Resp

Question 1

Pneumonia (community acquired)

Answer 1

D: CXR, sputum analysis
T: mild - amoxicillin po
moderate - amoxicillin po + clarithromycin po
severe - co-amoxiclav iv

Question 2

Pneumonia (hospital acquired)

Answer 2

D: CXR, sputum analysis
T: aminoglycoside + penicillin iv

Question 3

Bronchiectasis

Answer 3

D: sputum culture, CXR
T: physio, antibiotics

Question 4

Cystic fibrosis

Answer 4

D: sweat test for sodium + chloride
T: chest physio, bronchodilators

Question 5

Lung tumour

Answer 5

D: CXR
T: chemo, maybe radio/surgery

Question 6

Asthma (chronic)

Answer 6

D: spirometry, pef diary, trial of treatment
T: b agonist -> inhaled steroids -> aminophylline

Question 7

Asthma (acute)

Answer 7

D: pef, spirometry
T: O2, salbumtamol neb, prednisolone

Question 8

COPD

Answer 8

D: spirometry, abg
T: SABA/SAMA, LABA, ICS

Question 9

Acute respiratory distress syndrome

Answer 9

D: CXR, wedge pressure
T: CPAP/ventilation, fluid

Question 10

Pulmonary embolism

Answer 10

D: d-dimer, CTPA
T: LMWH then doac after 5 days
alteplase if unstable

Question 11

Pneumothorax

Answer 11

D: CXR
T: discharge or chest drain

Question 12

Pleural effusion

Answer 12

D: CXR
T: treat underlying cause, drain (symptomatic)

Question 13

Obstructive

Answer 13

D: a video or o2 sats
t: lose weight, tobacco/alcohol reduction, CPAP

Question 14

Cor pulmanale

Answer 14

D: CXR, ECG
T: Treat underlying cause

Question 15

Sarcoidosis

Answer 15

D: CXR
T: conservatives, NSAIDs

Question 16

Idioppathic pulmonary fibrosis

Answer 16

D: CT
T: Supportive (o2, opiates, palliative)