Interstitial / Restrictive Lung Diseases Flashcards

1
Q

Hypersensitivity pneumonitis is also known as what?

A

EAA extrinsic allergic alveolitis

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2
Q

Is a cough a feature of interstitial lung disease?

A

Yes non-productive cough

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3
Q

Are interstitial lung diseases inflammatory?

A

Yes there is chronic inflammation

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4
Q

The aetiology of interstitial lung diseases can be classified into what?

A
Primary = idiopathic
Secondary = everything else
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5
Q

What type respiratory failure does interstitial lung diseases cause?

A

Initially type 1 then type 2

DOUBLE CHECK THIS

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6
Q

Working in quarries/mining is associated with what interstitial lung disease?

A

Silicosis

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7
Q

On which zones on CXR is silicosis seen?

A

Upper / mid zones

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8
Q

Farmer’s lung, bird fancier’s lung and dairy worker’s lung are all examples of which interstitial lung disease?

A

EAA extrinsic allergic alveolitis

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9
Q

Eggshell calcifications are a sign of which interstitial lung disease?

A

Silicosis

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10
Q

Does EAA cause restrictive or obstructive lung disease? On what zones on CXR is it seen? If CXR is positive what investigation is done next?

A

Restrictive PFTs
Upper zone
CT

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11
Q

Is idiopathic pulmonary fibrosis associated with smoking? On what zones on CXR is it seen? Does is cause restrictive or obstructive PFTs?

A

Associated with smoking (asbestos also a RF)
Lower zones
Restrictive

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12
Q

Bilateral fine end inspiratory crackles are a sign of which interstitial lung disease?

A

IPF

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13
Q

Prednisolone is used in the management of EAA and IPF. True or False

A

Used for chronic EAA

Not used in IPF

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14
Q

Sarcoidosis is granulomatous and what type hypersensitivity?

A

Type IV

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15
Q

What metabolic abnormality does sarcoidosis cause?

A

Hypercalcemia - raised serum Ca

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16
Q

What is the presentation of hypercalcemia

A

Bones stones groans moans

17
Q

What skin problem can sarcoidosis cause?

A

Erythema nodosum

Tender red nodules on the shins

18
Q

Can sarcoidosis cause weight loss?

A

Yes

19
Q

What is seen on CXR in sarcoidosis?

A

Bilateral hilar lymphadenopathy?

20
Q

What blood test should be done if you suspect sarcoidosis?

A

ACE

non-specific

21
Q

What test is diagnostic of sarcoidosis?

A

Transbronchial LN aspirate

22
Q

What is the management of sarcoidosis

A

Prednisolone

23
Q

What eye problem can sarcoidosis cause?

A

Uveitis

24
Q

Does sarcoidosis cause restrictive or obstructive PFTs?

A

Either

25
Q

What abnormality is seen on a full blood count in sarcoidosis

A

Low WCC