Respiratory Medicine Flashcards

1
Q

Acute Exacerbation of Asthma non responsive to bronchodilators management

A

Magnesium

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2
Q

FVC falls when measured supine versus standing up

A

Obesity

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3
Q

Vaccine Contra Indicated during High Dose Steroid Treatment

A

Live Vaccine (Yellow Fever, BCG)

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4
Q

Cough + Anemia + Cold Agglutinin positive + Increased LDH

A

Mycoplasma Pneumonia

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5
Q

Mycoplasma Pneumonia management

A

Erythromycin

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6
Q

X-Ray shows
- Hyperinflation
- Crowded Lung Markings
- Small Cyst Like spaces at lung base

A

Bronchiectasis

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7
Q

Indication for Long Term Oxygen Therapy

A

Cor Pulmonale by COPD

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8
Q

Sarcoidosis + Recent Sun Exposure + Coca Cola management

A

Oral Rehydration

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9
Q

Cavitating Pneumonias

A
  • Klebsiella
  • S. aureus
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10
Q

History of Influenza + Cavity pneumonia

A

S. aureus

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11
Q

Alcoholic or Immunocompromised + Cavity Pneumonia

A

Klebsiella

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12
Q

Pneumonia with Rust color sputum and cold sores in lips

A

Strep pneumoniae

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13
Q

Travel to US + Sub-sternal pain + mediastinal widening + arthralgia

A

Histoplasmosis

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14
Q

Acute Exacerbation of Asthma which blood parameter is most worrysome

A

Normal PaCO2

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15
Q

Lung Cancer associated with Hypercalcemia

A

Squamous cell carcinoma

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16
Q

Lung Cancer with Rapid Progression

A

Small Cell Lung Cancer

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17
Q

Cough + Proximal Muscle weakness + Increased Creatinine Kinase + Pain in small joints

A

Polymyositis

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18
Q

Bronchiectasis + Pleural Effusion + Yellow Nails

A

Yellow Nail Syndrome

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19
Q

Prophylaxis for people who had contact and positive tuberculin test

A

Isoniazid and Rifampicin for 3 months or Isoniazid for 6 months

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20
Q

Pneumothorax patient with breathlessness and Size > 2cm

A

Chest Drain

21
Q

Pneumothorax patient with Size < 2cm

A

Conservative management

22
Q

Ectopic ACTH seen lung cancer

A

Small Cell Lung Cancer

23
Q

Bronchiectasis + progressive clumsiness

A

Hypogammaglobulinaemia in Ataxia Telangiectasia

24
Q

Causes of Upper Lobe Fibrosis

A

ATSS
- Ankylosing Spondylitis
- Tuberculosis
- Sarcoidosis
- Silicosis

25
Q

Stay abroad or hospital + Derranged LFT + Pneumonia

A

Legionella Pneumonia

26
Q

Ill Birds + Rash + Pneumonia

A

Chlamydia psittacosis Pneumonia

27
Q

Circulating IgG Precipitins

A

Extrinsic Allergic Alveolitis

28
Q

Mendelson Syndrome clinical feature

A

Bronchospasm

29
Q

Suggestive of right heart strain in Pulmonary Embolism

A

Retrograde Flow of Contrast during CTPA

30
Q

Diagnosis of Occupational Asthma

A

Serial Peak Flows at home and work

31
Q

Causes of FVC decrease on Supine when compared to Standing

A

Severe - Diaphragmatic Palsy
Mild - Obesity

32
Q

SpO2 drops on standing up + Cirrhosis

A

Hepatopulmonary Syndrome

33
Q

Ca Lung S/P Radiotherapy + X-ray shows hazy consolidation

A

Radiation Pneumonitis

34
Q

Antibiotics which Oral Theophylline can interact

A

Ciprofloxacin
Clarythromycin

35
Q

Genotype associated with Alpha 1 Antitrypsin deficiency

A

Pizz (mnemonic Pizza)

36
Q

Bilateral Upper Lobe Fibrosis seen in

A

Extrinsic Allergic Alveolitis

37
Q

Pregnant Chlamydia Pneumonia Antibiotic of choice

A

Erythromycin

38
Q

Best predictor for Obstructive Sleep Apnoea

A

Neck Size

39
Q

Most Important predictor of survival in COPD

A

FEV1

40
Q

Congenital absence of bilateral vas deference seen in

A

Cystic Fibrosis

41
Q

Duration of LTOT per day in COPD

A

15 hours per day

42
Q

Most Important predictor of survival in COPD

A

FEV1

43
Q

Burkholderia cenocepacia can cause increased mortality seen in

A

Cystic Fibrosis

44
Q

Predisposing factor for Unilateral Emphysema

A

Childhood Bronchiolitis

45
Q

Sinusitis + Pulmonary Hemorrhage + Renal Vasculitis

A

Eosinophillic Granulomatosis with Polyangitis

46
Q

Determinant of progression in cystic fibrosis

A

Neutrophil Infiltration

47
Q

Diagnostic investigation of choice for sarcoidosis

A

Trans-bronchial lung biopsy

48
Q

Indications of LTOT

A
  1. pO2 of < 7.3 kPa
  2. pO2 of 7.3 - 8 kPa + a (cor pulmonale or pulmonary hypertension
49
Q

Causes of type 1 respiratory failure

A
  1. Acute Asthma
  2. Emphysema