Respiratory

Question 1

COPD

Answer 1

Education/smoking cessation/exercise
Saba - salbutamol
Saam - ipratropium bromide
Laam - tiotropium bromide
Laba - salmeterol
Inhaled ics - budesonide

Question 2

Asthma

Answer 2

1) saba
2) saba and ics
3) saba and ics and laba
4) saba and ics and laba and something else (lra - motelukast, pdei theophylline)
5) oral corticosteroid

Iv hydrocortisone amd magnesium sulphate and ipratropium bromide in severe attack

Question 3

Pnuemothroax

Answer 3

Tension - needle thoracocentesis

Non tensiom - chest drain

Question 4

Wegeners

Answer 4

Pred
Cyclophosphamide
Rituximab

Question 5

Pnuemonia

Answer 5

Mild - amoxicillin (erythromycin if allergic)
Moderate - clarithromycin and amoxicillin
Severe - co amoxiclav and clarithromycin

Legionella - ciprofloxacillin and clarithromycin
Chylymydia - tetracycline
Mycoplasma - clarithromycin / doxycycline/ ciprofloxacillin

Question 6

Tb

Answer 6

Rifampicin
Isoniazid
Pyrazinamid
Ethambutol

Question 7

Goodpastures

Answer 7

Plasma exchange
Immunosupression
Renal transplant

Question 8

Pulmonary embolism

Answer 8

Enoxaparin and warfarin

Question 9

Sarcoidosis

Answer 9

Bed rest
Nsaids
Pred
Smoking cessation

Question 10

Non small cell lung cancer

Answer 10

Surgical excision / curative radiotherapy if no mets
Chemo and radiation if advanced
Monoclonal ab ceftuximab

Question 11

Hypersensitivity pneumonitis

Answer 11

Remove allergen
O2
Oral prednisolone

Question 12

Cystic fibrosis

Answer 12

Stop smoking, education, exercise
Prophylaxis abx
Vaccines for flu and psuedomonas
Chest physio
Salbutamol and inhaled beclametosone
Mucolytics (dornase alta)
Vitamin replacement
Amiloride (mucus thinning)
Lung transplant