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Question 1

How do you manage SVC obstruction?

Answer 1

Dexamethasone

Question 2

What xray findings are associated with silicosis (2)?

Answer 2

Upper zone fibrosis and egg shell calcification of hilar nodes

Question 3

Does asbestosis cause upper or lower zone fibrosis?

Answer 3

Lower zone

Question 4

What pathogen typically causes a pneumonia followed by infection with influenza?

Answer 4

Staphylococcus aureus

Question 5

1) Name a feature of Eosinophilic granulomatosis with polyangiitis (EGPA) [Churg-Strauss syndrome]
2) Name a feature of granulomatosis with polyangiitis (Wegener’s granulomatosis)
3) Name a feature of both of these diseases

Answer 5

1) Asthma, pANCA, eosinophilia
2) cANCA, epistaxis/haemoptysis, renal failure
3) Sinusitis, dyspnoea, vasculitis

Question 6

Name 2 features of Kartagener syndrome/primary ciliary dyskinesia

Answer 6

• Dextrocardia
• Bronchiectasis
• Subfertility
• Recurrent sinusitis

Question 7

Name 3 causes of upper lobe lung fibrosis

Answer 7

• Silicosis
• Histiocytosis
• Coal worker’s pneumoconiosis
• Radiation
• TB
• Ankylosing spondylitis
• Allergic bronchopulmonary aspergillosis

Question 8

Name 2 causes of a ‘multiple, ill defined opacities’ picture on a CXR

Answer 8

• Rheumatoid arthritis
• Septic emboli
• Granulomatosis with polyangiitis
• Pulmonary emboli
• Pulmonary mets

Question 9

Breast cancer can metastasise to the lung - what kind of lesions does it cause?

Answer 9

Endobronchial lesions/mets

Question 10

A cough is considered chronic when it’s been going on for how long?

Answer 10

3 weeks