Resp

Question 1

it is bad for cf patietnt to get – as once acquired almost all infections become chronic

Answer 1

pseudomonas aeruginosa

Question 2

if cf patient get pseudomonas aeruginosa drug to give

Answer 2

tobramycin

Question 3

deranged LFTs, low albumin, bilateral pleural effusions

Answer 3

liver failure

Question 4

causes of bilateral pleural effusions

Answer 4

heart, renal and liver failure

Question 5

rheumatoid arthritis and lung cancer typically cause exudative — pleural effusions

Answer 5

ipisilateral

Question 6

coarse crackles in lower zones, wheeze, wheeze, high pitched inspiratory wheeze

Answer 6

bronchiectasis

Question 7

life threatening feature of asthma attack

Answer 7

High PaCO2

Question 8

sinusitis but discharge is purulent and focused around the maxillary area, treatment?

Answer 8

antibiotics in the community as those signs suggests its bacterial sinusitis- phenoxymethylpenicillin or co-amoxiclav

Question 9

SIADH is associated with small cell lung cancer. But what are characteristics of SIADH

Answer 9

low soidum (hyponatremia) but raised sodium in urine and raised urine osmality

memory loss, decreased levels of consciousness

Question 10

sudden onset barking cough

Answer 10

croup

Question 11

diffuse bilateral crackles, wet sounding cough

Answer 11

bronchiolitis

Question 12

for a foreign inhaled object, resp exam and cxr is often

Answer 12

normal

Question 13

kid drooling

Answer 13

epiglottitis

Question 14

curb 65 criteria for c

Answer 14

confusion - 8 or less

Question 15

faltering growth of baby suggests

Answer 15

cf

Question 16

child not recieved any vaccinations, bad coughing following cold, diagnosis and treatment

Answer 16

whooping cough known as pertussis and treatment is a macrolide- azithromycin or clarithromycin

co-trimoxazole if macrolide contraindicated

Question 17

copd abg

Answer 17

resp acidosis

Question 18

vomitting, diarrhoea abg

Answer 18

metabolic alkalosis

Question 19

what resp failure is low 02 and normal co2

Answer 19

type 1

Question 20

initital testing for astma in under 17 and under

Answer 20

spirometry then bronchodilatory reversibility testing

Question 21

initial asthma investigation for adults 17 and over

Answer 21

FENO

Question 22

barking cough, stridor, cold symptoms

Answer 22

croup

Question 23

treatment for severe croup

Answer 23

dexamethasone or nebulised budesonide

nebulised adrenaline

Question 24

epiglottitis causes stridor but is unlikely if been

Answer 24

vaccinated

Question 25

cough, grey sputum and fevers, upper airway sounds and a few scattered crackles across the chest

Answer 25

acute bronchitis

Question 26

remember if CAP and allergic to penicillin then give

Answer 26

doxycycline , clarithromycin or erythromycin

Question 27

what are inappropriate due to penicillin allergy

Answer 27

amoxicillin and co-amoxiclav

Question 28

alternative to co-amoxiclav in severe CAP with penicillin allergy

Answer 28

levofloxacin

Question 29

what makes a non infective exacerbation of COPD

Answer 29

given the abscence of fever, purulent sputum, consolidation on CXR

Question 30

initial mamangement of non-infective exacerbation of copd

Answer 30

prednisolone

Question 31

non-infective exacerbation of copd and can’t take tablets

Answer 31

IV hydrocortisone

Question 32

acute asthma attack if already on oxygen, salbutamol, ipratropium, hydrocortisone, what next? Iv aminophylline or magnesium sulphate

Answer 32

Mag sulphate

aminophylline- although commonly used in practice has lots of side effects

Question 33

infective exacerbation of copd is what type of resp failure

Answer 33

Type 2

Question 34

if pleural fluid to blood fluid is greater than 0.5 then effusion is an

Answer 34

exudate

Question 35

transudate

Answer 35

heart failure, liver cirrhosis,

Question 36

Can PE cause a raised white cell count and CRP

Answer 36

yes

Question 37

treatment for infective exacerbation of bronchiectasis

Answer 37

amoxicillin

Question 38

treatment for initial onset bronchiectasis

Answer 38

lifestyle changes (pulmonary rehab)

Question 39

3 or more exacerbations of bronchiectasis what drug

Answer 39

azithromycin

Question 40

pulmonary hypertension from copd is often called????

Answer 40

cor pulmonale

Question 41

in adults with HIV most common causative organism of CAP is

Answer 41

strep pneumonia

-not jiroveci as more common w HIV patietns whose is not controlled on therapy - more common with dry cough and desaturating on exercise

Question 42

chlamydia presents with absence of – on CXR

Answer 42

consolidation

Question 43

interstital lung diseases (ankylosing spondylitis, coal workers pneumoconiosis, extrinsic allergic alveolitis, silicosis) is predominant in what zone of lung

Answer 43

upper zone

Question 44

pleural effusion from heart failure likely to be presribed what to prevent reoccurrence

Answer 44

diuretics

Question 45

complications of cyclophosphamide therapy

Answer 45

haemorrhagic cystitis, anorexia

Question 46

treatment of severe connective tissue disease related interstitial lung disease

Answer 46

cyclophosphamide therapy

Question 47

long terrm smoker, chronic cougth, haemoptysis, weight loss fatigue

Answer 47

lung cancer

Question 48

life threatening exacerbation of asthma, with normocapnia and confusion

Answer 48

Needs intubation and mechanical ventillation

Question 49

bronchiolitis is a — diagnosis

Answer 49

clinical

Question 50

suspect lung cancer but cxr is normal what do you do next

Answer 50

CT scan!

not-pulmonary function tests

Question 51

absence of markings on CXR indicates

Answer 51

Pneumothorax

Question 52

panic attack is what abg

Answer 52

resp alkalosis

Question 53

immediate treatment of tensio pneumothorax

Answer 53

Needle decompression!!!!!