Resp 3

Question 1

HAP
what is first line abx?

Answer 1

Co-amoxiclav

Question 2

prior to discharge from A&E if moderate acute asthma attack what criteria?

Paeds clearance?
ABG comes back normal
6 hour stable
PEFR >75%

Answer 2

PEFR >75%

6 hours too long, 1-2 is okay is responding etc

do not need to do an ABG ( <92% O2)
paeds do not need to clear

Question 3

high altitude cerebral oedema
mx?

medication dose?

Answer 3

descent
Oxygen therapy

Dexamethasone 8mg > 4mg / 6 hourly

Question 4

when does altitude related disorders typically start?

what is the symptoms of AMS?

Answer 4

2500-3000

6-12 hours

headache
nausea
fatigue

Question 5

acetazolamide

Answer 5

carbonic anhydrase inhibitor

Question 6

high altitude pulmonary oedema

Answer 6

pulmonary vasoconstriction
hypoxia driven cap permeability

fluid leak

Question 7

high altitude cerebral oedema

Answer 7

cerebral vasodilation → elevated cerebral blood volume

Question 8

Alpha-1 antitrypsin deficiency shows an ______ on spirometry

Answer 8

obstructive picture