random wrong pastest Qs

Question 1

First line investigation for COPD exacerbation

Answer 1

ABG- assess for type 1 or 2 failure

Question 2

Farmers lung

Answer 2

Hypersensitvity pneumonitis

Coxiella burnetti pneumonia

Question 3

Hypercapnia symptoms

Answer 3

No improvement in sats with high-flow O2, flapping tremor, bounding pulse, palmar erythema

Question 4

what contraindicates CF lung transplant

Answer 4

Burkholderia cenocepacia

Question 5

what do you give patient whi is in AF secondary to penumonia?

Answer 5

Important to treat spesis with IV fluids and broad spectrum IV antibiotics.

Question 6

Lobar pneumonia

Answer 6

Streptococcus Pneumoniae

Question 7

Scleroderma

Answer 7

Connective tissue disease

Question 8

Blunting of costphrenic angle

Answer 8

pleural oedema

Question 9

percusion of Pleural effusion

Answer 9

Stony dull

Question 10

Severe asthma

Answer 10

Peak flow 33-50%
resp rate >25
heart rate >110 bpm
unable to complete sentances

Question 11

Life threatening asthma

Answer 11

peak flow <33%
silent chest 
cyanosis 
ABG showing high or normal PaCO2. 
ABG showing hypoxia

Question 12

Thoracentesis

Answer 12

Insert a needle avove the fifth rib in the-axillary line to sample pleural fluid.

Question 13

methacholine challenge test

Answer 13

do this test on patients who have asthma like symptoms that occur within 24 hours after 1st exposure to irritant, gases, vapours or fumes.

Question 14

Hormone responsible for ion exchange in saliva

Answer 14

Aldosterone

Question 15

Positive for HLA-DQ2

Answer 15

Coeliac disease

Question 16

Treatment of diverticular disease

Answer 16

Increase dietary fibre intake

Question 17

Negative predictive value

Answer 17

the chance that the patient does not have the condition if the diagnostic test is negative

Question 18

Elbsteins anomaly

Answer 18

Congenital defect leading to a large RA and a small RV known as atrialisation. Typically accompanied by tricuspid regurgitation.

Question 19

Clotting fcators warfarin affects

Answer 19

1972- 10, 9, 7 and 2

Question 20

Thiazide like diuretics action

Answer 20

inhibit Na+ Cl-co transporters

Question 21

Branches of external carotid artery

Answer 21

Some Angry Lady Figured Out PMS

Superior thyroid (superior laryngeal artery branch) 
Ascending pharyngeal 
Lingual 
Facial 
Occipital 
Posterior

Question 22

First line drug for IBS

Answer 22

meberivine

Question 23

Pancreatitis pain

Answer 23

Abdominal pain that radiates to the back and is worse lying down.

Question 24

Wilsons disease

Answer 24

genetic condition that causes a build up in copper in hepatocytes often seen as a ring around the eye. Symptoms are usually psychiactric (confusion/behvaioral changes) that often lead to liver cirrhosis.

Question 25

Accumulation of CD4 cells

Answer 25

Sarcoidosis

Question 26

accumulation of eosinophils in lungs

Answer 26

Eosinophilic lung disease like allergic bronchopulmonary aspergillosis

Question 27

Accumulation of neutrophils in lungs

Answer 27

Pneumonia or ILD