Self-assessment: Respiratory Flashcards
Mr Patel, who is 48 years old, presents with a non-productive cough. Based on epidemiology, what is the most likely cause of the cough?
Acute bronchitis Upper airways cough syndrome (post-nasal drip) Asthma Viral infection Pneumothorax
Viral infection
Dyspnoea is a symptom most closely associated with which condition?
Chronic bronchitis Asthma Heart failure Pneumonia Tuberculosis
Heart failure
You are recommending treatment for a young woman to treat a common cold (primary symptoms of nasal congestion). She tells you that she is breastfeeding. What would be the most suitable option?
Vapour inhalation Steam inhalation Oral sympathomimetics Topical sympathomimetics Antihistamines
Topical sympathomimetics
Simon, who is 32 years old, presents with a non-productive cough of 6 days’ duration. He has no symptoms and takes no medication. What would be the most appropriate course of action to take?
Give pholcodine 5ml qds Advise on drinking more fluids Give dextromorphan 10ml qds Give guafenesin 10ml qds Give glycerin lemon and honey 10ml qds
Fluids
Which of these is characterised by night sweats?
Pneumonia Heart Failure TB Chronic bronchitis Laryngotracheobronchitis
TB
Which of these has initially a non-productive painful cough that progressess to be productive?
Pneumonia Heart Failure TB Chronic bronchitis Laryngotracheobronchitis
Pneumonia
Which of these is closely associated with a history of smoking?
Pneumonia Heart Failure TB Chronic bronchitis Laryngotracheobronchitis
Chronic bronchitis
IS associated with a high-grade fever:
Pneumonia Heart Failure TB Chronic bronchitis Laryngotracheobronchitis
Pneumonia
Cough is worse in the morning:
Pneumonia Heart Failure TB Chronic bronchitis Laryngotracheobronchitis
Chronic bronchitis
Cough has a bark like quality:
Pneumonia Heart Failure TB Chronic bronchitis Laryngotracheobronchitis
Laryngotracheobronchitis
Causes the least sedation:
Acrivastine Loratidine Chlorphenamine Cetirizine Antazoline
Loratidine
Is most likely to cause sedation:
Acrivastine Loratidine Chlorphenamine Cetirizine Antazoline
Chlorphenamine
Is most suitable for a pregnant woman with nasal congestion:
Acrivastine Loratidine Chlorphenamine Cetirizine Antazoline
Chlorphenamine
A patient presents at your pharmacy with classic hay fever symptoms. You decide an antihistamine would be most suitable, however, the patient is a forklift ruck operator. Which antihistamine would be most suitable for this patient?
Loratidine
Acrivastine
Chlorphenamine
Acrivastine
What is pneumothorax?
A pneumothorax is a collection of free air in the chest cavity (thoracic cavity) that causes the lung to collapse. Pneumothorax may occur on its own in the absence of underlying disease; this is termed spontaneous pneumothorax.
The use of local decongestants is associated wth the phenomenon known as rhinitis medicamentosa. What is this?
Rhinits medicamentosa relates to the problem of overly long use of topical sympthomimetics.
Prolonged use (normally more than 7 days continuous use) results in vascular engorgement of the nose on withdrawal of the medication. Patients often believe mistakenly they have continued nasal congestion.
Strategies to relieve the problem are, if appropriate, a switch to systemically administered decongestants or, if this is not appropriate, then withdrawal of the medication.
What is Manerix?
Moclobemide is a reversible inhibitor of monoamine oxidase A drug primarily used to treat depression and social anxiety.
Can Manerix be used with sympathomimetics?
Ephedrine in combination with moclobemide increases the risk of cardiovascular adverse effects.
The combination of moclobemide with prescription or over the counter sympathomimetic drugs is not recommended due to the potential of significant drug interactions.
What is nocardiasis?
Nocardiosis is an infectious disease affecting either the lungs (pulmonary nocardiosis) or the whole body (systemic nocardiosis). It is due to infection by bacterium of the genus Nocardia, most commonly Nocardia asteroides or Nocardia brasiliensis
Nocardiosis
Synonyms Caption=
Specialty Infectious disease Edit this on Wikidata
Nocardiosis is an infectious disease affecting either the lungs (pulmonary nocardiosis) or the whole body (systemic nocardiosis). It is due to infection by bacterium of the genus Nocardia, most commonly Nocardia asteroides or Nocardia brasiliensis.
It is most common in men, especially those with a weakened immune system. In patients with brain infection, mortality exceeds 80%; in other forms, mortality is 50%, even with appropriate therapy.
