Respiratory Flashcards

1
Q

Stony dull to percussion

A

Pleural effusion

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2
Q

Right sided pleuritic chest pain

A

Pneumonia

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3
Q

Ground glass appearance on CXR

A

Neonatal respiratory distress syndrome or pulmonary fibrosis

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4
Q

Ziehl Neelson stain

A

TB

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5
Q

Caseous necrosis

A

TB

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6
Q

Apical disease

A

Secondary disease

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7
Q

Assmann Focus

A

Apical lesion- TB

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8
Q

How is military TB spread?

A

Bloodstream

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9
Q

+ anti-GBM antibodies

A

Goodpasture’s syndrome

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10
Q

Chest infection with birds

A

Chlamydia psittaci

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11
Q

Dry cough and diarrhoea after holiday abroad with indication of water spread

A

Legionella

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12
Q

Tall thin man who indulges in marijuana

A

Pneumothorax

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13
Q

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

A

Sarcoidosis

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14
Q

Bronchiole wider than neighbouring arteriole- signet ring sign

A

Bronchiectasis

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15
Q

D sign on Xray

A

Empyema

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16
Q

Steeple sign on CXR

A

Croup

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17
Q

Child with barking cough

A

Croup

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18
Q

Pneumocyctis pneumonia

A

HIV

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19
Q

How do you treat pneumocyctis?

A

Co-trimoxazole

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20
Q

Alcoholic with pneumonia

A

Klebsiella

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21
Q

Red jelly sputum

A

Klebsiella

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22
Q

Mucoid sputum

A

Chlamydia psittaci

23
Q

Rusty sputum

A

Pneumococcal

24
Q

Cannonball metastases, weight loss, haematuria

A

Renal cell carcinoma

25
Q

Morning headache

A

Hypercapnia or effect of organic nitrates

26
Q

ACTH secreting tumour

A

Small cell carcinoma

27
Q

PTH secreting tumour

A

Squamous cell carcinoma

28
Q

Increased serum ACE and Ca++

A

Sarcoidosis

29
Q

Egg shell calcification at hilar region

30
Q

Area of infection and caseous necrosis at the periphery of the lung found in TB

A

Ghon focus

31
Q

Horner’s syndrome

A

Pancoast tumour

32
Q

Thumbprint sign on head x-ray

A

Epiglottitis

33
Q

Inspiratory whoop/barking cough

A

Whooping cough

34
Q

Snow storm appearance on x-ray

A

Baritosis or silicosis

35
Q

Non-smoker with lung cancer

A

Adenocarcinoma

36
Q

Central lung cancer

A

Squamous or small cell

37
Q

High d dimers

38
Q

Low d dimers

A

Exclude PE

39
Q

Alveolar bats wings, Kerley b lines, cardiomegaly, dilated prominent upper lobe vessels

A

Pulmonary oedema

40
Q

Hyperexpanded chest

A

COPD (or alpha 1 anti-trypsin)

41
Q

Stridor

A

Upper airway obstruction

42
Q

Early onset emphysema

A

Alpha1 antitrypsin

43
Q

Positive sweat test >60mmol/L NaCl

44
Q

Fever, night sweats, anorexia, haemoptysis

45
Q

Orange coloured secretions

A

Rifampicin

46
Q

Peripheral neuropathy

47
Q

Colour blindness

A

Ethambutol

48
Q

Gout

A

Pyrazinimide

49
Q

PEFR in restrictive disease is?

50
Q

sudden onset chest pain with history of marfan’s syndrome

A

pneumothorax

51
Q

protein > 35g/L

A

Exudate effusion

52
Q

protein < 35g/L

A

Transudate effusion

53
Q

CD4 mediated with eosinophil infiltrate

54
Q

CD8 mediated with neutrophil infiltrate