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1 General Practice > Respiratory > Flashcards

Respiratory Flashcards

1
Q

Which condition must you always ask about in patient with cough?

A

COVID

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2
Q

Four infectious differentials for acute cough?

A

URTI
acute bronchitis
pneumonia
acute exacerbation of COPD/asthma/bronchiectasis
croup
whooping cough
bronchiolitis

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3
Q

List three non infectious causes of acute cough

A

lung cancer
foreign body
pneumothorax
PE
heart failure
ACEi cough
reflux

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4
Q

What are the components of CURB65?

A

confusion
Urea >7 mmol
RR >30
BP: SBP<90 or DBP <60
>65y

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5
Q

1st line antibiotic for cough associated with pneumonia?

A

amoxicillin

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6
Q

What is the length of treatment for pneumonia?

A

7-10 days

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7
Q

What is the length of treatment for non pneumonia cough?

A

5 day abx

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8
Q

List three antibiotics to treat cough

A

amoxicillin
doxycyline
clari or erithromycin

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9
Q

Which antibiotic is contraindicated in pregnancy?

A

doxy

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10
Q

Which CURB65 score should you admit patient to hospital with?

A

<1 consider admission
>2 definitely think about admitting!!

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11
Q

List three differentials for a chronic cough

A

asthma
reflux
ACEi
lung cancer
TB
COPD

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12
Q

List two signs that would warrant an urgent CXR

A

> 40 with finger clubbing
supraclavicular lymphadenopathy

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13
Q

List three symptoms in over 40y smoker that would warrant urgent CXR referral

A

Cough
fatigue
SoB
chest pain
weight loss
appetite loss

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14
Q

State two features of moderate asthma attack

A

sats >92%
RR<25
P<110

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15
Q

State two features of severe asthma attack

A

can’t finish a sentence in one breath
RR>25
P>110
Sats >92%

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16
Q

State two features of life threatening asthma attack

A

Sats<92%
silent chest
altered GCS
hypotension

17
Q

What is the management of asthma attack?

A

salbutamol
oxygen
oral pred
(ipratropium for life threatening)

18
Q

List two features of steroid responsive asthma

A

PMH atopy/asthma
high eosinophil count
variability in peak flows/spirometry

19
Q

What is the treatment for non steroid responsive COPD?

A

LABA + LAMA

20
Q

When would you refer someone with COPD to respiratory?

A

diagnostic uncertainty
suspected alpha 1 antitrypsin- under 40 and FH
signs of other disease- hamoptysis and frequent infections
rapid decline in FEV1
Assessment for nebulisers/oxygen/surgery

21
Q

Which antibiotics are used for COPD exacerbation?

A

amox
doxy
clarithro
5 days!!!

1 General Practice (15 decks)

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