Respiratory Buzzwords Flashcards

1
Q

Apical Disease

A

Secondary TB (Assmann Focus)

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1
Q

Positive anti-glomerular basement membrane antibodies

A

Goodpasture’s syndrome

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1
Q

Dry cough + diarrhoea after a recent holiday abroad and evidence of water spread. (urine antigens positive)

A

Legionella pneumophila

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1
Q

Assmann Focus

A

Apical lesion of secondary TB infection

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1
Q

Thumbprint sign on a head Xray

A

Epiglottitis

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2
Q

Bronchiole wider than neighbouring arteriole

A

Bronchiectasis

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2
Q

Eggshell hilar calcification

A

Silicosis

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3
Q

Caseous necrosis

A

TB

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3
Q

PTH secreting tumour of the lung

A

Squamous cell carcinoma of the lung

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5
Q

Alveolar bat wings, Kerley B lines, cardiomegaly, dilated prominent upper lobe vessels, pleural effusions

A

Pulmonary oedema

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5
Q

Asthma, nasal polyps, salicylate sensitivity

A

Samter’s triad

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5
Q

Ptosis, meiosis and anhydrosis

A

Horner’s syndromes

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7
Q

Morning headache (two things)

A

Hypercapnia or side-effect of organic nitrate

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8
Q

Child with a barking cough

A

Croup

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10
Q

Alcohol/risk of aspiration pneumonia

A

Klebsiella pneumonia

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11
Q

ACTH secreting tumour of the lung

A

Small cell carcinoma of lung

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12
Q

Acute managment of asthma stages: OSHIT MAN

A
  1. Oxyen
  2. Salbutamol nebulised back to back
  3. Hydrocortisone IV/prednisolone PO
  4. Ipratropium bromide
  5. Theophylline/aminophylline
  6. Magnesium IV
  7. Anaesthetist
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13
Q

Increased serum ACE and Ca2+ ions

A

Sarcoidosis

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15
Q

Afro-carribean woman with red-blue nodules on her shins

A

Sarcoidosis

16
Q

Stony dull to percussion

A

Pleural effusion

17
Q

D-sign on x-ray

A

Empyema

17
Q

Pneumocystis pneumonia

A

HIV +ve - treat with co-tramoxazole (and prednisolone If severe)

18
Q

Stages of managment of acute COPD: iSOAP

A
  1. Ipratropium
  2. Salbutamol
  3. Oxygen
  4. Amoxicillin
  5. Prednisolone
19
Q

Right sided pleuritic chest pain

A

Most likely a pneumonia

19
Q

Treatment of small PE

A

Low molecular weight heparin

20
Q

Bilateral hilar lymphadenopathy, erythema nodosum, granulomas, fatigue, uveitis and weight loss

A

Sarcoidosis

21
Q

Tall thin man who indulges in marajuana

A

probably a pneumothorax (Marfan’s)

23
Q

Heart failure cells in alveolar spaces

A

Chronic pulmonary oedema associated with severe LVF, or long standing Pulmonary Arterial Hypertension.

24
Q

Miliary TB

A

Spread of TB into bloodstream to lungs (via PA) or liver, spleen and kidneys (via PV)

26
Q

Ghon focus

A

Infection and caseous necrosis caused by TB at the periphery of the lung beneath the pleura

27
Q

Inspiratory whoop/barking cough

A

pertussis

29
Q

Ground glass appearance on X-ray in an adult

A

Pulmonary fibrosis

30
Q

High d-dimers

A

Suspect (but not prove) PE -> send for CTPA.

31
Q

Coin lesion on xray

A

May be primary bronchial/lung carcinoma, metastatic tumour (especially kidney), bronchial hamartoma, carcinoid tumour, granulomatous inflammation or abscess.

33
Q

Zhiel-neelson stain positive for acid fast bacilli

A

TB

34
Q

Non-smoker + lung cancer

A

Adenocarcinoma

35
Q

Rusty sputum

A

Pneumococcal pneumonia

37
Q

Ground glass appearance on X-ray in a neonate

A

Respiratory distress syndrome of the newborn

38
Q

Treatment of large PE

A

Thrombolysis

40
Q

Red jelly sputum

A

Klebsiella pneumonia

41
Q

Steeple sign on x-ray

A

Laryngotracheobronchitis/croup

42
Q

Chest infection + parrot of pigeon as pet

A

Chlamydophila psittaci infection

43
Q

Low d-dimers

A

Excludes PE

44
Q

Mucoid sputum

A

Chlamydia psittaci

45
Q

Tuberculous pleurisy

A

Rupture of ghon focus through the visceral pleura.

46
Q

Snow storm appearance on x-ray

A

Baritosis/silicosis

47
Q

Cannonball metastases

A

Primary renal cell carcinoma