Resp

Question 1

Ventolin inhaler is what type of inhaler

Answer 1

Blue: salbutamol (Saba)

Question 2

Koplick spots think what?

Answer 2

Measles

Question 3

Coryza, cough and conjunctivitis think what?

Answer 3

Measles

(3C’s)

Question 4

Jock itch - sporty young men

Answer 4

Tinia curis (fungal)

Question 5

Warty stuck on appearance flakey skin on top

Answer 5

Sebbhoreic keritosis

Question 6

Warty stuck on appearance flakey skin on top

Answer 6

Sebbhoreic keritosis

Question 7

Azithromycin is what type of antibiotic and what are the sideeffects

Answer 7

Macrolide. Tinnitus and long QT

Question 8

What can’t you do on macrolides

Answer 8

Drink alcohol (think you’ll die)

Question 9

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

Answer 9

Azithromycin

Question 10

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

Answer 10

Metaclopromide

Question 11

Do you get bilateral cellulitis?

Answer 11

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.

Question 12

PDL1 treatment options? Side effects

Answer 12

Pembrolizumab (immunotherapy)
S/e = other autoimmune conditions

Question 13

Brain tumour causing oedema treatment with what?

Answer 13

Steroids

Question 14

Hyponatraemia- think what?

Answer 14

Hypoadrenalism
Siadh

Question 15

Causes of Siadh

Answer 15

Lung cancer
Pneumonia
Brain injury/trauma/surgery

Question 16

Peaked diaphragm, raised hilar could mean what?

Answer 16

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

Question 17

Do you expect clubbing and crackles on sarcoidosis?

Answer 17

No

Question 18

Erythema nodosum and bilateral hilar lymphadenopathy

Answer 18

Sarcoidosis

Question 19

Hypercalcaemia due to what lung disease why

Answer 19

Sarcoidosis due to vitamin D metabolism

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

Question 20

Reticular modular appearances on cxr
Smoker
Crackles on auscultations

Answer 20

Idiopathic pulmonary fibrosis

Question 21

Ground glass appearances on Ct + honeycombing

Answer 21

Idiopathic pulmonary fibrosis

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

Question 22

Ipf treatment

Answer 22

Nintendanib and pirenidone

Question 23

Drugs associated with lung pneumonitis

Answer 23

Amiodarone

Question 24

Life threatening asthma co2

Answer 24

Normal or high

Would expect to have blown all off

Question 25

Eosinophils high think what?

Answer 25

Allergies or parasites

Question 26

Life threatening asthma, do what?

Answer 26

Send to itu

Question 27

Steroids prescribe with what if on for a long time?

Answer 27

PPI Steroids can cause upper gi bleed

Question 28

Upper gi bleed, what examination and ask what

Answer 28

PR Check for melena and also ask re iron tabs

Question 29

Aki vs upper gi bleed

Answer 29

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

Question 30

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

Answer 30

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

Question 31

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

Answer 31

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

Question 32

Eugylcaemic dKA is associated with what?

Answer 32

Sglt2i

Question 33

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

Answer 33

Yessss

Question 34

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

Answer 34

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

Question 35

Heart: what causes dilation vs hypertrophy

Answer 35

Dilation = volume overload Hypertrophy = pressure overload

Question 36

Will people always be completely hypoxic if Resp failure ?

Answer 36

Nope, co2 will probably go first

Question 37

Predominantly hypoxic

Answer 37

Hypoxic - lack of oxygen getting into the blood - PE - Pulmonary fibrosis Hypercapnia - lack of ventilation - opioids - gbs -motor neurone

Question 38

Lobar collapses - look like what?

Answer 38

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