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Year 5 Medicine > Respiratory > Flashcards

Respiratory Flashcards

1
Q

What antibiotics are used to treat legionella?

A

Clarithromycin - macrolides

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2
Q

How is COPD classified alongside FEV1?

A

Mild = normal FEV1
Moderate = 50-70%
Severe = 30-49%
Very severe = <30%

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3
Q

What are the treatment options for latent TB?

A

3 months isoniazid with pyridoxine and rifampicin
Or - 6 months isoniazid with pyridoxine

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4
Q

What is egg shell calcification of lymph nodes indicative of?

A

Silicosis

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5
Q

What medication is given alongside isoniazid to reduce likelihood of side effects?

A

Pyridoxine

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6
Q

What type of lung cancer causes hyponatraemia?

A

Small cell - SIADH paraneoplastic

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7
Q

What is the treatment for cystic fibrosis patients who are homozygous for the delta F508 mutation?

A

Lumacftor/ivacaftor

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8
Q

What rheumatoid medication has lung complications?

A

Methotrexate - lung fibrosis

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9
Q

What antibiotic can cause pulmonary fibrosis?

A

Nitrofurantoin

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10
Q

What bacteria is most likely to cause pneumonia in an alcoholic?

A

Klebsiella pneumonia

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11
Q

How is legionella best diagnosed?

A

Urine antigen test

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12
Q

What PH would mean patient would benefit from non-invasive ventilation?

A

7.25-7.35

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13
Q

What is the most common organism to cause bronchiectasis?

A

H Influenzae

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14
Q

What stain is used for TB?

A

Ziehl-Neelsen Stain

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15
Q

What is the increase in FEV1and lung volume after bronchodilator therapy indicative of asthma?

A

12% or more and 200ml

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16
Q

What is the FeNO that indicates an asthma diagnosis?

A

40 Parts per Billion or more

17
Q

What is the FEV1/FVC ratio indicative of asthma?

A

<70% - obstructive lung disease

18
Q

What peak flow variability is diagnostic of asthma?

A

Variability of 20% or more

19
Q

What lung cancer is associated with paraneoplastic syndrome - Cushings syndrome?

A

Small cell bronchial carcinoma

20
Q

What is the most common cause of bronchiectasis?

A

H.Influenzae

21
Q

What’s the frostline treatment for COPD?

A

SABA (Salbutamol/terbutaline) or SAMA (Ipratropium)

22
Q

What test should be assessed prior to stating RIPE for TB?

A

Visual acuity test - ethambutol can cause optic neuritis

23
Q

What lung condition is indicated in presentation with erythema nodosum and what electrolyte abnormality is seen?

A

Sarcoidosis - hypercalcaemia

24
Q

What’s the most common ecg change in PE?

A

Sinus tachycardia

25
Q

What is c aomplication of COPD seen in the blood?

A

Polycythaemia - increased haemltocrit

26
Q

What are the antibiotics recommended for infective exacerbation of COPD?

A

Amoxicillin, doxycycline and clarithromycin

27
Q
A

Year 5 Medicine (17 decks)

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