Respiratory Flashcards

1
Q

Name some organisms causing a HAP

A

If 4 days or under:
S. pneumoniae
H. influenzae
M. cattarhalis

More than 4 days:
Gram -ve enterobacteria
S. aureus
Legionella pneumophila

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2
Q

What is Horner’ syndrome?

A

Miosis
Enophthalmos
Ptosis

Due to ipsilateral invasion of the cervical sympathetic plexus

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3
Q

Which test is used for definitive diagnosis of COPD?

A

Post bronchodilator spirometry

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4
Q

What is the normal range for PaCO2?

A

4.5-6.0 kPa

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5
Q

Which scale can be used to classify airflow limitation in COPD?

A

GOLD

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6
Q

Which scale can be used to classify symptom severity in COPD?

A

MRC breathlessness scale
New scale is 0-4

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7
Q

How can you diagnose PCP?

A

BAL
Open lung biopsy

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8
Q

What is a Ghon focus?

A

Initial granulomatous lesion in TB

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9
Q

Name some features of carbon monoxide poisoning

A

Headache
Vertigo
Nausea and vomiting
Alteration in consciousness
Subjective weakness

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10
Q

What is Goodpasture’s syndrome?

A

Diffuse pulmonary haemorrhage
Glomerulonephritis
Circulating anti-GBM antibodies

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11
Q

Which cancers are associated with hypercalcaemia?

A

Breast
Lung (squamous)
Multiple myeloma

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12
Q

Name some neuraminidase inhibitors

A

Oseltamivir
Zanamivir

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13
Q

What is lupus vulgaris?

A

Painful cutaneous TB skin lesions with a nodular appearance

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14
Q

Name some types of EAA

A

Bird fancier’s lung
Pigeon fancier’s lung
Farmer’s lung
Malt worker’s lung
Mushroom worker’s lung

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15
Q

Which drugs may be used to treat Lambert-Eaton syndrome?

A

Steroids
Azathioprine
3,4-diaminopyridine

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16
Q

What CXR findings are seen in silicosis?

A

Diffuse miliary or nodular pattern in upper and mid zones

17
Q

What is Caplan’s syndrome?

A

Pulmonary fibrosis in coal miners who have RA
CXR shows multiple round well defined nodules

18
Q

Name some causes of exudative pleural effusion

A

Pneumonia
Empyema
TB
RA
SLE
Pulmonary infarction
Carcinoma
Lymphoma
Mesothelioma