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Respiratory Flashcards

1
Q

stony dull to percuss

A

pleural effusion

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2
Q

right sided pleuritic chest pain

A

most likely pneumonia

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3
Q

ground-glass appearance on X-ray

A

pulmonary fibrosis and resp. distress syndrome of the newborn

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4
Q

Ziehl-Neelsen stain positive for acid fast bacilli

A

TB

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5
Q

caseus necrosis

A

TB

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6
Q

miliary TB

A

spread of TB into bloodstream

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7
Q

TB spread via pulmonary artery

A

millary dissemination into lung

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8
Q

TB spread via pulmonary vein

A

systemic dissemination to the liver, spleen and kidneys

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9
Q

positive anti-GBM

A

goodpastures

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10
Q

chest infection and parrot/pigeon as pet

A

chlamydophilia psittaci

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11
Q

chlamydophilia psittaci

A

birds

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12
Q

dyr cough and diarrhoea after holiday abroad and water tanks

A

Legionella pneumophila

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13
Q

legionella pneumophila

A

water tanks

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14
Q

postive urine Ag + chest infection

A

Legionella pneumophila

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15
Q

tall thin young man who smokes weed

A

pneumothorax

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16
Q

sarcoidosis

A 
bilateral hilar lymphadenopathy 
erythema nodosum 
granulomas 
fatigue 
uveitis 
weight loss
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17
Q 
bilateral hilar lymphadenopathy 
erythema nodosum 
granulomas 
fatigue 
uveitis 
weight loss
A

sarcoidsosis

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18
Q

bronchiole wider than neighbouring arteriole

A

bronchiectasis

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19
Q

signet sing on CT

A

bronchiectasis

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20
Q

D sign on x-ray

A

empyema

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21
Q

steeple sign on x-ray

A

laryngotracheobronchitis or croup

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22
Q

child with barking cough

A

croup

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23
Q

pneumoccystis pneumonia

A

HIV

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24
Q

HIV and pneumonia

A

pneuomocystis pneumonia

25
Q

tx pf pneumocystic pneumonia

A

co-trimoxazole

26
Q

samter’s triad

A

asthma
nasal polyps
salicylate sensitivity

27
Q

klebsiella pneumoniae

A

alcoholics

28
Q

alcoholic + pneumonia

A

klebsiella pneumoniae

29
Q

red jelly sputum

A

klebsiella pnuemoniae

30
Q

mucoid sputum

A

chlamydiophilia psittaci

31
Q

rusty sputum

A

pneumococcal pneumonia

32
Q

cannonball metastases

A

primary renal cell carcinoma

33
Q

morning headache

A

hypercapnia or S/E of nitrates

34
Q

ACTH secreting lung tumour

A

small cell carcinoma of lung

35
Q

PTH secreting lung tumour

A

squamous cell carcinoma of lung

36
Q

small-cell carcinoma

A

neuroendocrine cells

37
Q

increased serum ACE and Ca

38
Q

eggshell calcification at hilar region

39
Q

heart failure cells seen in alveolar spaces

A

chronic pulmonary oedema + LVH

long-standing pulmonary hypertension

40
Q

Ghon focus

A

TB

area of infection and caseous necrosis at periphery of lung, beneath pleura

41
Q

tuberculous pleurisy

A

hon focus rupture

42
Q

assman focus

A

apical lesion of secondary TB infection

43
Q

coin lesion on CXR

A

primary bronchial or lung carcinoma

44
Q

Horner’s syndrome

A

pancoast’s tumour

45
Q

pancoast’s tumour

A

horner’s syndrome

46
Q

ptosis
enopthalmos
miosis
lack of sweating on ipsilateral sidde of face

A

horner’s syndrome

47
Q

signs and symptoms of horner’s syndrome

A

ptosis
enopthalmos
miosis
lack of sweating on ipsilateral sidde of face

48
Q

acute management of asthma

A 
O SHIT MAN 
O2
Salbutamol 
Hydrocortisone IV or prednisolone PO 
Ipratorpium bromide nebulised hourly 
Theophylline or aminophylline 
Magnesium + call an ANaesthetist
49
Q

thumb print sign on head x-ray

A

epiglottis

50
Q

inspiratory/whooping cough

51
Q

snow storm appearance on chest x-ray

A

baritosis, silicosis

52
Q

management of infective exacerbation of COPD

A 
iSOAP
ipratropium 
Salbutamol 
O2 
Amoxicillin 
Prednisolone
53
Q

non-smoker + lung cancer

A

adenocarcinoma

54
Q

central lung cancer

A

squamous + small cell lung cancers

55
Q

high D dimers

A

suspect PE

56
Q

low D dimers

A

exclude PE

57
Q

large PE

A

thrombolysis

58
Q

small PE

59
Q

honeycomb lung

A

fibrosing alveolitis

Buzzwords (15 decks)

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