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Resp Flashcards

1
Q

Signet rings on high-resolution computed tomography (HRCT)

A

Bronchiectasis

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2
Q

Bilateral hilar lymphadenopathy

A

Sarcoidosis

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3
Q

Sandblaster

A

Silicosis

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4
Q

Pipe lagger, construction worker

A

Asbestosis

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5
Q

Tram-tracking

A

Bronchiectasis

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6
Q

Gold standard for DDx of OSA (obstructive sleep apnea)

A

Polysomnography

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7
Q

Ground glass appearance/honeycombing

A

Pulmonary fibrosis

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8
Q

High pleural lactate dehydrogenase (LDH) and protein

A

Exudative pleural effusion (Light’s criteria) - malignancy, infection

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9
Q

Loud P2, RV heave, elevated JVP

A

Pulmonary hypertension

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10
Q

Most diagnostic test for influenza

A

PCR

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11
Q

Monophonic wheeze

A

Tumour / foreign body / vocal cord paralysis

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12
Q

DRUG: COPD drug causing cardiac arrhythmia

A

Theophylline

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13
Q

DRUG: anti-pseudomonas activity (3)

A 
Aminoglycosides
3rd gen cephalosporins
Ticarcillin
Meropenem
Ciprofloxacin
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14
Q

DRUG: reduces efficacy of oral contraceptive (OC)

A

Rifampicin

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15
Q

Caseating granuloma

A

Tuberculosis

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16
Q

Centrilobular emphysema

A

Smoking

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17
Q

Panacinar emphysema

A

Alpha-1 anti-trypsin deficiency

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18
Q

Acid-fast bacilli

A

Pulmonary tuberculosis

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19
Q

Hypercalcaemia from paraneoplastic syndrome

A

SCC of the lung

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20
Q

Gohn focus on CXR

A

Pulmonary tuberculosis

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21
Q

Causative organism of pneumonia in an HIV patient

A

Pneumocystis jirovecii

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22
Q

SIADH/ectopic ACTH/LEMS

A

SCLC

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23
Q

Atypical pneumonia with cold agglutinins

A

Mycoplasma pneumonia

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24
Q

Office worker with pneumonia

A

Legionella

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25
Q

Tall basketball player with SOB

A

Pneumothorax

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26
Q

Oat cells

A

SCLC

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27
Q

Rash post amoxycillin for suspected strep throat

A

EBV

28
Q

Positive sweat test

A

CF

29
Q

Atypical mononuclear cells

A

EBV

30
Q

Cysts on toluidine blue stain

A

PJP

31
Q

Rusty coloured sputum

A

Strep pneumoniae pneumonia

32
Q

Pneumonia with cows

A

Coxiella burnetti (Q-fever)

33
Q

Positive PCR on nasopharyngeal swab

A

Influenza

34
Q

Air conditioning

A

Legionella pneumonia

35
Q

Voluminous watery sputum

A

Adenocarcinoma

36
Q

Urinary antigen positive

A

Legionella pneumonia

37
Q

Asthmatic SOB despite oxygen

A

VQ mismatch

38
Q

Pneumonia and parrots

A

Chlamydia psittaci

39
Q

Atypical pneumonia with AHA, erythema multiforme, myopericarditis and meningoencephalitis

A

Mycoplasma pneumoniae

40
Q

Atypical pneumonia with hyponatremia and lymphopenia

A

Legionella pneumonia

41
Q

Bilateral lung nodules in a miner with RA

A

Caplan’s syndrome

42
Q

Calcified nodules in lower zones

A

Previous varicella pneumonitis

43
Q

Antibiotics for PJP

A

Co-trimoxazole (TMP-SMX)

44
Q

Antibiotic for chlamydial pneumonia

A

Tetracycline

45
Q

Crackles do not clear after coughing

A

Pulmonary oedema

Pleural effusion

46
Q

Widespread, firm, fibrotic nodules

A

Silicosis

47
Q

Wedge-shaped opacity

A

Pulmonary infarction

48
Q

Swollen leg + sudden urge to defecate

A

Saddle embolus

49
Q

Sputum - pus cells, culture mixed oral flora

A

Aspiration pneumonia

50
Q

Potting mix + diarrhoea + pneumonia

A

Legionella

51
Q

Bilateral cavitating bronchopneumonia after influenza infection

A

Staph aureus pneumonia

52
Q

Polyuria

A

Hypercalcaemia due to active sarcoid or SCC

53
Q

WCC elevated with 90% lymphocytes

A

Pertussis

54
Q

Lowenstein-Jensen medium

A

TB

55
Q

Gram negative motile bacilli on MacConkey agar

A

Pseudomonas

56
Q

Slender Gram negative rods, milky white colonies on charcoal yeast extract agar

A

Legionella

57
Q

Fried egg colonies, lack of cell wall

A

Mycoplasma pneumoniae

58
Q

Lung cancer type most closely associated with smoking

A

SCC

59
Q

Indrawn tympanic membrane

A

Otitis media

Except acute suppurative otitis media - children

60
Q

Sighing breaths

A

Metabolic acidosis

61
Q

Most diagnostic test for influenza

A

PCR

62
Q

Monophonic wheeze

A

Tumour / foreign body / vocal cord paralysis

63
Q

DRUG: COPD drug causing cardiac arrhythmia

A

Theophylline

64
Q

DRUG: anti-pseudomonas activity (3)

A

Aminoglycosides

3rd gen cephalosporins

Ticarcillin

Meropenem

Ciprofloxacin

65
Q

DRUG: reduces efficacy of OCP (oral contraceptive pill)

A

Rifampicin

66
Q

Batwing opacities on CXR

A

Pattern of bilateral perihilar shadowing.

Pulmonary oedema (especially cardiogenic)

B (13 decks)

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