Respiratory Revision Night Flashcards

1
Q

Which mnemonic should you used for reading an X-ray?

A
ABCDE
Airway 
Breathing
Circulation (heart)
Diaphragm 
Everything else
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2
Q

Ddx for TB

A

Pneumonia
Lung cancer
Fungal infection
Sarcoidosis

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3
Q

Which 2 conditions cause bilateral hilar lymphadenopathy

A

TB

Sarcoidosis

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4
Q

Which organism causes TB

A

Mycobacterium tuberculosis

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5
Q

Risk factors TB

A
Travel/immigration 
Extremes of age 
Malnutrition 
Alcoholism 
Immunosuppressed (HIV, Steroids, DM)
Previous gastric cancer 
Intravenous drug user
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6
Q

Presentation TB

A
Cough 
Sputum 
SOB 
Haemoptysis 
Pleuritic chest pain
Malaise 
Fever 
Weight loss
Night sweats
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7
Q

Describe pleuritic chest pain

A

Sharp, stabbing burning pain
More localised
Affected by respiration

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8
Q

Ix for TB

A
CXR
Tuberculin 
Sputum Culture 
ZN STAIN!!
FBC (WCC, CRP, ESR)
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9
Q

What are the 2 tuberculin TB tests

A

Mantoux

Heaf

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10
Q

Rx for TB

A
RIPE 
Rifampicin 
Isoniazid 
Pyrazanamide 
Ethambutol 

All for 2 months
R and I for further 4 months
Total 6 months treatment course

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11
Q

Side effect of rifampicin

A

Iron bru pee

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12
Q

Side effect of Isoniazid

A

Hepatitis

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13
Q

Side effect of Pyrazanimide

A

Gout

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14
Q

Side Effect of ethambutol

A

optic neuropathy

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15
Q

for which disease is there a low threshold testing for in TB

A

HIV

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16
Q

what must you do with all TB cases as a matter of public health

A

must notify all cases

as a matter of public health

17
Q

Ix pneumonia

A
Bloods (FBC, ESR, CRP
ABG
CXR
Throat swab 
Sputum culture 
Sputum microscopy
18
Q

DDx pneumonia

A

acute bronchitis
acute exacerbation COPD
lung cancer
TB

19
Q

Organisms of Community acquired pneumonia

A

Pneummococcas
viruses
H. influenzae
Mycoplasma pneumonia

20
Q

organisms of hospital acquired pneumonia

A

gram -ve bacteria
staph. aureus
pneumococcas

21
Q

Describe CURB65 score

A
Confusion 
Urea (>7mmol/l)
RR >30
BP (systolic <90, diastolic <60)
Age 65
22
Q

Abx for pneumonia

A

Amoxicillin
Clarithromycin
Co-trimoxazole

23
Q

Describe type 1 respiratory failure

A

Decreased PO2 only

24
Q

Describe type 2 respiratory failure

A

Decreased PO2
And
Increased CO2

25
Q

Risk factors of lung cancer

A
Active or passive smoking 
Age
COPD 
Previous malignancy 
Asbestos 
FH 
Radon exposure
26
Q

Complications of lung malignancy

A
Bone pain 
SVC obstruction 
Headache 
Hoarseness
Hepatomegaly 
Neurological symptoms
27
Q

Symptoms of lung cancer

A
Weight loss 
Haemoptysis 
Chest pain 
Cough 
Dyspnoea
Weakness
Lymphadenopathy 
Finger clubbing
28
Q

Ix lung cancer

A
CXR
CT 
Biopsy (bronchoscopy, USS guided, Surgical)
Lung function tests 
Bone scan
29
Q

Rx for lung cancer

A

Surgical
Chemotherapy
Radiotherapy
Targeted therapy

30
Q

4 types of lung cancer

A

Small cell carcinoma
Adenocarcinoma
Large cell carcinoma
Squamous cell carcinoma

31
Q

What are the 3 types of non-small cell lung carcinoma

A

Large cell
Adenocarcinoma
Squamous Cell