Resp

Question 1

Resp causes of clubbing

Answer 1

Bronchiectasis (CF as well0
Lung cancer
TB
IPF
Empyema lung abscess

Question 2

Causes of bibasal crackles

Answer 2

Pulm oedema
Pneumonia
Bronchiectasis
IPF

Question 3

Vocal resonance

Answer 3

Effusoin= decrese
Consolidation= increase

Question 4

What does a normal CO2 in a sick asthmatic suggest

Answer 4

Bad if normal or high, as they’re normally hyperventilating. Suggests they are failing to keep up

Question 5

Moderate, severe, life-threatening and near-fatal asthma

Answer 5

see resp

Question 6

Primary pneumothorax treatment

Answer 6

under 2, discharge and repeat CXR

over 2; aspirate and if unsuccessful then chest drain

Question 7

Secondary pneumothorax treatment

Answer 7

Under 2 then aspirate

Over 2 then chest drain

Question 8

Causes of cavitating lesions

Answer 8

TB, s.aureus, klebsiella
Wegner’s, rheumatoid arthritis
PE
malignancy

Question 9

Golden S sign

Answer 9

RUL collapse

Question 10

When do you give oxygen in COPD

Answer 10

pao2 under 7.3 despite maximal treatment
pao2 7.3-9 and one of; pulmonary hypertension, polycythemia, peripheral oedema or nocturnal hypoxia

terminally ill patients

Question 11

COPD investigations

Answer 11

See resp

Question 12

Asthma chronic treatment

Answer 12

BTS

Question 13

Ix for ILD

Answer 13

blood, abg, BIOPSY (gold standard)
CXR
high-resolution CT (usually appropriate)
lung function (restrictive)

Question 14

Silicosis

Answer 14

ILD
pneumoconiosis
decreased breath sounds
coal worker

Question 15

CAP organsims

Answer 15

Strep pneumoniae
Haemophilus influenzae B
Moraxella catarrhalis

Question 16

HAP

Answer 16

S. aureus (cavitating lesion)
Pseudomonas aeriginosa
Klebsiella (cavitating lesion)

Question 17

Atypical pneumonia

Answer 17

Mycoplasma pneumonia (transerse myelitis)
Legionella (AC) (hypoNa)
Chlamydia psottica (pet birds)
Chlampydia pneumoniae

Question 18

CAP managment

Answer 18

Amoxicillin (co-amox if severe)

Question 19

HAP management

Answer 19

if staph; flucoxacillin+ gentamicin

if MRSA; vancomycin

Question 20

Atypical pneumonia management

Answer 20

Clarithromycin

Question 21

Aspiration pneumonia management

Answer 21

Metonidazole

Question 22

TB manifestations

Answer 22

notes

Question 23

Where does adenocarcinoma occur?

Answer 23

Peripheral lung

Question 24

Auscultation of mesothelioma

Answer 24

pleural friction rub