respiratory

Question 1

stony dull to percuss

Answer 1

pleural effusion

Question 2

right sided pleuritic chest pain

Answer 2

most likely to be pneumonia

Question 3

3. Alveolar bat’s wings, Kerley B lines, cardiomegaly, dilated prominent upper lobe vessels Pleural effusion

Answer 3

pulmonary oedema

Question 4

ground glass appearance on X-ray

Answer 4

pulmonary fibrosis or RDS of the newborn

Question 5

Ziehl neelsen stain positive for acid fast bacilli

Answer 5

TB

Question 6

caseous necrosis

Answer 6

TB

Question 7

miliary TB

Answer 7

spread of organism into bloodstream. If organism spread via pulmonary artery, miliary dissemination into the lung occurs. If organism spread via pulmonary vein, there is systemic dissemination to the liver, spleen, and kidneys.

Question 8

positive anti-glomerular basement membrane antibodies

Answer 8

goodpastures syndrome

Question 9

chest infection with a pet bird

Answer 9

caused by chlamydophila psittaci

Question 10

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

Answer 10

legionella pneumonia

Question 11

tall, thin man, smokes weed

Answer 11

pneumothorax

Question 12

bilateral hilar lymphadenopathy, eryhtema nodosum, granulomas, fatige, uveitis and weight loss

Answer 12

sarcoidosis

Question 13

bronchiole wider than neighboring arteriole (signet ring sign)

Answer 13

bronchiectais

Question 14

D sign on X ray

Answer 14

empyema

Question 15

steeple sign on X ray

Answer 15

laryngotracheobronchitis / croup

Question 16

child with barking cough

Answer 16

croup

Question 17

pneumosystis pneumonia

Answer 17

HIV (treat with co-trimocazole)

Question 18

smater’s triad

Answer 18

asthma, nasal poylps, salicylate sensitivity

Question 19

alcoholic with pneumonia

Answer 19

aspiration pneumonia -> klebsiella

Question 20

red jelly sputum

Answer 20

klebsiella pneumonia

Question 21

mucoid sputum

Answer 21

chlamydia psittaci

Question 22

rusty sputum

Answer 22

pneumococcal pneumonia

Question 23

cannonball metastases

Answer 23

classically from primary renal cell carcinoma

Question 24

morning headaches

Answer 24

hypercapnia

Question 25

ACTH secreting lung tumour

Answer 25

small cell carcinoma

Question 26

PTH secreting tumour

Answer 26

squamous cell carcinoma

Question 27

increased serum ACE and CA2+

Answer 27

sarcoid

Question 28

eggshell calcification at hilar region

Answer 28

silicosis

Question 29

Ghon focus

Answer 29

TB

Question 30

horner syndrome

Answer 30

pancoast tumour

Question 31

acute management of asthma

Answer 31

O SHIT MAN

Question 32

thumbprint sign on Xray

Answer 32

epiglottits

Question 33

inspiratory whoop/ barking cough

Answer 33

pertussis

Question 34

snow storm appearance on xray

Answer 34

baritosis, silicosis

Question 35

management of infective exacerbation of COPD

Answer 35

I SOAP
ipratropium
salbutamol 
oxygen 
amoxicillin 
prednisolone

Question 36

non smoker with lung cancer

Answer 36

adenocarcinoma

Question 37

central lung cancers

Answer 37

squamous and small cell

Question 38

high d dimers suggest

Answer 38

PE

Question 39

treating a large PE

Answer 39

thryombolysis

Question 40

treating a small PE

Answer 40

LMW heparin

Question 41

honeycomb lung

Answer 41

fibrosing alveolitis