Resp Flashcards

1
Q

CURB 65 criteria

A

Confusion
Urea > 7
R > 30
B S <90 D <60
>65

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2
Q

Which cancers spread to the lung

A

breast
colorectal
renal
bladder
prostate

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3
Q

Which are the SABA, SAMA, LAMA and ICS drugs?

A

SABA: Salbutamol, Terbutaline

SAMA: Ipratropium Bromide

LABA: Salmeterol, Formoterol, Indacaterol, Olodaterol

LAMA: Tiotropium Bromide, Aclidinium Bromide, Glycopyrronium Bromide, Umeclidinium

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4
Q

COPD with asthma - initial management

A

SABA/SAMA prn

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5
Q

COPD with no asthma features - ongoing management

A

SABA prn
LABA + LAMA regularly

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6
Q

parallel line shadows (tram lines) indicate what

A

bronchiectasis

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7
Q

Spiro findings in pulmonary fibrosis

A

FVC reduced
Ratio normal
Reduced TLCO

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8
Q

Spiro findings in COPD

A

Everything reduced

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9
Q

FEV1 ratio > 70% is restrictive or obstructive

A

restrictive

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10
Q

What are SCLCs associated with

A

SIADH
ACTH

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11
Q

Mainstay treatment for SCLCs

A

chemo and radiotherapy

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12
Q

Xray findings in heart failure

A

A lveolar oedema (bat’s wings)
Kerley B lines (interstitial oedema)
C ardiomegaly
D ilated prominent upper lobe vessels
E ffusion (pleural)

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13
Q

Alpha 1 antitrypsin shows what kind of Spiro picture?

A

Obstructive

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14
Q

Cough + painful skin rash

A

Sarcoidosis

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15
Q

most common organism causing infective exacerbations COPD

A

H. influenzae

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16
Q

COPD with asthmatic features - ongoing therapy

A

SABA/SAM prn
LABA + ICS regularly

17
Q

Protein level in exudate vs transudate

A

Exudate > 30gL
Transduate < 30gL

18
Q

What are the 3 criteria comprising Lights rule

A

pleural fluid protein divided by serum protein >0.5

pleural fluid LDH divided by serum LDH >0.6

pleural fluid LDH more than two-thirds the upper limits of normal serum LDH

19
Q

1-3rd line treatment for infective exacerbation COPD

A
  1. Amox
  2. Co-amox
  3. Levo if high risk of treatment failure

Allergy - doxy