Resp

Question 1

Exam pneumonia

Answer 1

Resp distress
End inspiratory crackles
Dull to percussion

Question 2

Dx pneumonia

Answer 2

CXR- effusion- empyema
Nasopharyngeal aspirate
FBC
acute phase reactants

Question 3

Tx pneumonia

Answer 3

Amoxicillin

Amoxicillin or erythromycin > 5 years old

Question 4

Causes pneumonia neonate

Answer 4

GBS

GN enterococci

Question 5

Causes pneumonia infants

Answer 5

RSV
strep pneumo
Haemophilus
Bordetella 
Chlamydia 
Staph aureus

Question 6

Causes pneumonia kid > 5 years old

Answer 6

Mycoplasma
Strep pneumo
Chlamydia

Question 7

PC Asthma

Answer 7

Triad
1. Cough
2. Wheeze
3. SOB
chest tightness

Worse

• night and early morning
• triggers

Eczema
Allergies
Rhinitis

Question 8

PC life threatening asthma

Answer 8

Cyanosis
Lethargy
Drowsy
SILENT CHEST

Question 9

Dx asthma

Answer 9

Clinical

Skin prick allergens

CXR= normal (exclusion)

PEFR

Question 10

Tx intermittent asthma

Answer 10

SABA

Question 11

Mild persistent asthma

Answer 11

Low dose ICS or (from, LTBA)

Question 12

Moderate persistent asthma

Answer 12

LABA

Or medium dose ICS

Question 13

Moderate to severe asthma

Answer 13

Medium ICS and LTRA

Question 14

Severe persistent asthma

Answer 14

High dose ICS and LTRA

and omalizumab

Question 15

Moderate asthma attack

Answer 15

SABA - 2-4 puffs
? Oral prednisolone
Fu 1 hour

Question 16

Severe asthma attack

Answer 16

SABA neb or 10 puffs
Oral prednisolone OR IV hydrocortisone
Maybe ipratropium neb

Question 17

Life threatening asthma attack

Answer 17

SABA neb
IV hydrocortisone
Ipratropium neb

Question 18

Still not responding asthma

Answer 18

HDU PICU
CXR and blood gases

IV sal or theo
IV magnesium sulfate

Question 19

Responding asthma attack

Answer 19

Continue bronchodilators 1-4 hours

Discharge when stable on 4 hours of therapy

Continue prednisone for 3 days

Question 20

PC neonate CF

Answer 20

Meconium ileus 
Recurrent respiratory tract infections
Malabs/ steatorrhea
FTT
Prolonged jaundice

Question 21

PC kid CF

Answer 21

Bronchiectasis
Nasal polyps
Sinusitis

Rectal prolapse

Question 22

PC older kid CF

Answer 22

CBAVD
DM
DIOS
ABPA

cirrhosis

Pneumothorax or recurrent haemoptysis

Question 23

Dx CF

Answer 23

Sweat test
> 60 ( 80

Genetic test

ABG: hypochloraemic alkalosis

IRT screen

XR abdo: MEC ileus: air bubbles around the meconium (gastrografin)

Question 24

Tx CF

Answer 24

Physio
Bronchodilators
Antibiotics 
Steroids
DNAase and hypertonic saline 

Creon

ADEK

nutrition

Lung or pancreas transplant

Ursofalk

Gastrograffin- DIOS

intra cytoplasmic sperm injection

Psychological

Question 25

PC pneumonia

Answer 25

PRODROME URTI

Fever
Cough
Decreased appetite
Lethargy

PAIN- chest, neck, abdo

Question 26

complications of measles

Answer 26

otitis media
pneumonia
laryngotracheitis
SSPE

Question 27

describe erythema infectious rash

Answer 27

pruritic
maculopapular
erythematous rash,
worsens with fever and sun

Question 28

complications of rubella

Answer 28

encephalitis
thrombocytopenia
congenital

Question 29

prodrome of erythema infectiosum

Answer 29

none– no/low grade fever

Question 30

prodrome varicella

Answer 30

mild fever, anorexia, malaise

Question 31

complications of varicella- chickenpox

Answer 31

meningoencephalitis
pneumonia
hepatitis
skin-- secondary bacterial
reyes

Question 32

varicella zoster complications

Answer 32

aseptic meningitis
encephalopathy GBS

pneumonitis
cellulitis
arthritis
TTP

Question 33

HFM description

Answer 33

prodrome: oralpain, fever, anorexia
rash: maculopapular vesicular