Respiratory

Question 1

Tx for Newly diagnosed Asthma with symptoms >= 3 times a week?

Answer 1

SABA + Low dose ICS

Question 2

Tx for Asthma not controlled by SABA + IC?

Answer 2

LTRA

Question 3

Tx for asthma no response to SABA, ICS, LTRA

Answer 3

MART - switch ICS or LABA for maintenance and reliever therapy which includes low dose ICS

Question 4

Lung cancer associations. Small cell, squamous cell, Adeno

Answer 4

Small cell = SVC obstruction! Squamous cell = Cavity! Adenocarcinoma = trousseau syndrome and clubbing

Question 5

CI to Lung transplant in malignancy (ROPE)

Answer 5

Reduced FEV1 < 1.5/ Obstruction of SVC/ Paralysis of vocal cord/ Effusion (malignant)

Question 6

HLA associations:
HLA-DR1:

Answer 6

Bronchiectasis

Question 7

HLA-DR2:

Answer 7

Systemic Lupus Erythematous (SLE)

Question 8

HLA-DR3:

Answer 8

Autoimmune hepatitis, primary Sjogen syndrome, T1DM, SLE

Question 9

HLA-DR4:

Answer 9

Rheumatoid arthritis, T1DM

Question 10

HLA-B27:

Answer 10

Ankylosing Spondylitis, Postgonoccocal arthritis, acute anterior uveitis

Question 11

Mx of asymptomatic primary pneumothorax

Answer 11

Discharge + F/U outpatient

Question 12

Mx of asymptomatic secondary pneumothorax

Answer 12

Monitor IP

Question 13

Mx of Symptomatic pneumothorax with high risk features?

Answer 13

Chest drain

Question 14

Mx of symptomatic pneumothorax with no high-risk features?

Answer 14

Conservative care, Needle aspiration, Ambulator device

Question 15

Inhaled pathogen causing Bird fanciers lung?

Answer 15

Avian proteins

Question 16

Inhaled pathogen causing farmers lung?

Answer 16

Saccharopolyspora rectivirgula

Question 17

Inhaled pathogen causing Malt workers lung?

Answer 17

Aspergillus Clavatus

Question 18

Inhaled pathogen causing mushroom workers lung?

Answer 18

Thermophilic actinomycetes

Question 19

Features of Kartageners syndrome (Caused by dynein arm defect immotile cilia)

Answer 19

Dextrocardia, Bronchiectasis, Sinusitis, Subfertility

Question 20

Upper zone lung fibrosis causes?

Answer 20

CHARTS:
Coal Worker Pneumoconiosis
Histiocytosis X (Langerhans cell histiocytosis)
Ankylosing Spondylitis
Radiation
Tuberculosis
Silicosis/Sarcoidosis

Question 21

Lower zone lung fibrosis causes?

Answer 21

BAD RASH:
Bronchiectasis
Asbestosis
Drugs (methotrexate, Amiodarone, Nitrofurantoin)
Rheumatoid Arthritis
Aspiration
Scleroderma/Systemic Sclerosis
Hypersensitivity Pneumonitis

Question 22

Mx of aspiergillus growth post TB?

Answer 22

Surgical Resection

Question 23

What are the causes of a raised Transfer Factor (TLCO)?

Answer 23

Asthma, Haemorrhage, Left to right shunts, Polycythaemia

Question 24

Indication for corticosteroids in sarcoidosis?

Answer 24

PUNCH: Parenchymal lung disease/ Uveitis/ Neurological Involvement/ Cardiac Involvement/ Hypercalcaemia

Question 25

Triad for Meigs syndrome?

Answer 25

Ascites, Pleural Effusion, Benign Ovarian Tumour

Question 26

34 year old women with right sided chest pain and a spontaneous pneumothorax?

Answer 26

Catamenial pneumothorax

Question 27

T/F Silica exposure increases incidence of developing TB?

Answer 27

True

Question 28

Paraneoplastic features of squamous cell lung Ca?

Answer 28

PTHrp, Clubbing, HPOA

Question 29

Paraneoplastic features of small cell lung Ca?

Answer 29

ADH, ACTH, Lambert-Eaton Syndrome