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MRCP Part 1 > Respiratory Medicine > Flashcards

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

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21
Q

Pneumothorax patient with Size < 2cm

A

Conservative management

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22
Q

Ectopic ACTH seen lung cancer

A

Small Cell Lung Cancer

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23
Q

Bronchiectasis + progressive clumsiness

A

Hypogammaglobulinaemia in Ataxia Telangiectasia

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24
Q

Causes of Upper Lobe Fibrosis

A

ATSS
- Ankylosing Spondylitis
- Tuberculosis
- Sarcoidosis
- Silicosis

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25
Stay abroad or hospital + Derranged LFT + Pneumonia
Legionella Pneumonia
26
Ill Birds + Rash + Pneumonia
Chlamydia psittacosis Pneumonia
27
Circulating IgG Precipitins
Extrinsic Allergic Alveolitis
28
Mendelson Syndrome clinical feature
Bronchospasm
29
Suggestive of right heart strain in Pulmonary Embolism
Retrograde Flow of Contrast during CTPA
30
Diagnostic Investigation for Occupational Asthma
Serial Peak Flows at home and work
31
Causes of FVC decrease on Supine when compared to Standing
Severe - Diaphragmatic Palsy Mild - Obesity
32
SpO2 drops on standing up + Cirrhosis
Hepatopulmonary Syndrome
33
Ca Lung S/P Radiotherapy + X-ray shows hazy consolidation
Radiation Pneumonitis
34
Antibiotics which Oral Theophylline can interact
Ciprofloxacin Clarythromycin
35
Genotype associated with Alpha 1 Antitrypsin deficiency
Pizz (mnemonic Pizza)
36
Bilateral Upper Lobe Fibrosis seen in
Extrinsic Allergic Alveolitis
37
Pregnant Chlamydia Pneumonia Antibiotic of choice
Erythromycin
38
Best predictor for Obstructive Sleep Apnoea
Neck Size
39
Most Important predictor of survival in COPD
FEV1
40
Congenital absence of bilateral vas deference seen in
Cystic Fibrosis
41
Duration of LTOT per day in COPD
15 hours per day
42
Most Important predictor of survival in COPD
FEV1
43
Burkholderia cenocepacia can cause increased mortality seen in
Cystic Fibrosis
44
Predisposing factor for Unilateral Emphysema
Childhood Bronchiolitis
45
Sinusitis + Pulmonary Hemorrhage + Renal Vasculitis
Eosinophillic Granulomatosis with Polyangitis
46
Determinant of progression in cystic fibrosis
Neutrophil Infiltration
47
Diagnostic investigation of choice for sarcoidosis
Trans-bronchial lung biopsy
48
Indications of LTOT
1. pO2 of < 7.3 kPa 2. pO2 of 7.3 - 8 kPa + a (cor pulmonale or pulmonary hypertension
49
Causes of type 1 respiratory failure
1. Acute Asthma 2. Emphysema
50
Pathology of Hypercalcemia in Sarcoidosis
Increased 1,25 dihydroxycholecalciferol
51
Characteristic feature seen in Biopsy of Sarcoidosis
Asteroid Body
52
Standard Chemotherapy for Small Cell Lung Cancer
Cisplatin and Etoposide
53
Management of Superior Vena Cava Syndrome secondary to Lung Cancer
Radiotherapy
54
Lung Cancer with Quick mets
Small Cell Lung Cancer
55
Pathophysiology of Hemoptysis in Bronchiectasis
Capillary Engorgement
56
Pathophysiology of Hemoptysis in Pulmonary embolism
Pulmonary Parenchymal Necrosis
57
Pulmonary Embolism with Cardiac arrest management
Alteplase 50 mg IV in one min
58
Long standing Rheumatoid Arthritis with Low FEV1 and air trapping on X ray diagnosis
Obliterative Bronchiolitis
59
Tumor Marker for Small Cell Lung Cancer
Bombesin
60
Drug Regimen for Mycobacterium avium complex
REC Rifampicin + clarithromycin + ethambutol
61
The triangle of safety for chest drain insertion
Superiorly: base of the axilla. Inferiorly: 5th intercostal space Anteriorly: lateral edge of pectoralis major. Posteriorly: anterior border of latissimus dorsi.
62
Duration of Treatment for Pulmonary Embolism
Unprovoked - 6 months Provoked - 3 months
63
Sarcoidosis most likely outcome
Spontaneous improvement
64
Allergic Bronchopulmonary Aspergillosis management
Oral glucocorticoids
65
Management of Pulmonary Artery Hypertension in Pregnant
LMW Heparin

MRCP Part 1 (17 decks)

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