Respiratory Disorders Flashcards

1
Q

What are the CXR findings in meconium aspiration syndrome?

A

Patchy infiltrates
Coarse streaking of both lungs

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2
Q

Give two risk factors for respiratory distress syndrome (RDS)

A

Pre-term infants
Diabetic mothers (high BM impars surfactant production)

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3
Q

Give one risk factor for transient tachypnoea of the newborn (TTN)

A

Delivery by Caesarean section

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4
Q

What are the CXR findings in transient tachypnoea of the newborn (TTN)??

A

Hyperinflation and fluid in the horizontal fissure

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5
Q

What is the cause of bronchiolitis?

A

Respiratory syncytial virus (RSV)

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6
Q

At what age does the peak incidence of bronchiolitis occur?

A

3-6 months

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7
Q

What is the presentation of bronchiolitis?

A

Corzyal symptoms with low grade fever
Followed by increased SOB and WIB, cough, feeding difficulties

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8
Q

What is the cause of croup?

A

Parainfluenza virus

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9
Q

At what age does the peak incidence of croup occur?

A

6 months to 6 years

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10
Q

What is the presentation of croup?

A

Symptoms are worse at night
Inspiratory stridor, barking cough, fever, coryzal symptoms

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11
Q

What is the management of croup?

A

Oral Dexamethasone (0.15mg/kg) to all children regardless of severity (NICE CKS)
Consider oxygen and nebulised adrenaline

Admit if <6 months, known airway structural abnormality or moderate/severe e.g. stridor at rest

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12
Q

What is the cause of acute epiglottitis?

A

Haemophilus influenza type B (HIB)

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13
Q

What is the presentation of acute epiglottitis?

A

Very acute onset over hours
High fever
Painful throat
Drooling of saliva
Stridor
No cough or coryza

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14
Q

What is the cause of whooping cough?

A

Bordetella pertussis

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15
Q

What are the features of whooping cough?

A

Coryza followed by coughing bouts, worse at night, may end with vomiting
Inspiratory whoop

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16
Q

When can pregnant women receive the whooping cough vaccine?

A

16 to 32 weeks

17
Q

True or False:
Steroid therapy should be given to all children with an asthma exacerbation?

A

True

18
Q

What is the management of asthmatic less than 5 years with no improvement with LTRA?

A

Stop LTRA and refer to a specialist

19
Q

What is the management of asthmatic older than 5 years with no improvement with LTRA?

A

Stop LTRA and start LABA

20
Q

What is the management of whopping cough?

A

Macrolides (e.g. Azithromycin) if onset of symptoms in the preceeding 21 days

21
Q

What are the key differences between mild and moderate croup?

A

Mild = no stridor at rest, no or mild recession
Moderate = stridor at rest, recessions at rest