Respiratory Flashcards

0
Q

Name the most important kind of Extrinsic Allergic Alveolitis

A

Farmers lung disease

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1
Q

What is the basic pathology of pneumoconiosis and name 3 causes

A

Fibrosis due to occupation inhalation -

Coal workers, silicosis and asbestosis

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2
Q

What name is given to the stretch auto regulation response affecting vascular tone?

A

Bayliss Myogenic Response

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3
Q

What 4 substances make up granulation tissue?

A

Macrophages, capillary loops, fibroblasts and collagen

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4
Q

What type of stain is used for organisms that resist de colourisation by acid (acid-fast) eg TB?

A

Ziehl-Neelson

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5
Q

What is the name of the primary lesion of granulomatous inflammation that forms in TB?

A

Ghon focus

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6
Q

What special property enables TB bacilli to avoid normal defences?

A

Resistant to phagocytes killing mechanisms and can survive within phagocytes. (Inhibit the fusion of lysosomes to the phagocytic vacuole)

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7
Q

Name 5 defects in lung defences that could result in increased risk of infection

A

Poor swallowing (stroke, muscle weakness, alcohol)
Abnormal mucus (cystic fibrosis)
Poor ciliary clearance (Kartageners, smoking, viral infection)
Effects in host immunity (immunosuppression, HIV)
Abnormal airways (bronchiectasis)

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8
Q

A FEV1/FVC ratio of below what value indicates COPD?

A

0.7

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9
Q

Name the 4 main type of lung cancer, and name which is the most common

A

Squamous cell (most common)
Adenocarcinoma
Small cell
Large cell

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10
Q

Name the 3 main viruses that cause resp disease

A

Influenza
RSV
Rhinovirus

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11
Q

Name the 4 bacteria that most commonly cause RTIs

A

Strep pneumoniae
Haemophilius influenzae
Mycoplasma pneumoniae
Legionella pneumophila

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12
Q

What is an ‘atypical’ pneumonia and name 4 bacteria that cause this.

A

Caused by bacteria without cell walls so require protein synth ABs eg Macrolides/Tetracyclines.
Eg Mycoplasma, Chlamydia, Legionella, Coxiella

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13
Q

What is an alternative name for dysplasia?

A

Intraepithelial neoplasia

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14
Q

Histologically, how do dysplasic cells differ from normal ones?

A

Enlarger, irregular, darker (hyperchromatic) nuclei.

Cells crowded with disordered distribution

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15
Q

What is antigenic shift?

A

A totally new strain (of influenza) emerges from animals. High attack and mortality rate.

16
Q

What disease does RSV lead to, especially in children?

A

Bronchiolitis

17
Q

What type of lung cancer does asbestos most commonly lead to?

A

Mesothelioma