Respiratory

Question 1

What FEV FVC level is deemed obstructive

Answer 1

FEV1/FVC ratio less than 70%

Question 2

What is reversibility testing ?

Answer 2

in adults, a positive test is indicated by an improvement in FEV1 of 12% or more and increase in volume of 200 ml or more

Question 3

What COPD severity is a FEV of >80%

Answer 3

mild

Question 4

What COPD severity is a FEV of <50-79

Answer 4

moderate

Question 5

What COPD severity is a FEV of <30-49

Answer 5

severe

Question 6

What COPD severity is a FEV of <30%

Answer 6

very severe

Question 7

How does Granulomatosis with polyangiitis present

Answer 7

Upper respiratory tract: epistaxis, sinusitis, nasal crusting
Lower respiratory tract: dyspnoea, haemoptysis
Glomerulonephritis
Saddle-shape nose deformity

Question 8

How does Good pasteurs present?

Answer 8

Haemoptysis
Systemically unwell: fever, nausea
Glomerulonephritis

Question 9

What are 4 features of idiopathic pulmonary fibrosis ?

Answer 9

progressive exertional dyspnoea
bibasal fine end-inspiratory crepitations on auscultation
dry cough
clubbing

Question 10

What will you see on spirometry for a patient with IPF?

Answer 10

Increased FEV/FVC

Question 11

What will you see on CT scan on a IPF patient?

Answer 11

Honeycombing

Question 12

4 conditions that Kartagener’s syndrome are associated with

Answer 12

dextrocardia or complete situs inversus
bronchiectasis
recurrent sinusitis
subfertility (secondary to diminished sperm motility and defective ciliary action in the fallopian tubes)

Question 13

What sputum do you get with Klebsiella pneumonia ?

Answer 13

red current sputum

Question 14

Who is Klebsiella pneumonia associated with ?

Answer 14

Alcoholics and Diabetics

Question 15

3 organisms behind lung abscesses

Answer 15

Staphylococcus aureus
Klebsiella pneumonia
Pseudomonas aeruginosa

Question 16

Two conditions adenocarcinoma of the lung are associated with

Answer 16

gynaecomastia
hypertrophic pulmonary osteoarthropathy (HPOA)

Question 17

two suscipious features of mesothelioma on cxr

Answer 17

painless pleural effusion
Pleural thickening

Question 18

name 3 indications for NIV

Answer 18

type 2 resp failure
COPD with respiratory acidosis
weaning from tracheal intubation

Question 19

What does the Lights criteria say about an exudate pleural effusion

Answer 19

Light’s criteria should be applied. An exudate is likely if at least one of the following criteria are met:
pleural fluid protein divided by serum protein >0.5
pleural fluid LDH divided by serum LDH >0.6
pleural fluid LDH more than two-thirds the upper limits of normal serum LDH

Question 20

What is CURB65 made up of?

Answer 20

Confusion 8/10 on AMTS
Urea
Resp Rate >30
BP SP <90 and DP <60

Question 21

At what CURB score should you hospitalise?

Answer 21

> 2

Question 22

Primary Pneumothorax: if <2cm

Answer 22

Discharge if not symptomatic

Question 23

Pneumothorax if >2cm

Answer 23

Chest drain

Question 24

Pneumothorax is <2cm but SOB

Answer 24

Chest drain

Question 25

Secondary Pneumothorax if 1-2cm

Answer 25

Aspiration

Question 26

How does Silicosis present on CXR?

Answer 26

egg shell calcification