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Question 1

o Describe findings for a pleural effusion

Question 2

o Describe findings for a pneumothorax

Question 3

o Describe findings for pneumonia

Question 4

Explain how to use an inhaler with and without a spacer

Question 5

Explain how to measure peak flow and record it in a diary

Question 6

In acute asthma, what would you advise a patient to do? (adults and children)

Answer 6

adults-
4 initial pumps of the SABA inhaler then 2 pumps every 2 minutes via a spacer
MAX 10 PUMPS
- Repeat every 10-20 minutes

Children-

• 1 puff every 30–60 seconds
• up to 10 puffs
• If the response is poor, give further doses while awaiting hospital admission, and switch to a nebulizer if available.

Question 7

Explain the treatment for lower respiratory tract infection

Answer 7

What is it?
This is an infection in the airways of the lungs. It can be caused by viruses or bacteria

Viruses:
Self limiting after around 3 days the infection should begin to get better
- Advise on rest and fluids

Bacteria:
Abx- Amoxicillin 5/7 - should start to see improvements in sx by day 3
- Also plenty of fluids and rest

• Regular analgesia for the pain (if any)

Question 8

Explain the treatment for otitis media

Question 9

Explain the treatment for tonsillitis

Question 10

Explain how to use a nasal spray

Question 11

Explain why abx aren’t used for a viral infection

Question 12

Assess and explain acute asthma with the initial steps in management

Question 13

Practise informing a patient with an abnormal chest X-ray that they need a 2 week rule referral

Question 14

How do you manage COPD - can you explain this to a patient?

Question 15

Practise giving smoking cessation advice