resp Flashcards

1
Q

which drugs worwsen asthma

A

NSAIDs
betablockers

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2
Q

life threatening asthma (the annoying ones)

A

peak flow <33%
O2 <92%

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3
Q

acute asthma exacerbation treatment

A

O2
salbutmamol
ipratropium bromide
magnesium sulphate
aminophylline

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4
Q

complications of salbutamol

A

hypokalaemia
lactic acidosis
tachy

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5
Q

what is ipratropium

A

SAMA

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6
Q

SAMA + LAMA

A

no

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7
Q

tiotropium

A

LAMA

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8
Q

COPD treatment

A

SABA/ SAMA

asthamish - LABA/ ICS
not asthmaish - LABA/LAMA

LABA/ LAMA/ ICS

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9
Q

cor pulmonae

A

right sided HF due to resp (COPD)

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10
Q

COPD O2 aims

A

retainer - 88-92%
not 94-98%

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11
Q

causes of resp acidosis vs resp alkalosis

A

acid - COPD
alk - anxiety (hyperventilation)

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12
Q

associations of small cell cancer

A

cushings
SIADH
limbic encephalitis
lambert-eaton

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13
Q

associations of squamous cell carcinoma

A

hypercalcaemia

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14
Q

treatment of lung cancer

A

small - surgery
not - chemo & radio

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15
Q

COPD + pneumonia

A

H. influenza

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16
Q

pneumonia + cold sores

A

strep pneumonia

17
Q

pneumonia + erythema multiform (+ neurological)

A

mycoplasma

18
Q

ground glass chest CT

A

intersticial fibrosis

19
Q

treatment of idiopathic pulmonary fibrosis

A

pirfenidone
nintendanib

20
Q

investigation into hypersensitive pneumonitis

A

brochoalveolar lavage

21
Q

tansudate vs exudate causes

A

T - HF, meigs, hypothyroid hypoalbumin

e - cancer, PE, infection

22
Q

pneumothorax treatment

A

asymptomatic - follow up
<2cm - “
(primary - OP, secodnary IP)

> 2cm, high risk - chest drain

tension - large bore cannula 2nd intercostal space

23
Q

type of shock causes by pneumothorax

A

obstructive

24
Q

treatment of pulmonary hypertension

A

ca blockers

25
Q

raised markers in sarcoidosis

A

ACE & Ca

26
Q

‘egg shell ‘ calfication

A

silicosis

27
Q

2024 asthma guildines

A

ICS / LABA prn

low dose MART

moderate MART

+ FeNO - specialist
- FeNO - leukotrine antagonist/ LAMA

28
Q

indications for long term O2 therapy COPD

A

blue
breathing (FEV1 <30)
blood (polychythaemia)
ballooning

29
Q

resp condition in alpha-1-ant yada yada

A

COPD

30
Q

deteriorating O2 sats despite O2

A

pneumothorax?

31
Q

TB investigation

A

latent - mantoux
active - Ziehl-Neelson smear, sputum culture

32
Q

treatment of SVC obstruction

A

dexamethasone

33
Q

lung cancer + gynaecomastia

A

adenocarcinoma