SBAs for the Final FRCR 2A Unit 1 Flashcards

1
Q

ARDS diagnosis

A

Reduced partial pressure of arterial O2/Fraction of inspired O2 (<200mmHg) WITHOUT L heart failure (i.e. pleural effusions)

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2
Q

Negative CTPA, follow up

A

No further imaging needed

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3
Q

Commonest tracheal malignancy

A

Squamous cell

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4
Q

Perfusion defect with rim of surrounding normally perfused lung (VQ)

A

Low probability for PE

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5
Q

Chronic hypersensitivity pneumonitis distribution

A

Fibrosis occurs in mid to upper lungs, spares the posterior costophrenic angles

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6
Q

Type 5 endoleak

A

Continued growth of aneurysm sac without radiological evidence of leak

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7
Q

Main consideration in FNA vs core biopsy

A

Availability of cytopathologist

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8
Q

Sinusitis, pulmonary haemorrhage, renal involvement

A

Wegeners

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9
Q

Pulmonary hypertension with patchy oligaemia

A

Chronic thromboembolic pulmonary hypertension

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10
Q

Cavitating lesion with halo of ground glass

A

Melanoma mets,
Bronchoalveolar carcinoma,
SCC,
Lymphoma

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11
Q

Persistent lobar consolidation without mass seen on CT or pet

A

BAC

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12
Q

Low attenuation filling defect occupying and expanding luminal diameter on CTPA

A

Pulmonary artery sarcoma

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13
Q

GDA pseudoaneurysm Rx

A

Coiling proximal and distal

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14
Q

NM test to prove righ to left shunt

A

99TC labelled MAA (Microaggregated albumin)

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15
Q

TNM staging for small cell lung cancer

A

Not used

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16
Q

Tree in bud appearance post bone marrow transplant

A

Endobronchial TB

17
Q

Siderosis clinical impact

A

Unlikely to cause functional lung impairment

18
Q

Commonest type of lung cancer

A

Adenocarcinoma (30%)

19
Q

Lung changes and hyperdense liver and spleen

A

Amiodarone

20
Q

Most specific finding in constrictive bronchiolitis

A

Air trapping

21
Q

Serum cold agglutination positive

A

Mycoplasma pneumonia

22
Q

Chronic changes post ARDS distribution

A

Posterior sparing

23
Q

Invasive aspergillosis Rx

A

Systemic amphotericin

24
Q

Flu, strongest predictor of adverse outcome on CXR

A

Multizonal peripheral opacity

25
Q

Locally invasive anterior mediastinal lesion with myasthenia gravis

A

Atypical thymoma

26
Q

Acute bat wing oedema

A

Acute mitral valve insufficiency

27
Q

Bihilar lymphadenopathy with paratracheal lymphadenopathy

A

Sarcoid

28
Q

Coronary artery stenosis <50% Rx

A

Lifestyle modifications

29
Q

Typical angina Hx with lack of risk factors - Ix

A

CT calcium score

30
Q

Drug causes of pulmonary eosinophilia

A

Nitrofurantoin,
Penicillamine,
Sulphasalazine,
NSAIDs,
Para-aminosalicylic acid

31
Q

Borders of retrotracheal space

A

Anterior border: Posterior trachea
Posterior border: Vertebrae
Inferior margin: aortic arch

32
Q

Common and external iliac occlusion - Rx

A

Surgical bypass

33
Q

?CTPA, CXR normal, pregnant. Next Ix

A

Venous ultrasound