Respiratory

Question 1

What is the triad of Eosinophilic Granulomatosis with polyangiitis?

Answer 1

Eosinophilia
Vasculitis
Asthma
It often begins with sinusitis, new/worsening of allergies, then asthma, followed by systemic vasculitis symptoms.
Associated with p-ANCA

Question 2

What imaging is used for routine staging of a lung tumour?

Answer 2

CT chest
PET CT
Bronchoscopy
Radionucleotide bone scan

Question 3

Bihilar lymphadenopathy and serum ACE?

Answer 3

Sarcoidosis

Question 4

37M with excessive purulent sputum, persistent cough and drum-stick fingers?

Answer 4

Bronchiectasis

Question 5

What is the Epworth score?

Answer 5

Used to assess daytime somnolence.
Score >10 warrants further investigation

Question 6

What is Light’s criteria?

Answer 6

Used to differentiate between transudate and exudate

Question 7

Most common organism in CAP?

Answer 7

1. Strep pneumoniae
2. Haemophilus influenza
3. Mycoplasma pneumonia

Question 8

Most common organism in HAP?

Answer 8

Gram negative enterobacter and S. aureus

Question 9

Patient with haemoptysis, nose bleeds and renal failure?

Answer 9

Granulomatosis with polyangiitis
Multisystem vasculitis affecting the lungs, kidneys and upper respiratory tract
Urine dipstick (followed by renal biopsy if +ve blood) plus CXR and bloods (cANCA)
Treatment is steroids and immunosuppressants

Question 10

What is the best test for lung function in patients with chronic lung disease?

Answer 10

Lung diffusion test