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Question 1

What pattern in seen in asthmatics on spirometry?

Answer 1

• Obstructive

- Improvement in FEV1 by > 15% following administration of a bronchodilator

Question 2

What physiological measurement is used to determine the severity of COPD?

Answer 2

FEV1

Question 3

Why do patients with COPD who are known retainers of CO2 require controlled oxygen therapy?

Answer 3

Risk of losing hypoxic drive

Question 4

Give three common organisms which cause CAP

Answer 4

Streptococcus pneumoniae
Haemophilus influenzae
Mycoplasma pneumoniae

Question 5

How can you estimate risk of mortality/need for admission using CURB65 score?

Answer 5

• Score of 1 = <1% mortality risk, can be manage din community
• Score of 2 = 1-10% risk of mortality, consider hospital admission
• Score of 3 or more = >10% risk of mortality, urgent hospital admission/ITU involvement

Question 6

Give 2 respiratory and 2 non-respiratory causes of erythema nodosum

Answer 6

Respiratory: TB, sarcoidosis

Non-respiratory: IBD (Crohn’s/UC), pregnancy