Respiratory Flashcards

1
Q

ENT + resp symptoms with renal involvement = ?

A

granulomatosis with polyangitis / cANCA

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2
Q

what is SIADH seen in?

A

SCLC

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3
Q

what is the SCLC mneumonic

A

SIADH
cushings
LEMS
cerebellar syndrome

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4
Q

how do pancoast tumours cause hoarseness

A

compression of recurrent laryngeal nerve

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5
Q

pneumonia sympotms

A

fever + a cough

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6
Q

what does klebsiella present with

A

red current jelly

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7
Q

bug for epiglottiis

A

HIB

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8
Q

bug for bronchiectasis

A

h influeza

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9
Q

BP finding for OSA

A

hypertension

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10
Q

cavitating lesion

A

SCC

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11
Q

how to look for lung cancer

A

contrast enhanced CT

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12
Q

symptoms of sarcoidosis

A

facial rash and lymphadenopathy

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13
Q

treatment for COPD if commenceing LAMA

A

switch SAMA to SABA

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14
Q

where is aspiration most common

A

right lower lobe

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15
Q

COPD exacerbation with purulent sputum management

A
  1. amox
  2. doxy
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16
Q

treatment for acute bronchitis

A

doxy

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17
Q

how to calculate pack years

A

number of packs smoked per day (20 cigs per pack) x years smoked for

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18
Q

SE of ICS

A

oral candidia

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19
Q

symptoms of GPA

A

nose bleeds

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20
Q

COPD exacerbation with no purulent sputum

A

prednisolone

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21
Q

BP finding in tension pneumothorax

A

hypotension

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22
Q

smoking cessation management

A
  1. nicotine replacement
  2. careniciline
  3. bupropion
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23
Q

what is meigs syndrome

A

transudative pleural effusion
ascites
benign ovarian tumour

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24
Q

which cancer is seen in non smokers

A

adenocarcinoma

25
Q

which type of asthma is “patietns cant complete sentences”

A

severe

26
Q

how to check if chest tube is placed

A

pH

27
Q

CURB-65

A

0/1 home
2 consider hospital
3 sever - hosp
4/5 ICU

28
Q

where do most common causes of pulmonary fibrosis affect?

A

lower lobe

29
Q

when to give ICS in asthma

A

symptoms 3+ times per week

30
Q

COPD treatment

A
  1. SAMA or SABA
  2. asthma - LAMA + LABA
  3. no asthma - ICS + LABA or triple therapy (LAMA + LABA + ICS)
31
Q

diagnosis of CF

A

sweat test

32
Q

when to do surgery in bronchiectasis

A

when CT shows disease in one lobe

33
Q

how to determine wether to give abx in bronchiectaisis

A

CRP level

34
Q

which sputum is seen in bronchiecasis

A

white / clear

35
Q

which resp failure is seen in COPD

A

T2

36
Q

which drug is salbutamol

A

SABA

37
Q

which drug is ipratropium

A

SAMA

38
Q

which drug is salmeterol

A

LABA

39
Q

which drug is tiotropium

A

LAMA

40
Q

FEV1/FVC <70% = what

A

obstructive so asthma or COPD

41
Q

how to describe reversibility with FEV1

A

increased from 3-3.4 or >12%

42
Q

croup treatment

A

dexamethasone

43
Q

whooping cough treatment

A

clarithromycin

44
Q

haemodynamicaaly stable PE treatment

A

DOAC 3 months

45
Q

haemodynamically unstable PE treatment

A

thrombolyse

46
Q

T2 resp failure management

A

BiPAP

47
Q

CAP mild - mod treatment

A

IV / PO amox

48
Q

CAP severe treatment

A

co-amox + doxy (PO)

49
Q

CAP ICU treatment

A

co-amox + IV clarithromycin

50
Q

how to treat microscopic polyangitis

A

IV steroids + cyclophsophamide

51
Q

bug in epiglottiis

A

HIB

52
Q

symptoms in epiglottitis

A

learning forward and drooling

53
Q

management of primary tension pneumothorax

A

<2cm + no SOB = discharge
aspirate
chest drain

54
Q

management of secondary pneumothorax

A

admit all for 24 hours
>50 years + >2cm and / SOB = chest drain
otherwise aspirate if 1-2cm
chest drain
if <1cm = O2 + admit for 24 hours

55
Q

how to aspirate a tension pneumothorax

A

2nd ICS, midclavicular line
16G cannula + 50ml syringe §

56
Q

CURB65

A

confusion
urea >7 (2)
RR>30 (2)
BP <90
age >65

57
Q

antibodies found in goodpastures

A

anti-GBM

58
Q

SE of isoniazid

A

peripheral neuropathy

59
Q

SE of pyrazinamide

A

hyperuricaemia (gout)