Respiratory Cases

Question 1

When is cough chronic in paeds vs. adults

Answer 1

4 weeks

8 weeks

Question 2

Children likely cause of post-eating cough?

Answer 2

Laryngeal cleft or fistula

Question 3

Coughs that only occur during day?

Answer 3

Psychogenic

Question 4

Which coughs that occur first thing in morning?

Answer 4

Bronchiectasis due to secretions

Question 5

Peak ages for inhaled foreign body?

Answer 5

12 months to 2 years

50% are witnessed

Question 6

What is bronchitis? Common organisms

Answer 6

Haemophilus
Strep Pneumo
Moraxella catarrhalis

Question 7

Most common cause of chronic moist cough?

Answer 7

Protracted bacterial bronchitis

Question 8

Why does Protracted bacterial bronchitis cause chronic?

Answer 8

The organisms cause biofilm, need a longer Rx of Abx.

Question 9

How long does URTI cough resolve in children?

Answer 9

1-2 weeks

Question 10

4 things to see Bronchiectasis on CXR?

Answer 10

Tram tracking
Hyperinflation
Patchy opacities

Question 11

How to test for CF?

Answer 11

Sweat Test
Pilocarpine: current to make them sweat.

Measures Na+ and Cl-
CF: >60mmol/L of Cl-
N:

Question 12

What is suppurative lung disease affect?

Answer 12

Airways

Unlike pneumonia: parenchymal

Question 13

common causes suppurative lung disease

Answer 13

CF
Primary ciliary dyskinesia
Immunodeficiency
Prev. Severe pneumonia
Foreign body
TB

Question 14

Worldwide cause of 2ndary immunodeficiency?

Answer 14

Malnutrition

Question 15

What gene is CF located on?

Answer 15

Chromosome 7

Question 16

Primary ciliary Dyskinesia features?

Answer 16

Dextrocardia
Chronic suppurative lung disease
Otitis media
Male infertility
Sinusitis
Rhinitis

Question 17

How to Dx PCD?

Answer 17

Nasal NO

Biopsy to look at beat freq, pattern, structure

Question 18

Preschool kids can get how many infections a year?

Answer 18

12 a year

Cough can last 1 month