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Year 3 - OSCE Resp > Resp History > Flashcards

Resp History Flashcards

1
Q

What are the two classifications of coughs?

A

Productive

Dry

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2
Q

Name two causes of a dry cough

A

ACE inhibitor side effect

Pulmonary fibrosis

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3
Q

Name three causes of a productive cough

A

Pneumonia
COPD
Bronchiectasis

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4
Q

Name three causes of wheezing

A

Asthma
COPD
Anaphylaxis

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5
Q

Name two mechanisms of fast onset SOB

A

Mechanical

Vascular

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6
Q

Give some mechanical causes of SOB

A

Pneumothorax

Foreign body

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7
Q

Give some vascular causes of SOB

A

PE

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8
Q

Name two causes of SOB that develops gradually over time

A

Lung cancer

Pulmonary fibrosis

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9
Q

Pink frothy sputum

A

Pulmonary oedema

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10
Q

What counts as acute SOB

A

A cough for three weeks

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11
Q

Causes of confusion

A 
Infection 
Neoplastic
Vascular 
Immune/inflammatory causes
Trauma (subdural haematoma)
Endocrine
Degenerative - MS

Metabolic
Drugs

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12
Q

What would you ask about in PMH?

A

Asthma
Eczema
Lung conditions
Heart conditions

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13
Q

What drug has a long term association with lung cancer?

A

Cannabis

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14
Q

Coarse crackles

A

Fluid in lungs

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15
Q

What do you do if you think someone’s confused?

A

AMTS

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16
Q

Which part of the lungs are most affected in pneumonia?

A

Apices - look out for these on xray

17
Q

How do you classify pneumonia?

A 
Community acquired
Hospital acquired
Aspiration
Viral
Bacterial
18
Q

Causes of pneumonia

A 
Haemophilus pneumonia
Streptococcus 
Mycoplasma
Legionella
TB
Klebsiella
Chlamydia
Staph aureas
Moraxella cateralis (Gram negative)
Coxiella beneti (farmers)
19
Q

What is another name for mycoplasma and why? What are the symptoms?

A

Agglutination

Myalgia
headache
arthralgia

20
Q

What causes legionella?

A

Hotels (bad air filtration)

21
Q

What is typical of staph aureas

A

Bilateral cavitating lesions

22
Q

What is the typical cause of pneumonia in HIV?

A

PCP

23
Q

Three drugs for pneumonia and what they cover

A

Co-amoxiclav (broad spectrum)
Gentamicin or gram negative
Metronidazole to cover anaerobes

Year 3 - OSCE Resp (6 decks)

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