Respiratory Flashcards

1
Q

Stony dull to percuss

A

pleural effusion

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2
Q

Right sided pleuritic chest pain

A

most likely pneumonia

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3
Q

ABCDE of pulmonary oedema on a CXR

A

Alveolar bat’s wings, kerley B lines, Cardiomegaly, Dialled prominent upper lobe vessels, pleural Effusions

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4
Q

ground glass appearance on X-ray

A

pulmonary fibrosis

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5
Q

Ziehl-neelsen stain positive for acid fast bacilli

A

TB

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6
Q

Caseous necrosis

A

TB

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7
Q

apical disease

A

most likely (secondary)TB; apical lesion is known as assmann focus

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8
Q

military TB

A

spread of organism into bloodstream.
Pulmonary artery = military dissemination into the lungs
pulmonary vein - systemic dissemination into the liver, spleen and kidneys

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9
Q

Positive anti-glomerular basement membrane antibodies

A

goodpastures syndrome

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10
Q

Chest infection with parrot or pigeon as pet

A

chlamoydophila psittaci

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11
Q

dry cough and diarrhoea after holiday abroad

A

legionella pneumophila (test urine for antigens)

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12
Q

Tall, thing young man that indulges in weed - or a mr snoop dog

A

someone who is likely to get a pneumothorax (Marfan’s)

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13
Q

Bilateral hilar lymphadenopahty, erythema nodosum, granulomas, fatigue and weight loss

A

Sarcoidosis

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14
Q

bronchiole wider than neighbouring arteriole on CT - signet ring sign

A

Bronchiectasis

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15
Q

D sign on CXR

A

empyema (looks like it is stuck to the edge of the chest)

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16
Q

Steeple sign on CXR

A

laryngotracheobrinchitis or croup

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17
Q

child with barking cough

A

croup

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18
Q

Pneumocystis pneumonia

A

HIV (co-tramoxazole)

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19
Q

Asthma + nasal polyps + salicylate sensitivity

A

samter’s triad

20
Q

alcoholic (danger of aspiration pneumonia)

A

klebsiella pneumonia (red jelly haemoptysis)

21
Q

rusty sputum

A

pneumococcal pneumonia

22
Q

cannonball metastases (weight loss and haematuria- blood in the urine)

A

primary renal cell carcinoma

23
Q

morning headache

A

hypercapnia or side effects of organic nitrates

24
Q

ACTH secreting lung cancer

A

Small cell lung cancer

25
Q

PTH secreting secreting lung cancer

A

Squamous cell carcinoma

26
Q

neuroendocrine, highly malignant and may be associated with exotic endocrine syndromes

A

small cell lung cancer

27
Q

increased serum ACE and Ca2+

A

sarcoidosis

28
Q

eggshell calcification

A

silicosis

29
Q

heart failure cells seen in alveolar spaces

A

macrophages that absorbed haemosiderin - chronic pulmonary oedema, left ventricular failure and long standing pulmonary hypertension

30
Q

Ghon focus

A

area of infection and caseous necrosis at the periphery of the lung, beneath the pleura - found in TB

31
Q

tuberculous pleurisy

A

Ghon focus rupture through the visceral pleura into the pleural cavity

32
Q

Assmann focus

A

apical lesion of secondary TB infection

33
Q

coin lesion found on CXR - rounded solitary legion

A

common lesions are - primary bronchial or lung carcinomas, metastatic tumour (kidney), bronchial hamertoma, carcinoid tumour, granulomatous inflammation, lung abscess

34
Q

Horner’s syndrome

A

occur when there is a local spread of cancer to the intrathoracic nodes
signs include: drooping eyelids(ptosis), enophthalmos(sunken eye), mitosis(small pupil) and lack of sweating on the ipsilateral(same side of invasion) side of face - invasion of cervical sympathetic chain

35
Q

acute management of asthma

A

OSHITMAN

oxygen, salbutamol, hydrocortisone, ipratropium, Theophylline, magnesium, anaesthetist

36
Q

Thumprint sign on Xray

A

epiglottitis

37
Q

inspiratory whoop or barking cough

A

pertussis

38
Q

snow storm appearance on x ray

A

baritosis or silicosis

39
Q

mucoid sputum

A

chalmydia pneumonia

40
Q

Management of acute COPD exacerbation

A

ISOAP - ipratropium, salbuatamol, oxygen, amoxycillin and prednisolone

41
Q

peripheral adenocarcinoma?

A

non-smoker and lung cancer

42
Q

squamous + small cell lung cancers

A

CENTRAL

43
Q

high d dimers

A

suspect PE - send for CTPA or VQ scan

44
Q

low d dimer

A

exclude PE

45
Q

Large PE

A

thrombolysis

46
Q

Small PE

A

Low molecular weight heparin

47
Q

Forced vital capacity

A

Volume of air that can be forcibly blown out after full inspiration