Respiratory Flashcards

1
Q

Signet rings on HRCT

A

Bronchiectasis

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2
Q

Bilateral hilar lymphadenopathy

A

Sarcoidosis

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3
Q

Sandblaster

A

Silicosis

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4
Q

Pipe lagger, construction worker

A

Asbestosis

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5
Q

Tram-tracking

A

Bronchiectasis

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6
Q

Gold standard for DDx of OSA

A

Polysomnography

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7
Q

Ground glass appearance/honeycombing

A

Pulmonary fibrosis

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8
Q

High pleural LDH and protein

A

Exudative pleural effusion (Light’s criteria) - malignancy, infection

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9
Q

Loud P2, RV heave, elevated JVP

A

Pulmonary hypertension

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10
Q

Caseating granuloma

A

Tuberculosis

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11
Q

Centrilobar emphysema

A

Smoking

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12
Q

Panacinar emphysema

A

Alpha-1 anti-trypsin deficiency

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13
Q

Acid-fast bacilli

A

Pulmonary tuberculosis

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14
Q

Hypercalcaemia from paraneoplastic syndrome

A

SCC of the lung

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15
Q

Gohn focus on CXR

A

Pulmonary tuberculosis

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16
Q

Causative organism of pneumonia in an HIV patient

A

Pneumocystis jirovecii

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17
Q

SIADH/ectopic ACTH/LEMS

A

SCLC

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18
Q

Atypical pneumonia with cold agglutinins

A

Mycoplasma pneumonia

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19
Q

Office worker with pneumonia

A

Legionella

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20
Q

Tall basketball player with SOB

A

Pneumothorax

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21
Q

Oat cells

A

SCLC

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22
Q

Rash post amoxycillin for suspected strep throat

A

EBV

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23
Q

Positive sweat test

A

CF

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24
Q

Atypical mononuclear cells

A

EBV

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25
Cysts on toluidine blue stain
PJP
26
Rusty coloured sputum
Strep pneumoniae pneumonia
27
Pneumonia with cows
Coxiella burnetti (Q-fever)
28
Positive PCR on nasopharyngeal swab
Influenza
29
Air conditioning
Legionella pneumonia
30
Voluminous watery sputum
Adenocarcinoma
31
Urinary antigen positive
Legionella pneumonia
32
Asthmatic SOB despite oxygen
VQ mismatch
33
Pneumonia and parrots
Chlamydia psittaci
34
Atypical pneumonia with AHA, erythema multiforme, myopericarditis and meningoencephalitis
Mycoplasma pneumoniae
35
Atypical pneumonia with hyponatraemia and lymphopenia
Legionella pneumonia
36
Bilateral lung nodules in a miner with RA
Caplan's syndrome
37
Calcified nodules in lower zones
Previous varicella pneumonitis
38
Antibiotics for PJP
Co-trimoxazole (TMP-SMX)
39
Antibiotic for chlamydial pneumonia
Tetracycline
40
Crackles do not clear after coughing
Pulmonary oedema, pleural effusion
41
Widespread, firm, fibrotic nodules
Silicosis
42
Wedge-shaped opacity
Pulmonary infarction
43
Swollen leg + sudden uge to defecate
Saddle embolus
44
Sputum - pus cells, culture mixed oral flora
Aspiration pneumonia
45
Potting mix + diarrhoea + pneumonia
Legionella
46
Bilateral cavitating bronchopneumonia after influenza infection
Staph aureus pneumonia
47
Polyuria
Hypercalcaemia due to active sarcoid or SCC
48
WCC elevated with 90% lymphocytes
Pertussis
49
Lowenstein-Jensen medium
TB
50
Gram negative motile bacilli on MacConkey agar
Pseudomonas
51
Slender Gram negative rods, milky white colonies on charcoal yeast extract agar
Legionella
52
Fried egg colonies, lack of cell wall
Mycoplasma pneumoniae
53
Lung cancer type most closely associated with smoking
SCC
54
Indrawn tympanic membrane
Otitis media ## Footnote *Except acute suppurative otitis media - children*
55
Sighing breaths
Metabolic acidosis
56
Most diagnostic test for influenza
PCR
57
Monophonic wheeze
Tumour / foreign body / vocal cord paralysis
58
DRUG: COPD drug causing cardiac arrhythmia
Theophylline
59
DRUG: anti-pseudomonas activity (3)
1. Aminoglycosides 2. 3rd gen cephalosporins 3. Ticarcillin 4. Meropenem 5. Ciprofloxacin
60
DRUG: reduces efficacy of OCP
Rifampicin