Respiratory Flashcards

1
Q

Causes of bronchiectasis

A

Idiopathic
Pertussis/childhood
Immunodeficiency
CTD
ABPA
CF/cilliary disease
Yellow Nail Syndrome
TB

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2
Q

VATS indications

A

Wedge resection
Lobectomy
Bullectomy
Recurrent PTX

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2
Q

Lobectomy indications

A

Lung Ca
Aspergilloma
Tuberculoma
Abscess

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2
Q

Assessment for surgical fitness in Lung Ca

A

Lung function incl. gas transfer
Exercise testing
FEV1 1.5 lobectomy
FEV1 2.0 pneumonectomy

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3
Q

ILD Causes

A

IPF
Autoimmune - NSIP
Hypersensitivity Pneumonitis
Sarcoidosis
Asbestosis

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4
Q

Antifibrotics in ILD

A

Pifrenidone
Nintedanib

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5
Q

Pulmonary fibrosis - spirometry pattern

A

Restrictive
(reduced TCLO)

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6
Q

CFTR inheritance

A

AR

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7
Q

Features of CF

A

Cilliary failure
Lungs
Liver
Pancreas
Gallstones
Kidney stones
Sub/Infertility

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8
Q

CFTR chromosome?

A

7

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9
Q

Diagnosis of CF?

A

Heel prick screening
CFTR gene screening
Sweat test

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10
Q

Chronic conolisation in CF?

A

Pseudomonas as they age
Burkholderia - contraindicates Tx

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11
Q

Basic transplant criteria (x3)

A

> 50% death without Tx in 2 years
80% likliehood 90 day survival post Tx
80% 5yr post Tx general prognosis with functioning graft

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12
Q

Commonest indications for Tx

A

ILD
CF
COPD
Pulm vascular disease

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13
Q

Double lung Tx indications

A

CF
Bronchiectasis
Pulmonary hypertension

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14
Q

Contraindications to Tx

A

Untreatable end organ disease elsewhere
Metastatic malignancy
Burkholderia
Gross deformities
Extremity of BMI
Non-compliance
Smoking

15
Q

Causes of transudate

A

Cardiac failure
Hepatic failure
CKD
Low albumin state

16
Q

Causes of exudate

A

Pneumonia
Malignancy
CTD
Sarcoid

17
Q

Lights criteria?

A

Exudate if:
Pleural protein/serum protein >0.5
Pleural LDH/serum LDH >0.6
Pleural LDH > upper 2/3 of normal

18
Q
A
19
Q
A