Resp

Question 1

stony dull to percuss

Answer 1

pleural effusion

Question 2

right sided pleuritic chest pain

Answer 2

most likely pneumonia

Question 3

ground glass on cxr

Answer 3

pulmonary fibrosis

Question 4

caseous necrosis

Answer 4

tb

Question 5

positive anti-glomerular membrane antibodies

Answer 5

goodpasture’s syndrome

Question 6

chest infection with parrot/pigeon as a pet

Answer 6

chlamydophila psittaci

Question 7

dry cough and diarrhoea after holiday abroad

Answer 7

legionella

Question 8

bilateral hilar lympadenopathy, erythema nodosum, granulomas, fatigue and weight loss

Answer 8

sarcoidosis

Question 9

bronchiole wider than neighbouring arteriole on ct

Answer 9

bronchiectasis

Question 10

d sign on cxr

Answer 10

empyema

Question 11

steeple sign on cxr

Answer 11

laryngotracheobronchitis/croup

Question 12

child with barking cough

Answer 12

croup

Question 13

pneumocystis pneumonia

Answer 13

hiv

Question 14

asthma + nasal polyps + salicylate sensitivity

Answer 14

samter’s triad

Question 15

alcoholic

Answer 15

klebsiella pneumoniae

Question 16

red jelly haemoptysis

Answer 16

klebsiella

Question 17

rusty sputum

Answer 17

pneumococcal pneumonia

Question 18

cannonball metastases

Answer 18

primary renal cell carcinoma

Question 19

morning headache

Answer 19

hypercapnia

Question 20

acth secreting lung tumour

Answer 20

sclc

Question 21

pth secreting lung tumour

Answer 21

scc of lung

Question 22

small cell carcinoma

Answer 22

neuroendocrine, highly malignant, may be associated with ectopic endocrine syndromes

Question 23

increased serum ace and ca2+

Answer 23

sarcoid

Question 24

eggshell calcification

Answer 24

silicosis

Question 25

assmann focus

Answer 25

apical tb

Question 26

horner syndrome

Answer 26

ptosis enophthalmos miosis lack of sweat

Question 27

thumbprint sign on cxr

Answer 27

epiglottitis

Question 28

inspiratory whoop/barking cough

Answer 28

pertussis

Question 29

snow storm appearance on x ray

Answer 29

baritosis, silicosis