Resp

Question 1

What happens in a type 1 hypersensitivity reaction.

Give examples

Answer 1

Immediate
IgE mediated
Mast cells/basophil degranulation
Anaphylactic shock, allergies

Question 2

Type II hypersensitivity, what is it and examples

Answer 2

Immediate
IgG/IgM mediated
Phagocytosis/ cyto-toxic
Autoimmune diseases, haemolytic diseases

Question 3

Type III hypersensitivity, what is it and examples

Answer 3

Immediate
IgG/IgM mediated
Inflammation, vasculitis
Serum sickness (induced by drugs)

Question 4

Type IV hypersensitivity, what is jt and examples

Answer 4

Delayed (day later)
T cell mediated
Inflammation/cytotoxic
Contact dermatitis, basis of TB skin test

Question 5

What is classed as t1 resp failure and give possible causes

Answer 5

PO2< 8kpa w normal or low CO2

Pnuemonia, PE etc

Question 6

Type 2 resp failure

Answer 6

PO2 <8kpa PCO2>6.5

Question 7

What would u expect for ABG results of a man suffering COPD for 2 years

Answer 7

Hypercapnic, low O2 sats, exhibit t2 resp failure, resp acidosis completley compensated by metabolic acidosis

Question 8

Antibiotic Treatment for acute exacerbation of COPD

B) What if penicillin allergic

Answer 8

Amoxicillin

B) doxcycline

Question 9

Diseases caused by birds

Answer 9

Chlamydia pisittachi

Avian proteins - extrinsic allergic alveolitis

Influenza c

Question 10

What does respiratory synctial virus cause?

Answer 10

Rotavirus

Question 11

Why do you get increased mucous in chronic bronchitis

Answer 11

Inc gobket cells?

Question 12

Most appropriate initial investigation for suspected tb

Answer 12

Chest x ray- to rule out other infections

Then smear for acid fast bacilli

Question 13

Resp rate over what to get a mark on curb score

Answer 13

Has to be over 30

Question 14

Legionella g- or g+

How can it be contracted

Answer 14

G- bacilli

Air conditioning

Question 15

SIADH increased by what

Answer 15

Small cell lung cancer