Respiratory Flashcards

1
Q

What do you look for in anaphylaxis?

A

Serum typtase

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2
Q

What do you look for in Churg-Strauss?

A

ANCA +ve

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3
Q

Stony dull percussion

A

Pleural Effusion

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4
Q

Right sided pleuritic pain

A

most like pneumonia

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5
Q

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

A

pulmonary oedema

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6
Q

ground glass appearance on CXR

A

pulmonary fibrosis and respiratory distress syndrome in a new born

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7
Q

Ziehl neelsen stain +ve for acid fast bacilli

A

TB

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8
Q

Caseous necrosis

A

TB

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9
Q

Apical lesion

A

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

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10
Q

Miliary TB

A

spread of organism through blood strem

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11
Q

+ve anti-glomerular basement membrane antibodies

A

good pastures syndrome

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12
Q

chest infection with parrot/pigeon pet

A

chlamydophilia psittaci

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13
Q

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

A

Lesgionella

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14
Q

+ve urine antigen test

A

Legionelle

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15
Q

Tall, thin and indulges in marijuana

A

probs pneumothorax

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16
Q

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

A

sarcoidosis

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17
Q

D sign of xray

A

empyema

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18
Q

steeply sign of xray

A

croup

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19
Q

pneumocystis pneumonia

A

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

20
Q

asthma, nasal polyps and salicylate sensitivity

A

Samter’s triad

21
Q

Alcoholic, danger of aspiration

A

Klebsiella Pneumoniae

22
Q

Mucoid (white and thick) sputum

A

Chlamydia psittaci

23
Q

Rusty sputum

A

pneumococcal pneumonia

24
Q

Morning head ache, day time solemness, loud snoring

A

Sleep apnoea

25
Q

Morning head aches

A

hypercapnia or side effects of organic nitrates

26
Q

ACTH secreting lung tumour

A

small cell carcinoma

27
Q

PTH secreting lung tumour

A

squamous cell carcinoma

28
Q

Increased serum ACE and Ca2+

A

Sarcoidosis

29
Q

Egg shell calcification at hilar region

A

Silicosis

30
Q

Heart failure cells seen in alveolar spaces

A

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

31
Q

Assman Focus

A

Apical lesion of secondary TB infection

32
Q

Epithiloid cells and Langhan’s large cells

A

Gohn Focus in TB

33
Q

Horner’s syndrome

A

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

34
Q

Acute management of asthma

A
Oxygen 
Salbutamol
Hydocorisone IV or prednisolone PO
Ipratropium bromide nebulised hourly
Theophylline IV or aminophylline IV
Magnesium and call an 
Anaethetist
35
Q

Thumb print sign on heavy xray

A

epiglottitis

36
Q

Inspiratory whoop, barking cough

A

Pertussis

37
Q

Snow storm appearance of xray

A

Barritosis, silicosis

38
Q

Infective exacerbation of COPD treatment

A
Ipratropium
Salbutamol
Oxygen
Amoxicillin
Prednisolone
39
Q

Non smoker with lung cancer

A

peripheral andeocarcinoma

40
Q

Squamous and small cell lung caner

A

central

41
Q

High d dimer

A

suspect PE

42
Q

Large PE

A

Thrombolysis

43
Q

Small PE

A

Low molecular weight haparin

44
Q

Cannon ball appearance on CXR

A

Renal metasteses

45
Q

Rheumatoid arthritis with multiple bilateral nodules

A

Caplan’s syndrome