Resp Buzzwords Flashcards

1
Q

What does stony dullness on percussion indicate?

A

Pleural effusion

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2
Q

What are the X-ray signs of pulmonary oedema?

A

Alveolar bat’s wings, Kerley B lines, Cardiomegaly, Dilated prominent upper lobes vessels, pleural effusion

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3
Q

What does ground-glass appearance on a CXR indicate?

A

Pulmonary fibrosis or Respiratory distress syndrome of the newborn

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4
Q

Ziehl-Neelsen stain postive for acid fast bacilli?

A

TB

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5
Q

Caseous necrosis can be a sign of what disease?

A

TB

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6
Q

Positive anti-glomerular basement membrane antibodies indicate?

A

Goodpasture’s syndrome

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7
Q

Causative organism for a chest infection with a parrot/pigeon as pet

A

Chlamoydophila psittaci

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8
Q

Dry cough & diarrhoea after holiday abroad, some indication of water spread indicate what?

A

Legionell pneumonia (test urine for antigens)

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9
Q

Tall, thin young man (possibly indulge in marijuana)

A

Probably pneumothorax (Marfan’s)

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10
Q

What are the signs of sarcoidosis?

A

Bilateral hilar lyphadenopathy, erythema nodosum, granulomas, fatigue, uveitis & weight loss

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11
Q

Signet ring sign on CT (Bronchiole wider than neighbouring arteriole)

A

Bronchiectasis

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12
Q

D sign on CXR

A

Empyema

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13
Q

“steeple” sign on CXR

A

Croup/Laryngotracheobronchitis

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14
Q

Child with barking cough

A

Croup

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15
Q

Pneumocystis pneumonia

A

HIV (treat with Co-Trimaoxazole) +/- predisolone if severe

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16
Q

What organism would you worry about in an Alcoholic (danger of aspiration pneumonia)

A

Klebsiella pneumoniae

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17
Q

What organism is associated with Red Jelly sputum?

A

Klebsiella pneumoniae

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18
Q

What organism is associated with Mucoid sputum?

A

Chlamydia psittaci

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19
Q

What disease is associated with Rusty sputum?

A

Pneumococcal pneumonia

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20
Q

What are cannonball mets (+ weight loss + haematuria) associated with?

A

Classically from primary renal cell carcinoma

21
Q

Asthma + nasal polyps + salicylate sensitivity

A

Samter’s triad (Aspirin induced pneumonia)

22
Q

Morning headache

A

Hypercapnia or Organic nitrate side effect

23
Q

ACTH secreting lung tumour?

A

Small cell carcinoma

24
Q

PTCH secreting lung tumour?

A

Squamous cell carcinoma

25
Q

Small cell carcinoma characteristics?

A

Neuroendocrine, highly malignant, ay be associated with ectopic endocrine syndromes

26
Q

What is associated with increased serum ACE & Ca2+

A

Sarcoidosis

27
Q

Eggshell classification at hilar region on CXR?

A

Silicosis

28
Q

Ghon focus?

A

Area of infection & nacreous necrosis at lung periphery. Found with TB.

29
Q

Assmann focus?

A

Apical lesion of secondary TB

30
Q

‘coin lesion’ on CXR

A

Primary bronchial or lung carcinoma. Metastatic tumour, bronchial hamartoma, carcinoid tumour, granulomatous infection, lung abscess.

31
Q

Horner’s syndrome cause?

A

Pancoast’s tumour or local spread of cancer to intrathoracic nodes.

32
Q

Horner’s syndrome symptoms?

A

Droopy eyelid, constricted pupil, lack of sweating on ipsilateral side of face. With or without enopthalmos (inset eyeball)
(Due to invasion of cervical sympathetic chain)

33
Q

Acute management of Asthma?

A

OSHIT MAN
Oxygen 100% through non-rebreather mask. Salbutamol nebuliser back-to-back . Hydrocortisone IV or Presnisolone PO. Iptratropium bromide nebuliser hourly. Theophylline IV or aminophylline IV. Magnesium & Call an anaethetist/ambulance.

34
Q

Thumbprint sign on Head X-ray?

A

Epiglottis

35
Q

Inspiratory whoop/barking cough ?

A

Pertussis

36
Q

Snow storm appearance on CXR?

A

baritones silicosis

37
Q

Management of infective exacerbation of COPD?

A

iSOAP

iptratropium. Salbutamol, Oxygen, Amoxicillin, Prednisolone.

38
Q

Non smoker + lung cancer indicates what kind of tumour?

A

Adenocarcinoma (peripheral)

39
Q

Squamous + small cell lung cancers are located where in the lungs?

A

Central

40
Q

Adenocarcinomas are located where in the lungs?

A

Peripheral

41
Q

High D-dimers indicate?

A

Suspect (but not diagnose) PE. Need to send for CTPA or V/Q scan

42
Q

Low D-dimers indicate?

A

Exclude PE

43
Q

Large PE treatment?

A

Thrombolysis

44
Q

Small PE treatment?

A

Low Molecular Weight Heparin

45
Q

What are the TB drugs?

A

2 RIPE 4 RI- 2 months Rifampicin, Isoniazid, pyrazinamide, Ethambutol. 4 months Rifampicin, Isoniazid.

46
Q

Rifampicin

A

Red/orange coloured bodily fluids

47
Q

Isoniazid

A

Peripheral neuropathy

48
Q

Pyrazinamide

A

Arthralgia

49
Q

Ethambutol

A

Optic neuritis/ myalgia