Resp

Question 1

Coryza

Answer 1

No investigations, herbal remedies and fluids

Question 2

Sinusitis

Answer 2

CT of paranasal sinuses, nasal decongestant, co-amoxiclav, corticosteroid

Question 3

Rhinitis

Answer 3

antihistamines, sodium cromoglicate, montelukast, beclometasone

Question 4

Pharyngitis

Answer 4

penicillin

Question 5

acute laryngotracheobronchitis

Answer 5

nebulised adrenaline, O2 and beclometasone

Question 6

acute epiglottits

Answer 6

intubate, IV fluids and ceftriaxone and vaccine children

Question 7

Influenze A and B

Answer 7

Increase in complement fixing protein, nasal secretion analysis, Bed rest, fluids, paracetamol, oseltamivir

Question 8

Acute bronchitits

Answer 8

nothing unless underlying lung disease; amoxicillin

Question 9

CAP

Answer 9

FBC, CRP, U and E, CXR, SPUTUM, CURB65, amoxicillin/ doxycycline or if severe, co- amoxiclav (levoflaxicin) and clarithromycin/ doxycycline

Question 10

HAP

Answer 10

Severe- metronidazole, amoxicillin, gentamicin, non- severe- metronidazole and amoxicillin

Question 11

Specific infection:
Klebsiella
Staph Aureus
Pseudomonas
Mycoplasma
Legionella
Clamydiophilia
Pneumocystits
Fungal

Answer 11

cefotaxime
flucloxacillin
ciprofloxacin
ciprofloxacin
levofloxacin
doxycycline
co- trimoxazole
amphoterecin

Question 12

acute COPD

Answer 12

ipratropium
salbutamol
oxygen
amoxicillin
prednisolone

Question 13

COPD

Answer 13

history, lung function tests, ABGs? LABA + LAMA- moderate, salmeterol and beclometasone= GOLD STANDARD, rufulimast

Question 14

acute asthma

Answer 14

oxygen, salbutamol, hydrocortisone, ipratropium, theophilline, magnesium, aneaethestist

Question 15

asthma

Answer 15

skin prick test, PEFR, spirometry, SABA, SABA+ inhaled corticosteroid, SABA, LABA, corticosteroid, theophilline/ montelukast, prednisolone

Question 16

obstructive sleep apnoea

Answer 16

Sleepiness scale, overnight pulse oximetry, CPAP, CNS stimulant- modafinil

Question 17

Bronchiectasis

Answer 17

CXR, CT, sputum, IgA deficiency, postural drainage, ciprofloxacin/ flucloxacillin, ceftazidime and bronchodilators/ anti inflam agents ie histamines

Question 18

Lung abscess

Answer 18

CXR, drainage,

Question 19

Cystic fibrosis

Answer 19

gene testing, SABAs and ICS

Question 20

TB

Answer 20

CXR, skin test, PCR, 2 months or rifampicin, isoniazid, pyrazinamide, ethanbutamol, 4 months rifampicin and isoniazid

Question 21

sarcoidosis

Answer 21

CXR, restricted lung pattern, ACE level increased, biopsy, oral prednisolone

Question 22

Pulmonary fibrosis

Answer 22

CXR, CT, restrictive lung pattern, anti- nuclear antibodies, oral prednisolone, perfinidone (anti- fibrotic)

Question 23

Extrinsic allergic alveolitis

Answer 23

CXR, CT, restrictive pattern, Increased leukocytes and T cells, oral prednisolone

Question 24

Pneumoconiosis

Answer 24

rheumatoid factor and ANA +ve, decreased CO transfer and lung volume

Question 25

Trauma Pneumothorax
Tension Pneumothorax
LARGE Primary spontaneous pneumothorax
small Spontaneous pneumothorax

Answer 25

• Chest drain inserted
• CXR, Needle aspiration (2nd intercostal space mid clavicular line), Chest drain if recurrence (5th ICS mid axillary line)
• Aspirate
• Chest drain

Question 26

Empyema

Answer 26

surgical drainage

Question 27

Lung cancer

Answer 27

CXR, CT, PETchemotherapy, radiotherapy

Question 28

Respiratory failure

Answer 28

treat underlying cause, ventilate, Oxygen non rebreather mask,

Question 29

ARDS

Answer 29

underlying cause, diuretics, NO, surfactant, PEEP, inspired O2

Question 30

Pulmonary hypertension

Answer 30

CXR, ECG,O2, vaccinate, under 55= ACE, ACE + CCB + Diuretics >55= CCB, CCB + ACE + diuretics

Question 31

Pulmonary embolism

Answer 31

CXR, D dimer, V/Q scan, O2, LMWH, warfarin/ heparin, IV fluids, streptokinase

Question 32

Pulmonary Oedema

Answer 32

O2 and diuretics