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Sheff Phase 4 > Resp > Flashcards

Resp Flashcards

1
Q

How can you diagnose asthma with spirometry

A

administer bronchodilator and see improvement FEV1 of >15%

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2
Q

4 parts of Mx IECOPD

A 
O2 - 88-92%
Abx 
Salbutamol / ipatropium nebs 
Steroids 
Chest physio
NIV

Blood gas

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3
Q

How would you ideally give O2 in IECOPD

A

venturi 24%

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4
Q

Most common bugs causing CAP

A

S pneumonia
h influenza
mycoplasma pneumonia

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5
Q

CURB score for admission

A

> 1

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6
Q

Name 3 causes of erythema nodsosum

A 
TB
Crohns / UC 
Sarcoidosis 
Strep infection 
Chlamydia 
Oral contraceptive
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7
Q

2 common bugs in CF

A

s pneumonia
h influenza
p aeruginosa

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8
Q

3 causes of broncbiectasis

A 
CF 
Idiopathic 
post-infective 
A1AT deficiency 
allergic bronchopulmonary aspergillosis
RheumA
ulcerative colitis
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9
Q

bronchiectasis Comps

A 
pneumonia 
sepsis 
resp failure 
cor pulmonale 
pneumothorax
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10
Q

What mechanism causes resp failure in PE

A

Ventilation-perfusion mismatch

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11
Q

How long warfarin post PE

A

6/12 if no previous

lifelong if previous Hx of DVT/PE

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12
Q

2 scans for confirmed PE

A

V/Q scan

CTPA

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13
Q

Test used in SVCS

A

Pemberton

[The maneuver is achieved by having the patient elevate both arms until they touch the sides of the face. A positive Pemberton’s sign is marked by the presence of facial congestion and cyanosis, as well as respiratory distress after approximately one minute]

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14
Q

2 things seen on XR of pulm fibrosis lung

A

Reduced volume
reticulonodular shaddowing
honeycomb lung

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15
Q

Name 2 causes of extrinsic allergic alveolitis

A

Farmers lung
bird fanciers lung
[loads of other bullshit hobby -lung Eg cheese washers lung]

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16
Q

name 3 RFs for opstructive sleep apnea

A

obesity
alcohol
enlarged tonsils / adenoids
nasal polyps

17
Q

3 Mx options for obstructive sleep apnea

A 
weight loss 
avoid alcohol 
sleep upright 
CPAP 
Adenoidectomy
18
Q

what is cor pulmonale ?
2 findings Seen on XR?
2 ECG?

A

RH failure secondary to chronic pulmonary hypertension

Dilated RA / RV, prominent pulm arteries

Right axis deviation, p pulmonale [Large P waves (RA enlarged] , inverted T waves in chest leads, dominant R wave in v1

19
Q

seen on sarcoid biopsy

A

non caseating granulomas

20
Q

3 extrapulmonary signs of sarcoid

A 
erythema nodosum 
anterior uveitis 
arthralgia 
neuropathy 
cardiomyopathy 
lymphadenopathy
hyperCa
Hepatosplenomegaly
21
Q

2 pieces of advice [excluding SEs] to tell pt when starting long term steroids

A

Dont stop taking suddenly
Dose needs increasing during illness
Dose decreased slowly
Inform doctor prior to other Mx / surgery

22
Q

Mx of reccurent pleural effusions

A

pleurodesis with talc, bleomycin

Sheff Phase 4 (26 decks)

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