Respiratory medicine

Question 1

Occupational Asthma

Answer 1

Serial peak flow measurements

Question 2

Drugs thought to be useful in IPF

Answer 2

Pirfenidone and nintendanib (intracellular tyrosine kinase inhibitor)

Question 3

NICE 2020 asthma guidelines

Answer 3

1. SABA reliever 2. Low dose ICS + reliever 3. LTRA + LD ICS + reliever 4. LABA + LD ICS + reliever (consider continuation of LTRA) 5. Maintenance and reliever therapy (MART) - > form of combined ICS and LABA treatment in which a single inhaler, containing both ICS and a fast-acting LABA, is used for both daily maintenance therapy and the relief of symptoms as required. 6. Increase to moderate ICS dose or consider additional drugs

Question 4

LEgionnaires disease

Answer 4

Macrolide and second line levofloxacin

Question 5

Treatment algorithm Ptx

Answer 5

Question 6

How does immunoglobulin IgG1 deficiency present?

Answer 6

Question 8

OSA Ix

Answer 8

Polysomnography

Question 9

Poor prognosis in PPH

Answer 9

NT-BNP raised as well as development of AF

Question 10

KCO in pulmonary fibrosis

Answer 10

Reduced KCO

Question 11

What is erythem gyratum repens?

Answer 11

Rash seen in bronchial carcinoma - erytheatous scalin rash over the abdomen witha wood grain appearance.

Question 12

PCP classical radiological featrues

Answer 12

Question 13

Tx of aspergilloma

Answer 13

Question 14

Sx of histoplasmosis

Answer 14

Question 15

Sx of histiocytosis X

Answer 15

Question 16

When is pseudomonal peumonia common?

Answer 16

Question 17

LEgionella pneumonia tx

Answer 17

1st macrolide

if pen allergic ciprofloxacin

Last rifampicin

Question 18

Minimum acceptable criteria prior to pneumonectomy

Answer 18

Question 19

ABPA presentation

Answer 19

vigorous IgE response to aspergillus, positive skinprick test to aspergillus and flitting consolidation on CXR