Respiratory + ENT

Question 1

Treatment for pseudomonas in CF

Answer 1

Oral cipro

Nebulised colomycin

Question 2

Causes of high frequency hearing loss

Answer 2

Congenital rubella
Kernicterus
Gentamicin toxicity
Waardenburg's syndrome
Postmeningitis

Question 3

Diagnosis of CF?

Answer 3

Sweat chloride >60mmol/l in a patient with one or more clinical features consistent with CF
≥2 CF mutations on DNA testing

Question 4

Add on therapy if younger than 5 years if already on inhaled steroids and salbutamol

Answer 4

Leukotriene receptor antagonist

Question 5

Commonest cause of community acquired pneumonia

Answer 5

Pneumococcus

Question 6

Which steroids have twice the potency of other steroids on a dose for dose basis?

Answer 6

Fluticasone/mometasone

Question 7

Best antibiotic regime for burkholderia?

Answer 7

Ceftazidime and aminoglycoside

Question 8

Treatment for mycoplasma

Answer 8

Erythromycin

Question 9

Most common causes of obliterative bronchiolitis

Answer 9

Adenovirus
Parainfluenza virus
Mycoplasma pneumoniae

Question 10

Features of Jeune’s syndrome

Answer 10

= asphyxiating thoracic dystrophy

Generalised abnormality of skeletal growth causing life threatening respiratory difficulties

Question 11

Best antibiotic for epiglottitis

Answer 11

Cefotaxime

Question 12

Sweat test result which is diagnostic of CF

Answer 12

Collect at least 1g/m2/min of sweat (>75mg)

High sodium and chloride

Question 13

Centor criteria?

Answer 13

Tonsillar exudate
Tender anterior cervical lymphadenopathy or lymphadenitis
Fever >38C
Absence of cough

3 or 4 = 32-56% likelihood of streptococcus

Question 14

Features of Job syndrome

Answer 14

Very high IgE
Recurrent skin and sinopulmonary tract infections
Chronic eczema

Question 15

Indications for giving VZIG to someone who is exposed and hasn’t had chickenpox before

Answer 15

Within last 3 months has taken equivalent of 2mg/kg/day of pred for one week OR
within last 3 months has taken equivalent of 1mg/kg/day pred for 4 weeks