Respiratory Flashcards

1
Q

what type of infection is otitis media?

A

primary viral infection

secondary infection - pneumococcus/haemophilis influ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what do you do in tonsilitis? NOT do?

A

nothing or 10 days penicillin

DO NOT GIVE AMOXICILLIN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what causes croup? treatment?

A

parainfluenza 1

oral dexamethasone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what causes epiglottitis? treatment?

A

Haemophilus influenzea

intubation and antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Bronchitis symptoms?

A

loose rattly cough
post-tussive vomiting
chest FREE from wheeze
child well

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

bronchitis red flags?

A

<6m more than 4y
static weight
associated SOB when not coughing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what causes bronchiolitis?

A

respiratory syncytial virus (RSV)

parainfluenzae III

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

symptoms bronchiolitis?

A

nasal stuffiness
tachypnoea
poor feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what makes bacterial infection cause unlikely?

A

wheeze

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the symptoms of Pertussis?

A

coughing fits

vomiting and colour change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

treament for pertussis?

A

oxygenation, hydration, nutrition

oral amoxicillin only if you need to

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how do you confirm a diagnosis of asthma?

A

trail of ICS

2 month inhaler holiday

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are the genes involved in asthma?

A

ADAM33

ORMDL3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

asthma symptoms?

A

SOB at rest
cough - dry, nocturnal
atopic signs
parent asthma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the 4 asthma treatment goals?

A

minimal symptoms during the day and night
minimal need for reliever medication
no attacks
no limitation of physical activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

measurement of asthma control?

SANE

A

SABA
Absence school/nursery
Nocturnal symptoms
Exertional symptoms

17
Q

disadvantages of ICS? (3)

A

height suppression 0.5-1cm
oral candidiasis
adrenocortical suppresion (fluticasone)

18
Q

treatment stages in acute asthma flare?

4 + emergency

A

SABA via spacer
SABA via spacer with prednisolone
SABA via neb with prednisolone
SABA and Ipra via neb with prednisolone

IV Salbutamol/IV magnesium/IV hydrocortison

treat and reassess in 1 hour stepping up or down as req