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Flashcards in Exam buzzwords Deck (25):
1

What is the diagnosis with stony dull percussion of the lung on examination?

Pleural effusion

2

What is the most likely diagnosis for 'right sided pleuritic chest pain'?

Most likely pneumonia

3

What is the ABCDE of signs of pulmonary oedema on xray?

Alveolar bat's wings
Kerley B lines
Cardiomegaly
Dilated prominent upper lobe vessels
Pleural effusion

4

What would give a ground-glass appearance on Xray?

Pulmonary fibrosis
Respiratory distress syndrome of the newborn

5

What is the diagnosis with Ziehl-Neelsen stain positive for acid fast bacilli?

TB

6

What is the diagnosis if 'caseous necrosis' seen on pathology?

TB

7

What is the most likely apical disease?

Most likely (secondary) TB; apical lesion is called an Assmann focus

8

What is miliary tuberculosis?

Spread of organism into bloodstream

9

What happens if miliary TB spreads via pulmonary artery?

Miliary dissemination into the lung occurs

10

What happens if miliary TB spreads via pulmonary vein?

There is systemic dissemination to the liver, spleen, and kidneys

11

What is the diagnosis with positive anti-glomerular basement membrane antibodies?

Goodpasture's syndrome

12

What is the likely causative organism of a chest infection with a patient with a parrot as a pet?

Chlamydophila psittaci

13

What is the most likely causative organism of dry cough and diarrhoea after holiday abroad, some indication of water spread?

Legionella

14

What is the diagnosis with bilateral hilar lymphadenopathy, erythema nodosum, granulomas, fatigue, uveitis and weight loss?

Sarcoidosis

15

In which disease would a signet ring sign (bronchiole wider than neighbouring arteriole) on CT be seen?

Bronchiectasis

16

What is the diagnosis if a 'steeple sign' seen on Xray?

Croup/laryngotracheobronchitis

17

What is the most likely diagnosis in a child with a barking cough?

Croup

18

In which patients is pneumocystis carinii seen and what is the treatment?

HIV+
Treat with Co-tramoxazole ± prednisolone if severe

19

What is the usual causative organism in alcoholics?

Klebsiella pneumoniae

20

What is the causal organism of 'rusty sputum'?

Pneumococcal (in pneumonia)

21

Which organism causes 'red jelly sputum' in pneumonia?

Klebsiella pneumoniae

22

Which lung tumour can secrete ACTH?

Small cell carcinoma

23

Which lung tumour can secrete PTH?

Squamous cell carcinoma

24

What is the diagnosis if egg-shell calcification is seen at the hilar region?

Silicosis

25

What is the likely type of tumour seen in a non-smoker with lung cancer?

Peripheral adenocarcinoma