resp

Question 1

which drugs worsen asthma

Answer 1

NSAIDs
betablockers

Question 2

life threatening asthma (the annoying ones)

Answer 2

peak flow <33%
O2 <92%

Question 3

acute asthma exacerbation treatment

Answer 3

O2
salbutmamol
ipratropium bromide
magnesium sulphate
aminophylline

Question 4

complications of salbutamol

Answer 4

hypokalaemia
lactic acidosis
tachy

Question 5

what is ipratropium

Answer 5

SAMA

Question 6

can you give SAMA + LAMA at the same time

Answer 6

no

Question 7

tiotropium

Answer 7

LAMA

Question 8

COPD treatment

Answer 8

SABA/ SAMA

asthamish - LABA/ ICS
not asthmaish - LABA/LAMA

LABA/ LAMA/ ICS

Question 9

cor pulmonae

Answer 9

right sided HF due to resp (COPD)

Question 10

COPD O2 aims

Answer 10

retainer - 88-92%
not 94-98%

Question 11

causes of resp acidosis vs resp alkalosis

Answer 11

acid - COPD
alk - anxiety (hyperventilation)

Question 12

associations of small cell cancer

Answer 12

cushings
SIADH
limbic encephalitis
lambert-eaton

Question 13

associations of squamous cell carcinoma

Answer 13

hypercalcaemia with increased PTH

Question 14

treatment of lung cancer

Answer 14

small - surgery
not - chemo & radio

Question 15

COPD + pneumonia

Answer 15

H. influenza

Question 16

pneumonia + cold sores

Answer 16

strep pneumonia

Question 17

pneumonia + erythema multiform (+ neurological)

Answer 17

mycoplasma

Question 18

ground glass chest CT

Answer 18

intersticial fibrosis

Question 19

treatment of idiopathic pulmonary fibrosis

Answer 19

pirfenidone
nintendanib

Question 20

investigation into hypersensitive pneumonitis

Answer 20

brochoalveolar lavage

Question 21

tansudate vs exudate causes

Answer 21

T - HF, meigs, hypothyroid hypoalbumin

e - cancer, PE, infection

Question 22

pneumothorax treatment

Answer 22

asymptomatic - follow up
<2cm - “
(primary - OP, secodnary IP)

> 2cm:
high risk - chest drain
low - follow up or aspirate

tension - large bore cannula 2nd intercostal space

Question 23

type of shock causes by pneumothorax

Answer 23

obstructive

Question 24

treatment of pulmonary hypertension

Answer 24

ca blockers

Question 25

raised markers in sarcoidosis

Answer 25

ACE & Ca

Question 26

'egg shell ' calfication

Answer 26

silicosis

Question 27

2024 asthma guildines

Answer 27

ICS / LABA prn low dose MART moderate MART + FeNO - specialist - FeNO - leukotrine antagonist/ LAMA

Question 28

indications for long term O2 therapy COPD

Answer 28

blue breathing (FEV1 <30) blood (polychythaemia) ballooning PO ,7.3

Question 29

resp condition in alpha-1-ant yada yada

Answer 29

COPD

Question 30

deteriorating O2 sats despite O2

Answer 30

pneumothorax?

Question 31

TB investigation

Answer 31

latent - mantoux active - Ziehl-Neelson smear, sputum culture

Question 32

treatment of SVC obstruction

Answer 32

dexamethasone

Question 33

lung cancer + gynaecomastia

Answer 33

adenocarcinoma

Question 34

treatment of allergic lung asperillosis

Answer 34

steroids

Question 35

triad of mono

Answer 35

sore throat lymphadenopathy pyrexia

Question 36

pneumonia + erythema multiform

Answer 36

mycoplasma pneumoniea

Question 37

investigation int o legionella

Answer 37

urinary antigen test

Question 38

penicillin allergic + pneumonia

Answer 38

community = doxy hospital acquired = co-trimoxazole + gent

Question 39

severe hospital acquired pneumonia

Answer 39

amox + gent

Question 40

treatment of aspiration pneumonia

Answer 40

amox (or doxy) severe - amox + gent (co-trim + gent)

Question 41

how to differentiate between COPD and asthma

Answer 41

FEV1/FVC reversibility with bronchodilation

Question 42

high risk pneumothorax features

Answer 42

tension very hypoxic bilateral underlying lung disease >50 yo with smoking history haemopneumothorax

Question 43

asthma investigations

Answer 43

1. FeNo or eosinophils inconclusive -> spirometry