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Question 1

What drugs cause pulmonary fibrosis?
What are the causes of pulmonary fibrosis?

Answer 1

bleomycin
methotrexate
nitrofurantoin
amiodarone
aspirin

IPF
pneumoconiosis (occupational): asbestosis, coal workers, silicosis
hypersensitivity pneumonitis: mold, animals
TB
RSV
sacroidosis, CTD, vasculitis
iatrogenic: drugs

Question 2

Signs of cystic fibrosis?

Answer 2

recurring chest infections
wheezing, coughing, shortness of breath and damage to the airways (bronchiectasis)
difficulty putting on weight and growing
yellowing of the skin and the whites of the eyes (jaundice)
diarrhoea, constipation, or large, smelly poo
a bowel obstruction in newborn babies (meconium ileus) – surgery may be needed

Question 3

What is the difference between lung abscess and empyema?

Answer 3

both collection of pus

empyema - pus in pleural space

abscess - pus in lungs

Question 4

What are the types of pneumothorax?

Answer 4

spontaneous: primary vs secondary
traumatic: injury vs iatrogenic

tension: air can get in but can’t get out
catamenial: for people with endometriosis

Question 5

What are the differences in investigating COPD and asthma?

Answer 5

atopy, noctural sx

copd: hx and spirometry
bronchodilator reversibility testing used to diff

Question 6

Raised JVP?

Answer 6

CCF
Massive PE
tension pneumothorax