 11

50-79%

Question 12

FEV1 of what indicates severe COPD?

Answer 12

30-49%