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A - Placement > Resp > Flashcards

Resp Flashcards

1
Q

Ventolin inhaler is what type of inhaler

A

Blue: salbutamol (Saba)

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2
Q

Koplick spots think what?

A

Measles

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3
Q

Coryza, cough and conjunctivitis think what?

A

Measles

(3C’s)

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4
Q

Jock itch - sporty young men

A

Tinia curis (fungal)

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5
Q

Warty stuck on appearance flakey skin on top

A

Sebbhoreic keritosis

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6
Q

Warty stuck on appearance flakey skin on top

A

Sebbhoreic keritosis

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7
Q

Azithromycin is what type of antibiotic and what are the sideeffects

A

Macrolide. Tinnitus and long QT

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8
Q

What can’t you do on macrolides

A

Drink alcohol (think you’ll die)

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9
Q

What antibiotics do we leave people with copd on to prevent infective pneumonia

A

Azithromycin

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10
Q

Which antiemetics stimulates the bowel and makes Parkinson’s worse?

A

Metaclopromide

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11
Q

Do you get bilateral cellulitis?

A

Not really unless there has been breaks in the skin on both legs.

Bilateral red, non swollen, non sore legs with heart failure is likely to be due to venousstasis excema.

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12
Q

PDL1 treatment options? Side effects

A

Pembrolizumab (immunotherapy)
S/e = other autoimmune conditions

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13
Q

Brain tumour causing oedema treatment with what?

A

Steroids

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14
Q

Hyponatraemia- think what?

A

Hypoadrenalism
Siadh

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15
Q

Causes of Siadh

A

Lung cancer
Pneumonia
Brain injury/trauma/surgery

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16
Q

Peaked diaphragm, raised hilar could mean what?

A

The upper zones are potentially not expanding as they should be.

17
Q

Do you expect clubbing and crackles on sarcoidosis?

A

No

18
Q

Erythema nodosum and bilateral hilar lymphadenopathy

A

Sarcoidosis

19
Q

Hypercalcaemia due to what lung disease why

A

Sarcoidosis due to vitamin D metabolism

So patients shouldn’t take vitamin d supplements as it can lead to neohrocalcinosis and Hypercalcaemia

20
Q

Reticular modular appearances on cxr
Smoker
Crackles on auscultations

A

Idiopathic pulmonary fibrosis

21
Q

Ground glass appearances on Ct + honeycombing

A

Idiopathic pulmonary fibrosis

Ground glass = frosted glass look, greyer than should be with clear blood supplies

22
Q

Ipf treatment

A

Nintendanib and pirenidone

23
Q

Drugs associated with lung pneumonitis

A

Amiodarone

24
Q

Life threatening asthma co2

A

Normal or high

Would expect to have blown all off

25
Q

Eosinophils high think what?

A

Allergies or parasites

26
Q

Life threatening asthma, do what?

A

Send to itu

27
Q

Steroids prescribe with what if on for a long time?

A

PPI

Steroids can cause upper gi bleed

28
Q

Upper gi bleed, what examination and ask what

A

PR

Check for melena and also ask re iron tabs

29
Q

Aki vs upper gi bleed

A

Aki
High urea and high creatine

Upper gi bleed
High urea and normal creatine (eating blood)

30
Q

If sugar is really high and sodium is also high what does this mean?

A

The sodium might not actually be high - you need to correct it

31
Q

Low potassium is a marker of severity in dKA. Why?

A

Because acidosis from dKA.
H+ / k+ transporters in blood vessels
More potassium into blood
If depleted potassium stores eg lack of nutrients/vommitting
Low potassium in blood = drastic state

32
Q

Eugylcaemic dKA is associated with what?

A

Sglt2i

33
Q

Do we need to. Heck all 4limbs in drunks?

A

Yessss

34
Q

80 yo man with cabg and pulmonary fibrosis. 94% sitting. 82% on walking. What is the oxygen problems

A

Diffusion impairment

Thickened alveolar walls
Heart pumps faster in exercise. Blood goes faster through the lungs. Due to thickened walls doesn’t have time to oxygenate when exercising as heart pumping harder and blood going hfaster

35
Q

Heart: what causes dilation vs hypertrophy

A

Dilation = volume overload
Hypertrophy = pressure overload

36
Q

Will people always be completely hypoxic if Resp failure ?

A

Nope, co2 will probably go first

37
Q

Predominantly hypoxic

A

Hypoxic - lack of oxygen getting into the blood
- PE
- Pulmonary fibrosis

Hypercapnia - lack of ventilation
- opioids
- gbs
-motor neurone

38
Q

Lobar collapses - look like what?

A

R
Upper is like grey crescent upper lobe
Middle is triangle pointing to the outside in the middle
Lower is like lower line

L
Upper is whole lung veil with tenting
Lower is sail sign

A - Placement (19 decks)

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