BUZZWORDS

Question 1

Stony dull to percuss

Answer 1

Pleural Effusion

Question 2

Right sided chest pain

Answer 2

Pneumonia is very likely

Question 3

Alveolar bat's wings
kerley B lines
Cardiomegaly
Dilated prominent upper lobe vessels
pleural Effusons
(ABCDE)

Answer 3

Pulmonary Oedema

Question 4

Ground Glass Appearance on XRAY

Answer 4

Pulmonary Fibrosis

Respiratory Distress Syndrome of the Newborn

Question 5

Ziehl-Nieehsen stain positive for Alcohol Acid Fast Bacilli

Answer 5

TB

Question 6

Caseous Necrosis

Answer 6

TB

Question 7

Miliary TB

• Pulmonary Artery
• Pulmonary

Answer 7

Spread of TB into the blood
Pulmonary Artery = Lungs
Pulmonary Vein = Systemic to liver, spleen and kidneys

Question 8

Positive anti-glomerular basement membrane antibodies

Answer 8

Goodpastures Syndrome

Question 9

Chest infection with a parrot as a pet

Answer 9

Chlamydia Pscittaci

Question 10

Dry cough and Diarrhoea after holiday abroad, some indication of water spread
Test Urine for Antigens

Answer 10

Legionella Pneumophila

Question 11

Tall thin man who indulges in Marijuana (AKA Snoop Dog)

Answer 11

Pneumothorax (Probably Marfan’s)

Question 12

Bilateral Hilar Lymphaednopathy, Erythema Nodosum, Granulomas, Fatigue, Weight Loss

Answer 12

Sarcoidosis

Question 13

Afro-Carribean

Answer 13

Suspect Sarcoidosis

Question 14

Bronchiole wider than neighbouring arteriole on CT - Signet ring sign

Answer 14

Bronchiectasis

Question 15

D sign on X Ray

Answer 15

Empyema

Question 16

Steeple Sign on the X Ray

Answer 16

Laryngotracheobronchitis (Croup)

Question 17

Child with barking Cough

Answer 17

Croup

Question 18

Asthma + Nasal Polyps + Salicyte Sensitivity (NSAIDs)

Answer 18

Samter’s Triad

Question 19

Pneumonia in HIV

Answer 19

Pneumocystis Pneumonia

Question 20

Treatment for Pneumonia in HIV? Name of Pneumonia?

Answer 20

Pneumocystis Pneumonia

Co-trimoxazole

Question 21

Alcoholic (Danger of Aspiration) Pneumonia

Answer 21

Klebsiella Pneumonia

Question 22

Red Jelly Sputum

Answer 22

Klebsiella Pneumonia

Question 23

Alcoholic + Red Jelly Sputum

Answer 23

Klebsiella Pneumonia

Question 24

Mucoid Sputum

Answer 24

Chlamydia Pscittaci

Question 25

Rusty Sputum

Answer 25

Pneumococcal Pneumonia

Question 26

Cannonball metastases + Weight Loss + Haematuria

Answer 26

From primary renal cell carcinoma

Question 27

What does Haematuria mean?

Answer 27

Blood in the urine

Question 28

Morning headache?

Answer 28

Hypercapnia or side effects of nitrates

Question 29

ACTH secreting lung tumour

Answer 29

Small Cell Carcinoma of the Lung

Question 30

PTH secreting lung tumour

Answer 30

Squamous Cell Carcinoma of the Lung

Question 31

Small Cell Carcinoma

Answer 31

Neuroendocrine | Highly malignant

Question 32

Increased Serum ACE and Ca2+

Answer 32

Sarcoidosis

Question 33

Eggshell calcification in Hilar Region

Answer 33

Silicosis

Question 34

'Heart failure cells' in alveolar spaces

Answer 34

Chronic Pulmonary Oedema LV Failure Long Standing Pulmonary Hypertension

Question 35

Ghon Focus

Answer 35

An area of infection and necrosis in the lung from TB- MID TO LOWER ZONE

Question 36

Assman Focus

Answer 36

Lesion of secondary TB - TOP OF LUNG

Question 37

Coin Lesion on CXR

Answer 37

Cancer (Primary or Mets) Granuloma Abscess

Question 38

Horner's Syndrome

Answer 38

Local Cancer spread - Invasion of the cervical sympathetic chain

Question 39

Drooping Eyelid Small Pupil No sweating

Answer 39

Horner's Syndrome

Question 40

Acute Management of Asthma?

Answer 40

``` O SHIT MAN Oxygen Salbutamol (NEB) Hydrocortisone/Prednisolone Ipratropium Bromide (NEB) Theophylline Magnesium Anasthetist ```

Question 41

Acute Management of Asthma in the correct order?

Answer 41

``` O SHIM TA Oxygen Salbutamol Hydrocortisone/Prednisolone Ipratropium Bromide Magnesium Theophylline Anasthetist ```

Question 42

Asthma - Acute and Correct Order

Answer 42

O SHIT MAN | O SHIM TA

Question 43

Thumbprint sign on Head X Ray

Answer 43

Epiglottitis

Question 44

Inspiratory Whoop/Barking Cough

Answer 44

Pertussis (Whooping cough)

Question 45

Snow storm appearance on CXR

Answer 45

Baritosis or Silicosis

Question 46

Management of Infective exacerbation of COPD?

Answer 46

``` iSOAP Ipatropium Salbutamol Oxygen Amoxicillin Prednisolone ```

Question 47

Non smoker + Lung Cancer

Answer 47

Adenocarcinoma

Question 48

Peripheral Lung Cancer

Answer 48

Adenocarcinoma

Question 49

Central Lung Cancer

Answer 49

Squamous | Small Cell

Question 50

High D-Dimers

Answer 50

Suspect PE

Question 51

Low D-Dimers

Answer 51

Exclude PE

Question 52

Large PE treatment?

Answer 52

Thrombolysis

Question 53

Small PE Treatment

Answer 53

Low Molecular Weight Heparin

Question 54

Hypertrophic Obstructive Cardiomyopathy

Answer 54

Pulsus Biferins | Jerky Pulse

Question 55

Constrictive Pericarditis

Answer 55

Pulsus Paradoxus | JVP Rising on Inspiration

Question 56

Cardiac Tamponade

Answer 56

Pulsus Paradoxus

Question 57

Jerky Pulse

Answer 57

Hypertrophic Obstructive Cardiomyopathy | Mitral Regurgitation

Question 58

Pulsus Paradoxus

Answer 58

Constrictive Pericarditis | Cardiac Tamponade

Question 59

Pulsus Biferins

Answer 59

Hypertrophic Obstructive Cardiomyopathy

Question 60

Tricuspid Regurgitation

Answer 60

Large V Waves

Question 61

Large V Waves

Answer 61

Tricuspid Regurgitation

Question 62

Absent A Waves

Answer 62

AF

Question 63

Cannon A Waves

Answer 63

Complete Heart Block