Resp

Question 1

Chest infection with a parrot/pigeon as a pet

Answer 1

Chlamydophilia Psittaci

Question 2

squamous and small cell lung cancers

Answer 2

central

Question 3

asthma + nasal polyps + salicylate sensitivity

Answer 3

samters triad

Question 4

rusty sputum

Answer 4

pneumococcal pneumonia

Question 5

Tall thin young man who indulges in marijuana

Answer 5

Pneumothorax (thats why they call it the devils lettuce)

Question 6

increased serum ACE and Calcium

Answer 6

sarcoidosis

Question 7

alcoholic (danger of aspiration pneumonia)

Answer 7

Klebsiella Pneumoniae

Question 8

Pneumocystis jiroveci/pneumocystis pneumonia

Answer 8

HIV (treat w/ co trimoxazole +/- prednisolone)

Question 9

ACTH secreting tumour

Answer 9

small cell lung carcinoma

Question 10

acute asthma management

Answer 10

oxygen salbutamol neb hydrocortisone ipratropium theophylline magnesium anaesthatist

Question 11

ghon focus

Answer 11

area of infection and caseous necrosis at lung periphery, beneath the pleura-found in tb infection. Note: rare ghon focus rupture through visceral pleura into the pleural cavity will cause tuberculous pleurisy

Question 12

Steeple sign on x ray

Answer 12

Laryngotracheobronchitis/croup

Question 13

small cell carcinoma

Answer 13

neuroendocrine highly malignant ectopic endocrine syndromes

Question 14

small pe

Answer 14

LMWH

Question 15

mucoid sputum/pet bird

Answer 15

Chlamydia psittaci

Question 16

horners syndrome

Answer 16

can occur when there is a local spread of cancer to intrathoracic nodes or a pancoasts tumour. Tumour invades cervical sympathetic chain

Question 17

snow storm appearance on x ray

Answer 17

baritosis, silicosis

Question 18

bronchiole wider than neighbouring arteriole on CT, signet ring sign

Answer 18

Bronchiectasis

Question 19

bilateral hilar lymphadenopathy, erythema nodosum, granulomas, fatigue, uveitis and weight loss

Answer 19

Sarcoidosis

Question 20

large pe

Answer 20

thrombolyse

Question 21

Alveolar bat wings, kerley B lines, Cardiomegaly, Dilated upper lobe vessels, pleural Effusion

Answer 21

Pulmonary Oedema

Question 22

right sided pleuritic chest pain

Answer 22

pneumonia

Question 23

‘heart failure cells’ seen in alveolar spaces

Answer 23

macrophages that have absorbed haemosiderin-found in chronic pulmonary oedema and associated with LV heart failure. also seen in long standing pulmonary hypertension

Question 24

coin lesion on CXR

Answer 24

can be primary lung tumour, metastasis, granuloma, lung abcess

Question 25

red jelly sputum

Answer 25

klebsiella pneumonia

Question 26

Dry cough and diarrhoea after holiday abroad

Answer 26

Legionella pneumophilia-test urine for antigens

Question 27

Miliary TB

Answer 27

spread of organism to bloodstream. Spread by pulmoary artery to lungs or spread by pulmonary vein to rest of body

Question 28

assman focus

Answer 28

apical lesion of secondary tuberculosis infection

Question 29

thumbprint sign on x ray

Answer 29

epiglottitis

Question 30

high d dimers

Answer 30

suspect PE, send for CTPA or V/Q scan

Question 31

Apical disease

Answer 31

Most likely (secondary) TB-apical lesion is called an ASSMAN focus

Question 32

horners syndrome signs

Answer 32

ptosis-eyelid drooping enophthalmos-sunken eye miosis-small pupil lack of sweating on ipsilateral side

Question 33

D sign on x ray

Answer 33

Empyema

Question 34

inspiratory whoop/barking cough

Answer 34

pertussis

Question 35

non smoker w/ lung cancer

Answer 35

peripheral adenocarcinoma

Question 36

Stony Dull to percuss

Answer 36

pleural effusion

Question 37

PTH secreting tumour

Answer 37

squamous cell cancer of the lung

Question 38

Eggshell calcification at hilar region

Answer 38

silicosis

Question 39

morning headache

Answer 39

hypercapnia or side effects of organic nitrates

Question 40

Ground glass appearance on X ray

Answer 40

Pulmonary Fibrosis and NRDS

Question 41

Positive anti-glomerular basement membrane antibodies

Answer 41

Goodpastures syndrome

Question 42

Caseous Necrosis

Answer 42

TB

Question 43

child with barking cough

Answer 43

Croup

Question 44

management of infective exacerbation of COPD

Answer 44

ipratropium salbutamol oxygen amoxicillin prednisolone

Question 45

Ziehl-Neelsen stain positive for acid fast bacilli

Answer 45

TB

Question 46

cannonball metastases (and weight loss and haematuria)

Answer 46

from primary renal cell carcinoma