respiratory

Question 1

stony dull to percuss?

Answer 1

pleural effusion

Question 2

right sided pleuritic chest pain?

Answer 2

most likely pneumonia

Question 3

alveolar bat wings, kerly B lines, cardiomegaly, dilated prominant upper lobe vessels, pleural effusion?

Answer 3

pulmonary oedema

Question 4

ground glass appearance on XRAY?

Answer 4

pulmonary fibrosis

Question 5

ziehl neelson stain positive for acid fast bacilli?

Answer 5

TB

Question 6

caseous necrosis?

Answer 6

TB

Question 7

apical disease

Answer 7

secondary TB

Question 8

+ve anti glomerular basement membrane antibodies?

Answer 8

goodpastures syndrome

Question 9

chest infection with a pet parrot/pigeon?

Answer 9

chlamydia psittaci

Question 10

chest infection with a pet parrot/pigeon?

Answer 10

chlamydia psittaci

Question 11

dry cough and diarrhoea after holiday?

Answer 11

legionella pneumophilia

Question 12

tall, thin young man who smokes weed?

Answer 12

probably pneumothorax (due to marfans)

Question 13

bilateral lymphadenopathy, erythema nodosum, granulomas, fatigue and weight loss?

Answer 13

sarcoidosis

Question 14

bronchiole wider than neighbouring arteriole on CT (signet ring sign)

Answer 14

bronchiectasis

Question 15

D sign on XRAY?

Answer 15

empyema

Question 16

steeple sign on XRAY?

Answer 16

laryngotrachialbronchitis/croup

Question 17

child with barking cough?

Answer 17

croup

Question 18

HIV?

Answer 18

pneumocystis pneumonia

Question 19

asthma, nasal polyps and salicylate sensitivity?

Answer 19

samsters triad

Question 20

alcoholic (danger of aspiration)
red jelly haemoptysis?

Answer 20

klebsiella pneumoniae

Question 21

rusty sputum?

Answer 21

pneumococcal pneumonia

Question 22

canon ball metastases with weight loss and haematuria?

Answer 22

primary cell renal carcinoma

Question 23

morning headache?

Answer 23

hypercapnia

Question 24

ACTH secreting tumour?

Answer 24

SCLC

Question 25

PTH secreting tumour?

Answer 25

SCC of the lung

Question 26

increased serum ACE and Ca2+?

Answer 26

sarcoid

Question 27

eggshell calcification?

Answer 27

silicosis

Question 28

an area of infection and caseous necrosis at the periphery of the lung, beneath the pleura?

Answer 28

ghon focus (usually seen in TB)

Question 29

apical lesion of secondary TB?

Answer 29

assmann focus

Question 30

ptosis, miosis, lack of sweating on ipsilateral side?

Answer 30

horners syndrome usually due to pancoast tumour

Question 31

OSHIT MAN oxygen salbutamol nebulised prednisalone/hydrocortisone ipratropium bromide theophylline magnesium anaesthetist

Answer 31

acute management of asthma

Question 32

thumbprint sign on XRAY?

Answer 32

epiglottitis

Question 33

inspiratory whoop/barking cough?

Answer 33

pertussis