Respiratory

Question 1

asthma first line treatment

Answer 1

SABA

Question 2

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

Answer 2

ICS BD

Question 3

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

Answer 3

LRTA

Question 4

third line after ICS and SABA for asthma

Answer 4

LABA
in children <5 LRTA

Question 5

moderate PEF
acute severe
life threatening

Answer 5

50-75%
33-50%
<33%

Question 6

RR and HR for moderate vs severe

Answer 6

moderate HR <110
RR <25

severe HR >110
severe >25

Question 7

inability to finish sentences

Answer 7

severe asthma

Question 8

sats <92%

Answer 8

life threatening asthma

Question 9

rising pco2

Answer 9

fatal asthma

Question 10

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

Answer 10

10mg
20mg
30-40mg

Question 11

COPD first line

Answer 11

SABA or SAMA

Question 12

COPD second line -
if asthmatic features

Answer 12

LABA and LAMA
LABA and ICS

Question 13

third line for COPD

Answer 13

LABA and LAMA and ICS

Question 14

when to use LTOT:
FEV1
hypo
cya
poly
oe

Answer 14

FVE1<30%
hypoeaemmia
cyanosis
polycythaemia
oedema

Question 15

lung cancer small cell %
NSCL %

Answer 15

20%
80%

Question 16

types of NSCLC

Answer 16

adenocarcinoma
large call

Question 17

over 40 and what triggers 2 week referral

Answer 17

haemoptysis and dodgy CXR findings

Question 18

acute bronchitis follows what

Answer 18

URTI

Question 19

treatment for acute bronchitis

Answer 19

self limiting
salbutamol
abx

Question 20

dry cough
arthralgia

Answer 20

myocaplasma pneumoniatr

Question 21

treatment for mycoplasma pneumonia

Answer 21

claritho/doxy

Question 22

TB risk factors 3

Answer 22

high risk countires
immunocomprimised
homelessness

Question 23

treatment for TB

Answer 23

RIPE 2m
RI 4m

Question 24

treatment for latent TB

Answer 24

RIP 3m or IP 6m

Question 25

acute treatment for allergic bronchopulmonary aspergillosis

Answer 25

steroids and anti fungals
inhaled steroids

Question 26

EAA causes

Answer 26

farmers, birds, malt, mushrooms

Question 27

when does EAA occur

Answer 27

2-4 hours after exposure

Question 28

treatment for EAA

Answer 28

steroids, avoid

Question 29

IPF when diagnosed

Answer 29

signs / symptoms for over 3 months

Question 30

how much is the risk of lung cancer with IPF

Answer 30

x10

Question 31

treatment of IPF

Answer 31

steroids
pulm rehab
anti fibrolytics

Question 32

b/l hilar LD
swinging fever
erythema nodusum

Answer 32

sarcoidosis

Question 33

high ACE and high calcium

Answer 33

sarcoidosis

Question 34

treatment for sarcoidosis

Answer 34

steroids
methotrexate

Question 35

asbestosis is caused by working where

Answer 35

naval shipyards
power stations

Question 36

stonemasons
pottery workers cause what

Answer 36

silicosis

Question 37

cotton mill workers
gets better as the week goes on

Answer 37

byssmosis

Question 38

AR CFTR gene

Answer 38

cystic fibrosis

Question 39

menocium ileus, bronch, panc insuffieciency

Answer 39

cystic fibrosis

Question 40

treatment for CF

Answer 40

chest physio, exercise, mucolytics, bronchodilators

Question 41

Epsworth scale

Answer 41

OSA

Question 42

first line and second line for OSA

Answer 42

CPAP
mandibular advancement device

Question 43

pneumothorax <2cm and asymp

Answer 43

d/c with follow up

Question 44

pneumothorax <2cm but underlying lung disease

Answer 44

observe 24 hours

Question 45

pneumothorax >2cm or symp

Answer 45

aspirate

Question 46

pneumothorax >50yo and underlying lung disease

Answer 46

chest drain