Respiratory Flashcards

1
Q

asthma first line treatment

A

SABA

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2
Q

if on saba or symptomatic x3 a week or asthma attack or waking up at night then what to add into asthma management

A

ICS BD

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3
Q

If under 5 what to add second line for asthma after SABA

A

LRTA

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4
Q

third line after ICS and SABA for asthma

A

LABA
in children <5 LRTA

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5
Q

moderate PEF
acute severe
life threatening

A

50-75%
33-50%
<33%

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6
Q

RR and HR for moderate vs severe

A

moderate HR <110
RR <25

severe HR >110
severe >25

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7
Q

inability to finish sentences

A

severe asthma

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8
Q

sats <92%

A

life threatening asthma

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9
Q

rising pco2

A

fatal asthma

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10
Q

steroid dose in acute asthma for under 2yo
2-5yo
>5

A

10mg
20mg
30-40mg

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11
Q

COPD first line

A

SABA or SAMA

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12
Q

COPD second line -
if asthmatic features

A

LABA and LAMA
LABA and ICS

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13
Q

third line for COPD

A

LABA and LAMA and ICS

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14
Q

when to use LTOT:
FEV1
hypo
cya
poly
oe

A

FVE1<30%
hypoeaemmia
cyanosis
polycythaemia
oedema

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15
Q

lung cancer small cell %
NSCL %

A

20%
80%

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16
Q

types of NSCLC

A

adenocarcinoma
large call

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17
Q

over 40 and what triggers 2 week referral

A

haemoptysis and dodgy CXR findings

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18
Q

acute bronchitis follows what

A

URTI

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19
Q

treatment for acute bronchitis

A

self limiting
salbutamol
abx

20
Q

dry cough
arthralgia

A

myocaplasma pneumoniatr

21
Q

treatment for mycoplasma pneumonia

A

claritho/doxy

22
Q

TB risk factors 3

A

high risk countires
immunocomprimised
homelessness

23
Q

treatment for TB

A

RIPE 2m
RI 4m

24
Q

treatment for latent TB

A

RIP 3m or IP 6m

25
Q

acute treatment for allergic bronchopulmonary aspergillosis

A

steroids and anti fungals
inhaled steroids

26
Q

EAA causes

A

farmers, birds, malt, mushrooms

27
Q

when does EAA occur

A

2-4 hours after exposure

28
Q

treatment for EAA

A

steroids, avoid

29
Q

IPF when diagnosed

A

signs / symptoms for over 3 months

30
Q

how much is the risk of lung cancer with IPF

A

x10

31
Q

treatment of IPF

A

steroids
pulm rehab
anti fibrolytics

32
Q

b/l hilar LD
swinging fever
erythema nodusum

A

sarcoidosis

33
Q

high ACE and high calcium

A

sarcoidosis

34
Q

treatment for sarcoidosis

A

steroids
methotrexate

35
Q

asbestosis is caused by working where

A

naval shipyards
power stations

36
Q

stonemasons
pottery workers cause what

A

silicosis

37
Q

cotton mill workers
gets better as the week goes on

A

byssmosis

38
Q

AR CFTR gene

A

cystic fibrosis

39
Q

menocium ileus, bronch, panc insuffieciency

A

cystic fibrosis

40
Q

treatment for CF

A

chest physio, exercise, mucolytics, bronchodilators

41
Q

Epsworth scale

A

OSA

42
Q

first line and second line for OSA

A

CPAP
mandibular advancement device

43
Q

pneumothorax <2cm and asymp

A

d/c with follow up

44
Q

pneumothorax <2cm but underlying lung disease

A

observe 24 hours

45
Q

pneumothorax >2cm or symp

A

aspirate

46
Q

pneumothorax >50yo and underlying lung disease

A

chest drain