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finals > respiratory > Flashcards

respiratory Flashcards

1
Q

what paraneoplastic syndrome is associated with squamous cell lung cancer

A

parathyroid hormone related protein secreting
(hypercalcaemia)

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2
Q

ARDS is characterised by

A

bilateral pulmonary infiltrates and hyperaemia

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3
Q

what is the calcium levels in sarcoidosis

A

hypercalcaemia

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4
Q

what is an indicator if a chest drain needs to be inserted in a pleural effusion

A

the pH <7.2

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5
Q

management of acute bronchitis

A

doxycycline

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6
Q

what classification is an acute asthma exacerbation where they cannot complete full sentences but their PCO2 is normal

A

life threatening

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7
Q

what on a blood test is an indicator of lung cancer

A

raised platelets

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8
Q

pneumonia that diabetics and alcoholics get

A

klebsiella

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9
Q

what pneumonia causes erythema nodosum and deranged LFTs

A

mycoplasma pneumonia

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10
Q

blood results for legionella pneumonia

A

hyponatraemia

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11
Q

lung capacity in COPD

A

increased

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12
Q

lung sounds COPD

A

wheeze

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13
Q

lung sound idiopathic pulmonary fibrosis

A

fine end inspiratory crackles

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14
Q

dry cough, shortness of breath and target shaped skin lesion what is most likely causative organism

A

mycoplasma pneumonia

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15
Q

shortness of breath, ascites and ovarian tumour what is the diagnosis

A

Meigs syndrome

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16
Q

where does lung cancer metastases to

A

brain
breast
adrenal
bone

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17
Q

where does the air go in pneumothorax

A

parietal space
- between visceral and parietal pleura

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18
Q

what is seen in histology of asthma

A

Curschmann spirals = shed epithelium becomes whorled mucous plugs

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19
Q

side effect of steroid inhaler

A

oral candidiasis (thrush)

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20
Q

percussion in COPD

A

hyper resonant

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21
Q

what is diffuse alveolar damage with hyaline membrane formation

A

acute respiratory distress syndrome

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22
Q

main symptom of ARDS

A

acute onset respiratory failure which fails to improve with oxygen

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23
Q

patient been on holiday and stayed in a hotel
comes back with a dry cough and fever
what is most likely cause

A

legionella pneummnai (hotel stay)

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24
Q

what is gold standard investigation for legionella pneumonia

A

urinary antigen enzyme immunoassay test

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25
Q

classic aspirin overdose history

A

high salicylate levels
respiratory alkalosis

26
Q

is reduced lung expansion a sign of restrictive or obstructive

A

restrictive

27
Q

most common cause of bronchiectasis

A

H. influenza

28
Q

management of patient with acute asthma that becomes acidotic

A

intubated and ventilated

29
Q

test prior to starting azithromycin

A

ECG
- rule out prolonged QT interval

30
Q

infective exacerbation of COPD what is causative organism

A

H. influenza

31
Q

management of pneumothorax that is <2cm

A

discharge and review

32
Q

what lung cancer causes hyponatraemia

A

small cell

33
Q

spirometry of severe obesity

A

restrictive

34
Q

mnemonic for upper lobe fibrosis

A

CHARTS
- coal worker pneumoconiosis
- histiocytosis
- ankylosing spondylitis
- radiation
- tuberculosis
- silicosis, sarcoidosis

35
Q

community acquired pneumonia management if penicillin allergic

A

clarithromycin

36
Q

complication of COPD

A

polycythaemia

37
Q

patient with COPD, presenting with worsening breathlessness, pins and needles, plethoric complexion

A

polycytheamia

38
Q

red blood cell count in polycythaemia

A

increased

39
Q

asymptomatic sarcoidosis what is management

A

no treatment unless symptomatic

40
Q

management of HAP

A

co-amoxiclav

41
Q

complication if pleural effusion is drained too quickly

A

re-expansion pulmonary oedema

42
Q

commonest causes of anterior mediastinum mass

A

4T’s
- teratoma
- terrible lymphadenopathy
- thymic mass
- thyroid mass

43
Q

what is FEV1 in asbestosis

A

reduced

44
Q

patient with transplants, fever, non productive cough and breathlessness on exertion =

A

pneumocystis pneumonia

45
Q

what is an immunocompromised patient

A

HIV
transplant

46
Q

what drug can cause interstitial pulmonary fibrosis

A

amiodarone
bleomycin

47
Q

CT signet ring is

A

bronchiectasis

48
Q

management of bronchiectasis

A

postural drainage

49
Q

follow up for pneumonia

A

CXR 6 weeks after resolution

50
Q

most common cause of exudative pleural effusion

A

pneumonia

51
Q

most common cause of aspiration pneumonia

A

strep pneumonia

52
Q

what lung cancer causes Lambert eaton

A

small cell lung cancer

53
Q

aspergilloma on CXR

A

target shape lesion in upper lobe

54
Q

value of protein in exudate pleural effusion

A

> 35g/l

55
Q

value of protein in transudate pleural effusion

A

< 35g/L

56
Q

causes of exudative pleural effusion

A

pneumonia
malignancy

57
Q

cause of transudate pleural effusion

A

heart failure
cirrhosis
nephrotic syndrome

58
Q

diagnostic test for superior vena cava obstruction

A

Pemberton sign

59
Q

what lung cancer is gynaecomastia associated with

A

adenocarcinoma

60
Q

eye condition associated with sarcoidosis

A

anterior uveitis

61
Q

can you give patient clarithromycin if they have long QT syndrome

A

no

finals (25 decks)

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