Respiratory

Question 1

Acute Asthma signs life threatening

Answer 1

Acute Asthma signs life threatening: 33-92-CHEST

PEF < 33%
92% pulse oximetry
Cyanosis
Hypotension
Exhaustion
Silent Chest
Tachycardia

Question 2

PE causes

Answer 2

PE causes: FAT BAT

Fat 
Air
Thrombus
Bacteria
Amniotic fluid
Travel

Question 3

PE risk factors

Answer 3

PE risk factors: THROMBOSIS

Travel
Hypercoagulable state
Recreational drugs
Old age
Malignancy
Birth control
Obesity
Surgery
Immobilisation
Serious illness

Question 4

Interstitial lung disease causes

Answer 4

UPPER - TB SPACE
- TB
- Sarcoidosis
- Ankylosing spondylitis
- Cystic fibrosis
- Extrinsic allergic alveolitis
LOWER - ACID
- Asbestosis
- Connective Tissue disease
- Idiopathic pulmonary fibrosis
- Drugs
DRUGS - BANS ME
- Bleomyocin
- Amiodarone
- Nitrofurantoin
- Sulphonamides
- Methotrexate

Question 5

Pneumonia classification

Answer 5

Pneumonia classification: CURB-65

Confusion - new mental confusion with MMSE of 8 or less
Urea raised above 7
RR over 30
BP low under 90
65

Question 6

Analysing a chest X-ray

Answer 6

Analysing a chest X-ray: PRIM ABCDE

Projection: (PA - normal or AP - heart will appear larger)
Rotation: distance between spinous processes and clavicles is equal
Inspiration: 7th anterior rib transects the diaphragm)
Markings: any abnormalities noted by radiographer
Airways
Breath fields
Cardiac
Diaphragm
Extras

Question 7

X ray of pulmonary oedema

Answer 7

ABCDE

Alveolar shadowing
Kerley B lines
Cardiomegaly
Upper lobe diversion
Pleural Effusion

Question 8

Differential for life threatening chest injury

Answer 8

ATOMIC

Airway obstruction
Tension pneumothorax
Open pneumothorax (sucking)
Massive haemothorax
Intercostal disruption and pulmonary contusion
Cardiac tamponade