Resp

Question 1

1st line copd

Answer 1

SABA or SAMA

Question 2

2nd lne COPD

Answer 2

<50% LABA+ICS or LAM

>50% LABA or LAMA

Question 3

lama

Answer 3

tiotropium

Question 4

laba

Answer 4

salmeterol

Question 5

restrictive pulmonary function test

Answer 5

red fvc, normal fever/fvc ration

Question 6

causes obstructive

Answer 6

asthma, copd, brnchiestasis, bronchioloitis

Question 7

causes restrictive lung disease

Answer 7

pul fibrosis, asbestosis, sarcoidosis, ards, NMD

Question 8

infective exacerbations COPD

Answer 8

HIB, amoxicillin / tetracycline + prednisoloine

Question 9

CI to surgery NSCLC

Answer 9

SVCO, metastases present, FEV1 <1.5L, malignant pleural effusion

Question 10

Churg strauss (eosinophillic granulomatosis with polyangiitis)

Answer 10

features - asthma, eosinophilia, paranasal sinusitis, pANCA

Question 11

Wegener’s

Answer 11

epistaxis, renal failure,cANCA

Question 12

interpreting white outs CXRAY

Answer 12

causes - consolidation, pleural effusion, collapse, pneumonectomy, tumours, oedema

WHERE IS THE TRACHEA??

-pulled towards the white out - pneumonectomy, lung collapse, pulmonary hypoplasia

trachea central - consolidation, pulmonary oedema, mesothelioma

trachea away from white out - effusion, diaphragmatic hernia, large thoracic mass

Question 13

bronchietasis

Answer 13

permanent dilation of airways secondary to chronic infection or inflammation
causes - post infective - TB, measles, pertussis, pneumonia, CF, bronchial obstruction, immune deficiency, allergic bronchopulmonary aspergillosis, ciliary dyskinetic syndrom (kartagener’s, young’s)

Question 14

asbestos and the lung

Answer 14

plaques - benign, 20-40 years later
thickening
asbestosis - related to light of exposure, lower lobe fibrosis,
mesothelioma - malignant disease of the pleura, blue is the most dangerous, progressive sob, chest pain, pleural effusion,
offered palliative chemo

Question 15

o2 therapy should not be used willy nilly

Answer 15

MI / ACS, stroke, obstetric, anxiety

Question 16

NG tubes

Answer 16

if goes through diaphragm - its OK!!!!

Question 17

sarcoidosis

Answer 17

multi system disorder of unknown aetiology, non caveating granulomas, more common in young adults and people of african descent, indications for steroids - eye, heart, near involvement, hypercalcaemia, parenchymal lung involvement