Resp Flashcards

1
Q

Chest infection with a parrot/pigeon as a pet

A

Chlamydophilia Psittaci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

squamous and small cell lung cancers

A

central

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

asthma + nasal polyps + salicylate sensitivity

A

samters triad

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

rusty sputum

A

pneumococcal pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Tall thin young man who indulges in marijuana

A

Pneumothorax (thats why they call it the devils lettuce)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

increased serum ACE and Calcium

A

sarcoidosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

alcoholic (danger of aspiration pneumonia)

A

Klebsiella Pneumoniae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pneumocystis jiroveci/pneumocystis pneumonia

A

HIV (treat w/ co trimoxazole +/- prednisolone)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

ACTH secreting tumour

A

small cell lung carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

acute asthma management

A

oxygen salbutamol neb hydrocortisone ipratropium theophylline magnesium anaesthatist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

ghon focus

A

area of infection and caseous necrosis at lung periphery, beneath the pleura-found in tb infection. Note: rare ghon focus rupture through visceral pleura into the pleural cavity will cause tuberculous pleurisy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Steeple sign on x ray

A

Laryngotracheobronchitis/croup

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

small cell carcinoma

A

neuroendocrine highly malignant ectopic endocrine syndromes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

small pe

A

LMWH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

mucoid sputum/pet bird

A

Chlamydia psittaci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

horners syndrome

A

can occur when there is a local spread of cancer to intrathoracic nodes or a pancoasts tumour. Tumour invades cervical sympathetic chain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

snow storm appearance on x ray

A

baritosis, silicosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

bronchiole wider than neighbouring arteriole on CT, signet ring sign

A

Bronchiectasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

bilateral hilar lymphadenopathy, erythema nodosum, granulomas, fatigue, uveitis and weight loss

A

Sarcoidosis

20
Q

large pe

A

thrombolyse

21
Q

Alveolar bat wings, kerley B lines, Cardiomegaly, Dilated upper lobe vessels, pleural Effusion

A

Pulmonary Oedema

22
Q

right sided pleuritic chest pain

A

pneumonia

23
Q

‘heart failure cells’ seen in alveolar spaces

A

macrophages that have absorbed haemosiderin-found in chronic pulmonary oedema and associated with LV heart failure. also seen in long standing pulmonary hypertension

24
Q

coin lesion on CXR

A

can be primary lung tumour, metastasis, granuloma, lung abcess

25
Q

red jelly sputum

A

klebsiella pneumonia

26
Q

Dry cough and diarrhoea after holiday abroad

A

Legionella pneumophilia-test urine for antigens

27
Q

Miliary TB

A

spread of organism to bloodstream. Spread by pulmoary artery to lungs or spread by pulmonary vein to rest of body

28
Q

assman focus

A

apical lesion of secondary tuberculosis infection

29
Q

thumbprint sign on x ray

A

epiglottitis

30
Q

high d dimers

A

suspect PE, send for CTPA or V/Q scan

31
Q

Apical disease

A

Most likely (secondary) TB-apical lesion is called an ASSMAN focus

32
Q

horners syndrome signs

A

ptosis-eyelid drooping enophthalmos-sunken eye miosis-small pupil lack of sweating on ipsilateral side

33
Q

D sign on x ray

A

Empyema

34
Q

inspiratory whoop/barking cough

A

pertussis

35
Q

non smoker w/ lung cancer

A

peripheral adenocarcinoma

36
Q

Stony Dull to percuss

A

pleural effusion

37
Q

PTH secreting tumour

A

squamous cell cancer of the lung

38
Q

Eggshell calcification at hilar region

A

silicosis

39
Q

morning headache

A

hypercapnia or side effects of organic nitrates

40
Q

Ground glass appearance on X ray

A

Pulmonary Fibrosis and NRDS

41
Q

Positive anti-glomerular basement membrane antibodies

A

Goodpastures syndrome

42
Q

Caseous Necrosis

A

TB

43
Q

child with barking cough

A

Croup

44
Q

management of infective exacerbation of COPD

A

ipratropium salbutamol oxygen amoxicillin prednisolone

45
Q

Ziehl-Neelsen stain positive for acid fast bacilli

A

TB

46
Q

cannonball metastases (and weight loss and haematuria)

A

from primary renal cell carcinoma