Respiratory Flashcards

1
Q

Signet rings on HRCT

A

Bronchiectasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Bilateral hilar lymphadenopathy

A

Sarcoidosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Sandblaster

A

Silicosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Pipe lagger, construction worker

A

Asbestosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Tram-tracking

A

Bronchiectasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Gold standard for DDx of OSA

A

Polysomnography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ground glass appearance/honeycombing

A

Pulmonary fibrosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

High pleural LDH and protein

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Loud P2, RV heave, elevated JVP

A

Pulmonary hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Caseating granuloma

A

Tuberculosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Centrilobar emphysema

A

Smoking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Panacinar emphysema

A

Alpha-1 anti-trypsin deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Acid-fast bacilli

A

Pulmonary tuberculosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hypercalcaemia from paraneoplastic syndrome

A

SCC of the lung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Gohn focus on CXR

A

Pulmonary tuberculosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Causative organism of pneumonia in an HIV patient

A

Pneumocystis jirovecii

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

SIADH/ectopic ACTH/LEMS

A

SCLC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Atypical pneumonia with cold agglutinins

A

Mycoplasma pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Office worker with pneumonia

A

Legionella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Tall basketball player with SOB

A

Pneumothorax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Oat cells

A

SCLC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Rash post amoxycillin for suspected strep throat

A

EBV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Positive sweat test

A

CF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Atypical mononuclear cells

A

EBV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Cysts on toluidine blue stain

A

PJP

26
Q

Rusty coloured sputum

A

Strep pneumoniae pneumonia

27
Q

Pneumonia with cows

A

Coxiella burnetti (Q-fever)

28
Q

Positive PCR on nasopharyngeal swab

A

Influenza

29
Q

Air conditioning

A

Legionella pneumonia

30
Q

Voluminous watery sputum

A

Adenocarcinoma

31
Q

Urinary antigen positive

A

Legionella pneumonia

32
Q

Asthmatic SOB despite oxygen

A

VQ mismatch

33
Q

Pneumonia and parrots

A

Chlamydia psittaci

34
Q

Atypical pneumonia with AHA, erythema multiforme, myopericarditis and meningoencephalitis

A

Mycoplasma pneumoniae

35
Q

Atypical pneumonia with hyponatraemia and lymphopenia

A

Legionella pneumonia

36
Q

Bilateral lung nodules in a miner with RA

A

Caplan’s syndrome

37
Q

Calcified nodules in lower zones

A

Previous varicella pneumonitis

38
Q

Antibiotics for PJP

A

Co-trimoxazole (TMP-SMX)

39
Q

Antibiotic for chlamydial pneumonia

A

Tetracycline

40
Q

Crackles do not clear after coughing

A

Pulmonary oedema, pleural effusion

41
Q

Widespread, firm, fibrotic nodules

A

Silicosis

42
Q

Wedge-shaped opacity

A

Pulmonary infarction

43
Q

Swollen leg + sudden uge to defecate

A

Saddle embolus

44
Q

Sputum - pus cells, culture mixed oral flora

A

Aspiration pneumonia

45
Q

Potting mix + diarrhoea + pneumonia

A

Legionella

46
Q

Bilateral cavitating bronchopneumonia after influenza infection

A

Staph aureus pneumonia

47
Q

Polyuria

A

Hypercalcaemia due to active sarcoid or SCC

48
Q

WCC elevated with 90% lymphocytes

A

Pertussis

49
Q

Lowenstein-Jensen medium

A

TB

50
Q

Gram negative motile bacilli on MacConkey agar

A

Pseudomonas

51
Q

Slender Gram negative rods, milky white colonies on charcoal yeast extract agar

A

Legionella

52
Q

Fried egg colonies, lack of cell wall

A

Mycoplasma pneumoniae

53
Q

Lung cancer type most closely associated with smoking

A

SCC

54
Q

Indrawn tympanic membrane

A

Otitis media

Except acute suppurative otitis media - children

55
Q

Sighing breaths

A

Metabolic acidosis

56
Q

Most diagnostic test for influenza

A

PCR

57
Q

Monophonic wheeze

A

Tumour / foreign body / vocal cord paralysis

58
Q

DRUG: COPD drug causing cardiac arrhythmia

A

Theophylline

59
Q

DRUG: anti-pseudomonas activity (3)

A
  1. Aminoglycosides
  2. 3rd gen cephalosporins
  3. Ticarcillin
  4. Meropenem
  5. Ciprofloxacin
60
Q

DRUG: reduces efficacy of OCP

A

Rifampicin