Respiratory:Common problems

Question 1

Whats the FEV1 and FVC like in asthma?

Answer 1

FEV1 is low. FVC is normal

Question 2

Asthma + mononeuritis multiplex + eosonophila

Answer 2

Churg Strauss Vasculitis

Question 3

What are the management stages for asthma?

Answer 3

SABA
SABA + ICS
SABA + ICS + Montelukast 
SABA + ICS + Montelukast + Salmeterol/Formoterol 
SABA + ICS + Formoterol + Montelukast

Question 4

What is the treatment of COPD?

Answer 4

1. SABA or SAMA
2. FEV1 over 50% - LABA or LABA
3. FEV1 less than 50% LABA + ICS
4. LABA + ISC + LAMA

Question 5

What do you see on an X Ray of pulmonary fibrosis?

Answer 5

Honey combing

Question 6

How do you manage a spontaneous pneumothorax?

Answer 6

Less than 2cm + asymptomatic = discharge

If over 2cm or symptomatic = admit for aspiration. If this fails then a chest drain

Question 7

How do you manage a secondary spontaneous pneumothorax?

Answer 7

If 0 - 1cm + asymptmatic = oxygen + admit for 24 hours

2. If 1 - 2 cm + asymptomatic = aspiration
3. If over 2cm or symptomatic = chest drain

Question 8

what kind of pneumonia do people with COPD get?

Answer 8

haemophilus influenzae

Question 9

How do you treat mycoplasma pneumonia?

Answer 9

Macrolide antibiotic

Question 10

What metabolic abnormality might you get with legionella?

Answer 10

Hyponatremia

Question 11

How do you diagnose legionella pneumonia?

Answer 11

Urinary

Question 12

What is the treatment of pneumocystis jiroveci?

Answer 12

Cotrimoxazole

Question 13

How id a diagnosis of pneumocystitis jiroveci confirmed?

Answer 13

Bronchiolaveolar lavage

Question 14

Treatment for CAP CURB 65 0 - 2?

Answer 14

Amoxicillin

Question 15

Treatment of CAP. CURB 65 over 3

Answer 15

Co Amox +/- IV clarithromycin

Question 16

How do you treat aspiratio pneumonia?

Answer 16

Amox + Met + gent

Question 17

Which type of lung cancer causes ectopic ACTH secretion?

Answer 17

Small cell