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Medicine Year 3 > Respiratory > Flashcards

Respiratory Flashcards

1
Q

Where would you place a chest drain

A 
Triangel of safety
5th IC space
Axilla
lateral pec
anterior lat
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2
Q

What happens to the transfer coefficient in restrictive lung disease

A

It increased (K CO)

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3
Q

3 systems involved in Wegeners Granumlomatosis

A

ENT (saddle shaped nose)
Respiratory
Kidney (glomerulonephritis)

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4
Q

Medication that causes lower lobe fibrosis

A

Amiodarone

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5
Q

Empyema blood results

A

Reduced pH
Reduced glucose
Increased LDH

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6
Q

1st line abx for pneumonia

A

amoxicillin

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7
Q

where does fibrosis occur in tb

A

upper zone

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8
Q

what does a ph lower than 3.5 indicate in asthma

A

co2 retention

life threatening

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9
Q

1st medication in COPD

A

Tiotropium

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10
Q

What can giving high O2 do to a COPD patient

A

Ankle oedema

Hb

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11
Q

What can renal cell carcinoma cause in the lungs

A

Cannonball mets

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12
Q

MOA of bupropion

A

Noradrenaline and dopamine reuptake inhibitor

Nicotinic antagonist

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13
Q

what happens to platelet levels in lung cancer

A

Increase

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14
Q

what happens to the bp in tension pneumo

A

Reduces (obstructed cardiac output)

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15
Q

FEV1 % in asthma reversibility

A

Increase by 12%

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16
Q

Organism to cause cavitating pneumonia

A

Klebsiella

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17
Q

Treatment of a secondary pneumothorax with SOB

A

Chest drain

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18
Q

4 contraindications to lung cancer surgery

A

SVC obstruction
FEV reduced by 1.5
Vocal cord paralysis
Malignant effusion

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19
Q

COPD treatment

A

SOB after SABA
then add LABA + LAMA
or LABA/ICS depending on asthma features (eosinophils)

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20
Q

2 features of ARDS

A

bilateral alveolar shadowing

acute pancreatitis

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21
Q

Treatment of RTI

A

Oral doxyxycline

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22
Q

Treatment of a secondary pneumothorax less than 1cm

A

Admit with o2 for 24 hours

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23
Q

Peak flow in severe asthma

A

Below 30%

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24
Q

Indication for NIV

A

Based off the ABG

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25
Q

Causative organism for bronchiectasis

A

Haemophilus

26
Q

Facial rash and lymphadenopathy

A

Sarcoidosis

27
Q

Transfer factor reduced in…

A

IPF

28
Q

What medication is used to stop smoking

Contraindication

A

Bupropion

NOT in epileptics

29
Q

What condition would give recurrent chest infections and infertility

A

Kartagener (primary ciliary dyskinesia)

30
Q

Reduce the risk of atelectasis (collapse)

A

Chets physio

31
Q

What medication worsens asthma

A

Aspirin

32
Q

Most common causative organism in COPD exacerbation

A

Haem influenza

33
Q

Management of a patient over 40 y/o with haemoptysis

A

Refer 2ww

34
Q

Requirements for home oxygen therapy with COPD

A

2 Po2 BELOW 7.3KPA

35
Q

In what zone is coal worker pneumoconiosis found

A

Upper zone

36
Q

Cause of COPD in youth

A

AIAT deficiency

Obstructive disease
Hepatocellular carcinoma

37
Q

Medication for COPD prophylaxis

A

Azithromycin

38
Q

Electrolyte disturbance in sarcoid

A

hypercalcaemia

39
Q

Mimic of a pneumothorax in COPD

A

Bullae

40
Q

What can flail chest cause

A

Tension pneumo

41
Q

Smoking in pregnancy - what can you offer

A

Nicotine replacement therapy

42
Q

Most common lung cancer in non-smokers

A

Adenocarcinoma

43
Q

The CRP lags

A
44
Q

Treatment and prevention of altitude sickness

A

Treatment: descent, oxygen, dexamethasone
Prevent: acetazolamide

45
Q

Lymph nodes in TB

A

Bilateral hilar lymphadenopathy

46
Q

Time between inhaler puffs

A

Wait 30 seconds

47
Q

Diving and pneumothorax

A

No diving

48
Q

What id budesonide

A

ICS

49
Q

Anion gap in DKA

A

Increased

50
Q

3 features of a mitral stenosis murmur

A

Loud S1
Diastolic
AF

51
Q

2 features of bronchiectasis

A

Excessive sputum

Parallel line shadows

52
Q

Management of normal CO2 in asthma

A

Exhaustion

ICU

53
Q

Nasal rash

A

Sarcoidosis

54
Q

4 causes of an anterior mediastinal mass

A

Teratoma
Thymic mass
Thyroid mass
Terrible lymphadenopathy

55
Q

What can sleep apnoea cause

A

HTN

56
Q

What happens to ACE in sarcoid

A

Increases

57
Q

Treatment of sarcoid

A

No Sx: no treatment

Sx: prednisolone

58
Q

4 sx of sarcoid

A 
Hypercalcaemia
Lung disease
Uveitis
Rheum
Heart
59
Q

What type of effusion does SLE cause

A

Exudative

60
Q

Prescribe a leukotrine antagonist before a LABA

A

Medicine Year 3 (8 decks)

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