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Resp Flashcards

1
Q

Stony dull to percussion

A

Plural effusion

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2
Q

Right sided pleuritic chest pain

A

Pneumonia

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3
Q

Alveolar bat’s wings, Kerley B lines, Cardiomegaly, Dilated prominent upper lobe vessels, Pleural effusion

A

Pulmonary oedema

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4
Q

Ground-glass appearance on X-ray

A

Pulmonary fibrosis

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5
Q

Ground-glass appearance on X-ray in newborn

A

Respiratory distress syndrome of the newborn

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6
Q

Ziehl-Neelsen stain positive for acid fast bacilli

A

TB

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7
Q

Caseous necrosis

A

TB

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8
Q

Apical disease

A

Most likely secondary TB

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9
Q

Assmann focus

A

Apical lesion due to TB

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10
Q

Positive anti-glomerular basement membrane antibodies

A

Goodpasture’s syndrome

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11
Q

Chest infection with a pet bird

A

Chlamydophila psittaci

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12
Q

Dry cough & diarrhoea after holiday abroad, suggestion of water spread

A

Legionella pneumophila

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13
Q

Tall, thin young man who smokes cannabis

A

Pneumothorax

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14
Q

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

A

Sarcoidosis

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15
Q

Signet ring sign

A

Bronchiectasis

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16
Q

Bronchiole wider than neighboring arterioles

A

Bronchiectasis

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17
Q

D sign on X ray

A

Empyema

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18
Q

Steeple sign on X ray

A

laryngotracheobronchitis/croup

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19
Q

Barking cough in child

A

Croup

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20
Q

Pneumocystis pneumonia

A

HIV

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21
Q

Samter’s triad

A

Asthma, nasal polyps and salicylate sensitivity

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22
Q

Alcoholic with pneumonia

A

Klebsiella pneumoniae

23
Q

Red jelly sputum

A

Klebsiella pneumoniae

24
Q

Mucoid sputum

A

Chlamydia psittaci

25
Q

Rusty sputum

A

Pneumococcal pneumonia

26
Q

Cannonball metastases

A

Classically from primary renal cell carcinoma

27
Q

Morning headaches

A

Hypercapnia, side effect of organic nitrates

28
Q

ACTH secreting lung tumours

A

Small cell carcinoma

29
Q

PTH secreting lung tumours

A

Squamous cell carcinoma

30
Q

Increased serum ACE and Ca2+

31
Q

Eggshell calcification at hilar region

32
Q

Haemosiderin laden macrophages

A

Chronic pulmonary oedema, long-standing pulmonary hypertension

33
Q

Ghon focus

34
Q

Area of infection and caseous necrosis at lung periphery beneath pleura

A

Ghon focus

35
Q

Coin lesion on CXR

A

primary bronchial or lung carcinoma

36
Q

Horner’s syndrome

A

Pancoast’s tumour

37
Q

Ptosis, enophthalmos, miosis and lack of sweat ipsilaterally

A

Horner’s syndrome

38
Q

Thumb print sign on head X-ray

A

Epiglottitis

39
Q

Inspiratory whoop/barking cough

40
Q

Snow storm appearance on X-ray

A

Baritosis, silicosis

41
Q

Non-smoker with lung cancer

A

Adenocarcinoma (peripheral)

42
Q

Central lung cancer

A

Squamous, small cell

43
Q

High d-dimers

A

Suspect but not confirm PE

44
Q

Low d-dimers

A

Excludes PE

45
Q

Large PE treatment

A

Thrombolysis

46
Q

Small PE treatment

A

Low molecular weight heparin

47
Q

Respiratory alkalosis

A

Panic attack

48
Q

Frank pus on aspiration

49
Q

Obstructive lung disease with raised eosinophils

50
Q

Obstructive lung disease with raised neutophils

51
Q

Overnight nasal ventilation

A

Pickwickian disease

52
Q

Ascending motor dysfunction following a resp infection

A

Guillian-Barre disease

53
Q

CXR showing bilateral alveolar shadowing and clear respiratory distress

54
Q

cANCA positive blood test

A

Granulomatosis with polyangiitis

Buzzwords (5 decks)

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