Respiratory

Question 1

What do you look for in anaphylaxis?

Answer 1

Serum typtase

Question 2

What do you look for in Churg-Strauss?

Answer 2

ANCA +ve

Question 3

Stony dull percussion

Answer 3

Pleural Effusion

Question 4

Right sided pleuritic pain

Answer 4

most like pneumonia

Question 5

alveolar bat wings, kerly B line, cardiomegaly, dilated prominent vessels, pleural effusion

Answer 5

pulmonary oedema

Question 6

ground glass appearance on CXR

Answer 6

pulmonary fibrosis and respiratory distress syndrome in a new born

Question 7

Ziehl neelsen stain +ve for acid fast bacilli

Answer 7

TB

Question 8

Caseous necrosis

Answer 8

TB

Question 9

Apical lesion

Answer 9

most likely (secondary) TB; apical lesion is called Assman focus

Question 10

Miliary TB

Answer 10

spread of organism through blood strem

Question 11

+ve anti-glomerular basement membrane antibodies

Answer 11

good pastures syndrome

Question 12

chest infection with parrot/pigeon pet

Answer 12

chlamydophilia psittaci

Question 13

dry cough and diarrhoea after holiday abroad, some infection of water spread

Answer 13

Lesgionella

Question 14

+ve urine antigen test

Answer 14

Legionelle

Question 15

Tall, thin and indulges in marijuana

Answer 15

probs pneumothorax

Question 16

Bilateral hilar lymphadenopathy, erythema nodosum, granulmoas, fatigue, uveitis, weight loss

Answer 16

sarcoidosis

Question 17

D sign of xray

Answer 17

empyema

Question 18

steeply sign of xray

Answer 18

croup

Question 19

pneumocystis pneumonia

Answer 19

HIV (treat with co-tramoxazole +/- prednisolone is severe)

Question 20

asthma, nasal polyps and salicylate sensitivity

Answer 20

Samter’s triad

Question 21

Alcoholic, danger of aspiration

Answer 21

Klebsiella Pneumoniae

Question 22

Mucoid (white and thick) sputum

Answer 22

Chlamydia psittaci

Question 23

Rusty sputum

Answer 23

pneumococcal pneumonia

Question 24

Morning head ache, day time solemness, loud snoring

Answer 24

Sleep apnoea

Question 25

Morning head aches

Answer 25

hypercapnia or side effects of organic nitrates

Question 26

ACTH secreting lung tumour

Answer 26

small cell carcinoma

Question 27

PTH secreting lung tumour

Answer 27

squamous cell carcinoma

Question 28

Increased serum ACE and Ca2+

Answer 28

Sarcoidosis

Question 29

Egg shell calcification at hilar region

Answer 29

Silicosis

Question 30

Heart failure cells seen in alveolar spaces

Answer 30

macrophages that have absorbed haemosiderin - found in chronic pulmonary oedema, and associated (sever) LV heat failure. Also, seen in long standing pulmonary hypertension

Question 31

Assman Focus

Answer 31

Apical lesion of secondary TB infection

Question 32

Epithiloid cells and Langhan's large cells

Answer 32

Gohn Focus in TB

Question 33

Horner's syndrome

Answer 33

Drooping of eye lid, sunken eye, small pupil and lack of ipsilateral sweating

Question 34

Acute management of asthma

Answer 34

``` Oxygen Salbutamol Hydocorisone IV or prednisolone PO Ipratropium bromide nebulised hourly Theophylline IV or aminophylline IV Magnesium and call an Anaethetist ```

Question 35

Thumb print sign on heavy xray

Answer 35

epiglottitis

Question 36

Inspiratory whoop, barking cough

Answer 36

Pertussis

Question 37

Snow storm appearance of xray

Answer 37

Barritosis, silicosis

Question 38

Infective exacerbation of COPD treatment

Answer 38

``` Ipratropium Salbutamol Oxygen Amoxicillin Prednisolone ```

Question 39

Non smoker with lung cancer

Answer 39

peripheral andeocarcinoma

Question 40

Squamous and small cell lung caner

Answer 40

central

Question 41

High d dimer

Answer 41

suspect PE

Question 42

Large PE

Answer 42

Thrombolysis

Question 43

Small PE

Answer 43

Low molecular weight haparin

Question 44

Cannon ball appearance on CXR

Answer 44

Renal metasteses

Question 45

Rheumatoid arthritis with multiple bilateral nodules

Answer 45

Caplan's syndrome