resp conditions

Question 1

clinical features of a common cold

Answer 1

tiredness, slightly pyrexia, malaise, sore nose, watery nasal discharge and sneezing

Question 2

another name for common cold

Answer 2

acute coryza

Question 3

symptoms of seasonal rhinitis

Answer 3

nasal irritation, sneezing, watery rhinorrhoea, itching of the eyes

Question 4

What are nasal polyps

Answer 4

round, smooth, soft translucent pale yellow structures in the nose

Question 5

Symptoms of nasal polyps

Answer 5

nasal obstruction, loss of smell and taste and they breather mainly through their nose

Question 6

What can we use to manage rhinitis

Answer 6

antihistamines
decongestants
corticosteroids
anti-inflammatory drugs
leukotriene antagonists

Question 7

Examples and Side effects of first line of anti histamines

Answer 7

chlorphenamine or hydroxine

sedation and loss of concentration

Question 8

if they have mild allergic rhinitis what do you give them

Answer 8

oral non sedative anti histamines

Question 9

if they have severe allergic rhinitis what do you give them

Answer 9

oral non sedative anti histamines and inhaled corticosteroids or leukotriene antagonists but if they have asthma you give all three

Question 10

What is first line of inhaled corticosteroids and dose

Answer 10

1st line: Beclometasone Nasal Spray (Beconase), 2 sprays each nostril BD

Question 11

What is second line of inhaled corticosteroids and dose

Answer 11

2nd line: Fluticasone Furoate nasal spray (Avamys), 2 sprays each nostril

Question 12

common virus that causes pharyngitis

Answer 12

adenovirus

Question 13

symptoms of pharyngitis

Answer 13

sore throat, inflamed tonsils, tonsillar lymph nodes enlarge

Question 14

what model do we use to decide if we should give antibiotics to people with tonsillitis/ pharyngitis

Answer 14

FEVER PAIN score
Fever
Purulence
Attend under 3 days
Inflamed tonsils
No cough or coryza
above 4 defo antibiotics below think about it

Question 15

First line of antibiotics used in tonsillitis

Answer 15

phenoxymethylpenicillin

500mg for 10 days

Question 16

second line of antibiotics used in tonsillitis

Answer 16

clarithromycin 500mg for 5 days

Question 17

symptoms of acute laryngitis

Answer 17

croup (barking cough)
voice becomes hoarse
audible stridor

Question 18

treatment for acute laryngitis

Answer 18

short term relief use nebulised adrenaline

oral or intramuscular corticosteroids with oxygen and adequate fluids

Question 19

which bacteria can cause life threatening acute epiglottitis

Answer 19

haemophilus influenzae type b

Question 20

symptoms of acute epiglottitis

Answer 20

high fever

airway flow obstruction severe

Question 21

Management of acute epiglotittis

Answer 21

endotracheal intubation

IV antibiotics ceftazidime

Question 22

Symptoms of influenzae

Answer 22

fever
shivering
generalised aching of limbs
severe headache
soreness of the throat
dry cough

Question 23

management of influenzae

Answer 23

bed rest and paracetamol

Question 24

which bronchus is mostly affected when you inhale something

Answer 24

the right bronchus