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RSNOTES > Respiratory Medicine Revision Points > Flashcards

Respiratory Medicine Revision Points Flashcards

1
Q

Hyperexpanded Chest

A

COPD, Chronic Asthma

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2
Q

Postural flapping tremor

A

Acute CO2 retention

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3
Q

Stony dull percussion

A

Pleural effusion

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4
Q

Fine crepitations

A

Pulmonary oedema, Pulmonary fibrosis.

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5
Q

Pleuritic Chest Pain

A

Pulmonary embolism, pneumonia, pneumothorax

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6
Q

Stridor

A

Upper airway obstruction, i.e. foreign body or Croup.

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7
Q

Clubbing: 8

A 
Bronchial Carcinoma (lung cancer)
Bronchiectasis
Lung abscess
Empyema 
Cystic fibrosis 
Idiopathic pulmonary fibrosis 
Mesothelioma (lung cancer)
TB
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8
Q

Kerley B lines

A

heart failure

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9
Q

Bat wing shaddowing

A

heart failure

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10
Q

tramline shadowing

A

bronchiectasis

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11
Q

Miliary shadowing

A

Miliary TB

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12
Q

Wedge-shaped infarct

A

Pulmonary embolus

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13
Q

Ground glass appearance

A

Fibrosis

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14
Q

Honeycomb appearance

A

Fibrosis - late

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15
Q

Pleural mass with lobulated margin

A

Mesothelioma (lung cancer)

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16
Q

Early onset emphysema plus liver disease

A

Alpha 1 Antitrypsin deficiency

17
Q

Fever, cough, shortness of breath hours after exposure to antigen (usually farmer after hay exposure)
Positive serum precipitins.

A

Extrinsic allergic alveolitis.

18
Q

Aysmptomatic with bilateral hilar lymphadenopathy, progressive dyspnoea, dry cough.
Erythema nodosum, increased serum ACE or hypercalcaemia.

A

Sarcoidosis.

19
Q

History of recurrent chest infections
Failure to thrive
Steatorrhoea/Pancreatic insufficency
Positive sweat test (sodium chloride > 60 mmol/L)

A

Cystic Fibrosis

20
Q 
Progressive dyspnoea
Cyanosis
Gross finger clubbing 
Fine end-inspiratory crackles 
Chest X Ray: ground glass -> honeycomb lung.
A

Idiopathic pulmonary fibrosis.

21
Q

Non-specific:
fever, nightsweats, anorexia, haemoptysis.
Ziehl-Neelsen staining shows acid-fast bacilli AFBs.

22
Q

Swinging fever, copious foul-smelling sputum

Usually patient has persistent, worsening pneumonia.

A

Lung Abscess.

23
Q

Positive cold agglutinins

A

Mycoplasma infection

24
Q

Occupation involving water systems

A

Legionella infection

25
Q

Cavitiating lungs

A

Staphylococcal/klebsiella infection

26
Q

Contact with birds

A

Chlamydia psittaci infection

27
Q

HIV+, bilateral hilar shadowing

A

Pneumocystis jiroveci pneumonia.

28
Q

Peripheral neuropathy, hepatitis

29
Q

Orange-coloured tears, urine, deranged liver function tests, hepatisis

A

Rifampicin

30
Q

Retrobulbar neuritis (pain, loss of vision)

A

Ethambutol

31
Q

Gout

A

Pyrazinamide

32
Q

Tremor, tachycardia

A

Salbutamol

33
Q

Candidiasis mouth/pharynx

A

Inhaled high-dose corticosteroids.

RSNOTES (53 decks)

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