Respiratory

Question 1

What is bronchiectasis not caused by?

Answer 1

LVHfailure

Question 2

What doesn’t cause clubbing?

Answer 2

COPD

Question 3

What type of lung cancer is most common in non smokers?

Answer 3

Adenocarcinoma

Question 4

What is the most appropriate 1st step for suspected pneumothorax?

Answer 4

CXR

Question 5

What is the treatment protocol for suspected pe?

Answer 5

Treatment dose of LMWH until INR is around 2-3

and then move to a more therapeutic dose

Question 6

Afro Caribbean person with dry cough, dyspnoea and bilateral hilar lymphadenopathy on CXR. Diagnosis?

Answer 6

Sarcoidosis

Question 7

Male with honeycombing and lower zone reticulonodular shadowing on CXR indicates what?

Answer 7

Pulmonary fibrosis

Question 8

What does sqamous cell lung carcinoma secrete? paraneoplastic properties?

Answer 8

PTH

Hypertrophic pulmonary osteoarthropathy

Question 9

What does small cell carcinoma secrete (paraneoplastic property)

Answer 9

ADH» hyponatraemia
ACTH» cushings
Lambert Eaton syndrome

Question 10

What does adenocarcinoma cause as a paraneoplastic cause?

Answer 10

Gynaecomastia

Question 11

What is a property of Lambert Eaton syndrome? in terms of muscle?

Answer 11

Muscle weakness and hyporeflexia

Muscle gets stronger with increased contractions etc

Question 12

What are the 4 different T stages for TNM?

Answer 12

T1= <3CM
T2=3-7cm
T3= >7cm
T4=any size but involves other areas

Question 13

What is the best Dx Ix for bronchiectasis?

Answer 13

HR CT chest