Passmed Resp

Question 1

What is the criteria for LTOT in the absence of secondary conditions?

Answer 1

OXYGEN (pO2) of 7.3 or less

Question 2

What is first line in shock?

Answer 2

High flow oxygen using resorvoir mask at 15L/min, regardless of COPD status

Question 3

What is heerfordt’s syndrome?

Answer 3

parotid enlargement, uveitis, and facial nerve palsy.

Question 4

What causes SOB in a young person with no smoking history and cholestatitc LFT?

Answer 4

Alpha 1 antitrypsin deficiency

Question 5

What does low pleura glucose mean?

Answer 5

Malignancy
SLE
Rheumatoid

Question 6

What is the indicator for non-invasive ventilation?

Answer 6

respiratory acidosis (PaCO2>6kPa, pH <7.35 ≥7.26) persists despite immediate maximum standard medical treatment

Question 7

What causes dyspnoea, fever and hypoxia with reduced air entry soon after surgery?

Answer 7

Atelectasis

Question 8

What causes severe hypoxia requiring oxygen supplementation at least after surgery?

Answer 8

ARDs which occurs acutely

Question 9

What chest sound is found in pneumonia?

Answer 9

Crepitations

Question 10

What must CO2 level be to be considered life threatening?

Answer 10

Normal OR RAISED

Question 11

When is 28% Venturi mask used in COPD?

Answer 11

Used prior to blood gas for Patients with risk factors for hypercapnia

Question 12

What is the management of secondary pneumothorax which is less than 2cm?

Answer 12

Continuous inpatient monitoring with conservative management

Question 13

What is an important risk factor in pneumothorax?

Answer 13

Stopping smoking

Question 14

What is the indication for ABG in asthma?

Answer 14

Oxygen sat less than 92%f

Question 15

What is formoterol?

Answer 15

LABA

Question 16

What is the ideal treatment to prevent recurrence of pneumothorax?

Answer 16

Video assisted throacsocpic surfer pleurodesis

Question 17

What to give for COPD with asthma features?

Answer 17

LABA + ICS

Question 18

What does normal CO2 indicate in asthma?g

Answer 18

Life threatening

Question 19

What should be discontinued when starting LAMA?A

Answer 19

SAMA like ipatropium

Question 20

What is a risk with high pressure non invasive ventilation for COPD?

Answer 20

Pneumothorax, with an added risk due to COPD co-morbidity

Question 21

How to differentiate between time onset of pleural effusion and pneumothorax?

Answer 21

Slower onset in pleural effusion

Question 22

When to admit to hospital for asthma?

Answer 22

Peak flow of 50%

Question 23

What is the target COPD sat change?

Answer 23

It is 94-98% if CO2 is normal on ABG

Question 25

Is hypoxia associated with respiratory alkalosis?

Answer 25

NO

Question 26

What FBC marker is an indicator of cancer?

Answer 26

Raised platelets

Question 27

What do raised lymphocytes indicate?

Answer 27

Infection

Question 28

What is near fatal asthma?

Answer 28

Raised pCO2 Requires ventilation with raised inflation pressure

Question 29

What causes persistent producitv cough and haemoptysis in young person with recurrent LRTI ?

Answer 29

Bronchieactasis

Question 30

When to discharge for pneumothorax?

Answer 30

Minima symptoms and lack high ris features

Question 31

What does 92% oxygen indicate?

Answer 31

Life threatening asthma

Question 32

What do neuromuscular disorders appear as on pulmonary function test?

Answer 32

Restrictive pattern

Question 33

What are the features of the chest drain?

Answer 33

Water seal RISES in INSPIRE Falls on expire

Question 34

What type fo shock occurs in tension pneumothorax?

Answer 34

Obstructive shock because of reduction of venous return to the heart

Question 35

What is the cause of distributiove shock?

Answer 35

Compromised blood flow, associated with spinal injuries above T6 or septic shock

Question 36

What does hypoxia despite oxygen therapy indicate?

Answer 36

ARDS

Question 37

What does lower zone coalfield plaques indicate?

Answer 37

Pleural plaques: If found incidentally they don’t require follow up

Question 38

What smoking cessation therapy is offered to pregnant women?

Answer 38

nicotine replacement

Question 39

What ate the indicators for chest drain in pneumothorax?

Answer 39

Haemodynamic compromise (suggesting a tension pneumothorax) Significant hypoxia Bilateral pneumothorax Underlying lung disease ≥ 50 years of age with significant smoking history Haemothorax

Question 40

What to do with minimally symptomatic pneumothorax that is 10cm?

Answer 40

Regardless of size, conservative treatment and regular follow up

Question 41

Where is aspiration likely to affect?

Answer 41

Right main bronchus

Question 42

Where is aspiration pneumonia likely to affect?

Answer 42

Right lower lobe

Question 43

What to do if asthma is not controlled on moderate dose MART?

Answer 43

Check FeNO and blood eosinophil count

Question 44

What imaging should be performed after CXR with suspected lung cancer?

Answer 44

CT scan of chest, liver and adrenals

Question 45

What causes a rounded opacity in the right upper zone with a rim f air?

Answer 45

Aspergilloma

Question 46

What causes haemoptysis with diastolic murmur and new afib?

Answer 46

Mitral stenosis -> left atrial pressure causes atrial fibrillaiton and rupture of bronchial veins leading to to haemoptysis s

Question 47

What is the indication for antibiotics in COPD?

Answer 47

Those with purulent sputum Clinical signs of pneumonia

Question 48

What does ronchi with green septum and SOB acute indicate?

Answer 48

Acute bronchitis

Question 49

Which condition can be screened in neonates?

Answer 49

Alpha 1 antitrypsin deficiency

Question 50

What does bilateral opacification of the lower lung zones and hilar region mean?

Answer 50

Pneumonia

Question 51

What is the treatment FIRST line for msall cell?

Answer 51

chemotherapy with cisplatin and stop Osidge

Question 52

What is the treatment FIRST line for non small cell?

Answer 52

Resection Only do chemotherapy for advanced disease

Question 53

What should be suspected in obstructive spirometry n a non smoker?

Answer 53

Asthma