Respiratory Diseases/ syndromes Flashcards

1
Q

SCID - stands for severe combined immunodeficiency. What is the typical history for SCID and how are T and B cell counts affected?

A

Failure to thrive
Spur infections
Diarrhoea
Family history of early infant death

Low T cell count, Raised B cell count

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2
Q

Retrosternal Goitre is a condition in which there is an enlarged thyroid which extends in to the chest. List some signs and symptoms of this condition.

A
Stridor 
Weight Loss 
Palpitations 
Tachycardia 
Upper chest dullness
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3
Q

Eaton Lambert Syndrome is a paraneoplastic change which involves reduced autonomic activity. What are two other characteristics of the condition?

A

Hyporeflexia

Proximal Limb Weakness

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4
Q

Chest pain, Shortness of breath, oral ulcers and thrombocytopenia
Increased ds-DNA and Increased ANA antibodies;
are symptoms/signs associated with what condition?

A

Systemic Lupus Erythematosis

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5
Q

Horner’s Syndrome involves interruption in the sympathetic chain affecting innervation of the face, list three signs of this condition.

A

ptosis (eyelid dropping)
mitosis (pupil constriction)
anyhydrosis (can’t sweat)

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6
Q

Pain and altered shape at the ends of long bones is associated with which paraneoplastic change?

A

Hypertrophic Pulmonary Osteoarthropathy

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7
Q

Infections from a young age which resolve with treatment and are not associated with any other problems is typical of what disease?

A

Transient Hypogammaglobulinaemia of Infancy

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8
Q
RhD - ve mother 
Rh D +ve second child 
- type 2 hypersensitivity 
- treated by blood filtering 
What is the condition called?
A

Haemolytic disease of the newborn

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9
Q

What is Grave’s Disease?

A

An autoimmune type 2 hypersensitivity condition in which there is excessive production of thyroid hormones (hyperthyroidism)

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10
Q
Multiple chest infections 
Widened airways 
Failure to thrive 
Struggle to gain weight 
Intolerant to many foods 
- this is a typical history of what condition?
A

Cystic fibrosis

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11
Q

Pancoast tumour

A

Symptoms of cancer
Apical
Hoarse Voice (due to compression of the laryngeal nerve)
Horner’s syndtome

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12
Q

Signs/ symptoms of Goodpasture’s syndrome

A
Cough 
Haemoptysis 
Ankle swelling 
Kidney dammage 
\+ve test for P-ANCA
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13
Q
Barking cough 
Sore throat 
Stridor 
Febrile
Tachycardic and tachypnoeic
Cervical lymphadenopathy 
Drooling 
WHAT IS THE DIAGNOSIS
A

Acute Epiglottitis

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14
Q

What two disease processes does caplan’s syndrome involve?

A

Rheumatoid arthritis and pneumoconiosis

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15
Q

Kostmann syndrome involves a v.low neutrophil count. What does this cause?

A

Recurrent infections within a few weeks post-birth

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16
Q

What is DiGeorge syndrome?

A

A developmental defect of the 3rd/4th pharyngeal pouch. There is no thymus and thus there are no mature T cells (No CD4 or CD8)

17
Q

What is the most common cause of bronchiolitis and which is another common cause which was discovered in 2001?

A

Respiratory syncytial virus

Metapneumovirus (2001)

18
Q

Which type of influenza causes pandemics?

A

Influenza A

19
Q

Where in the lung can pancoast tumours be found?

A

The apices

20
Q

Before prescribing medications, what should always be the first-line management for a patient with COPD?

A

Smoking cessation advice

21
Q

How would a pulmonary embolism be managed in terms of medications?

A

Anticoagulation with a LMWH followed by warfarin for a minimum of 3 months

22
Q

What are the signs indicative of severe asthma?

A

HR > 110 bpm
RR >25/min
PEFR - 33-50%
Unable to complete full sentences

23
Q

What are the signs indicative of life-threatening asthma?

A
HR<40bpm
RR >30/min 
PEFR <33% 
Silent Chest 
Cysanosis 
Confusion
24
Q

What disease might involve a saddle-nose deformity and haemoptysis?

A

GPA/ Wegner’s

25
Q

What is the best screening test for cystic fibrosis?

A

Faecal elastase

26
Q

What is the best test for diagnosis of legionella pneumophilia?

A

Urine Antigen Test

27
Q

What pulmonary function test results would COPD be likely to show?

A

Reduced FEV1, Reduced FVC, Reduced FEV1/FVC ratio, Reduced PEFR

28
Q

What pulmonary function test results would asthma likely show?

A

Reduced FEV1, Normal FVC, Reduced FEV1/FVC, Reduced PEFR

29
Q

What pulmonary function test results would restrictive diseases, such as fibrosing alveolitis likely show?

A

Reduced FEV1 and FVC, Normal FEV1/FVC and normal PEFR

30
Q

List diseases which would cause upper zone fibrosis in the lungs

A
TB 
Sarcoidosis 
Silicosis 
Coal worker's pneumoconiosis 
Extrinsic allergic alveolitis 
Histiocytosis
31
Q

List diseases which would cause lower zone fibrosis in the lungs

A

Asbestosis
SLE (systemic lupus erythematosus)
Rheumatoid arthritis
Cryptogenic fibrosis alveolitis

32
Q

What should COPD patients who suffer from frequent exacerbations be given a home supply of?

A

Prednisolone and an antibiotic

33
Q

In a patient with a PMH of COPD, what is a rounded opacity on CXR likely to indicated?

A

Aspergilloma

34
Q

Epiglottitis is usually caused by what?

A

H.influenza type B

35
Q

What is the treatment for latent TB?

A

6 months isoniazid and 3 months of rifampicin and isoniazid

36
Q

What shows egg shell calcification on an x-ray?

A

Silicosis

37
Q

What shows honeycombing on an x-ray?

A

Idiopathic pulmonary fibrosis

38
Q

What shows holly leaf sign on an x-ray?

A

Asbestosis

39
Q

What causes increased ACE levels and increased calcium levels?

A

Sarcoidosis