pass med misc

Question 1

Kartagener’s synrdome

Answer 1

bronchiecstasis

dextrocardia

Question 2

most common bacterial cause COPD exacerbation

Answer 2

h influenzae

Question 3

CURB 65

Answer 3

confused 
urea >7
RR ≥30 
BP < 90 and/or <60
≥65

Question 4

type of lung fibrosis - RA

Answer 4

lower lobe fibrosis

Question 5

type of lung fibrosis - Ankylosing sondylitis

Answer 5

upper lobe fibrosis

Question 6

what staining technique is used for PCP

Answer 6

silver stain

Question 7

when are pt with COPD offered long term oxygen therapy

Answer 7

PaO2 < 7.3
or 
PaO2 7.3-8 plus one of 
-secondary polycythemia 
-peripheral oedema
-pulmonary hypertension

Question 8

signet ring on chest CT

Answer 8

bronchiecstasis

Question 9

metronidazole affect on warfarin

Answer 9

metronidazole can potentiate the action of warfarin, causing INR to rise

Question 10

Mx aspiration pneumonia

Answer 10

amoxicillin and metronidazole

Question 11

which commonly used antib for UTIs can cause pulmonary fibrosis

Answer 11

nitrofuratoin

Question 12

fevers following pneumonia

Answer 12

empyema

Question 13

Mx empyema

Answer 13

chest drain under USS guidance

Question 14

lung abscess CXR signs

Answer 14

consolidation with central cavitation

air fluid level

Question 15

katageners syndrome aka

Answer 15

primary ciliary diskinesia

Question 16

what reduces mortality in ARDS

Answer 16

low tidal volume mechanical ventilation

Question 17

when is pleural aspirate not needed for pleural effusion

Answer 17

when there is clear evidence of heart failure (do ECHO)