Resp

Question 1

what sign do you get in bronchiectasis on CT?

Answer 1

signet ring due to bronchioles being bigger than adjacent

Question 2

common sites of mets for lung cancer?

Answer 2

brain, liver, bone

Question 3

small cell lung cancer associated with which syndrome?

Answer 3

lambert eaton

Question 4

which caner expresses TTF1 ?

Answer 4

adenocarcinoma

Question 5

mucous producing tumours seen in peripheries of lungs?

Answer 5

adenocarcinoma

Question 6

keratinized tumour that found centrally and frequently cavitates

Answer 6

squamous cell

Question 7

what does squamous cell secrete ?

Answer 7

PTH

Question 8

if lung cancer invades sympathetic chain, which syndrome can you get?

Answer 8

horners syndrome

Question 9

pleural tap - where is fluid taken from ?

Answer 9

pleural cavity

Question 10

in general, small cell cancers are more? (chemo/radio sensitive)

Answer 10

chemosensitive

Question 11

which cancer develops as a result of asbestos exposure

Answer 11

malignant mesothelioma

Question 12

what do you see on x ray in mesothelioma?

Answer 12

recurrent pleural effusions

Question 13

what is pleurodesis?

Answer 13

adhere the two lung surfaces together

Question 14

bibasal, fine end inspiratory crackles

Answer 14

IPF

Question 15

management of IPF?

Answer 15

not much can be done
50% will be dead in 5 years
anti fibrotic agent = perfenidone

Question 16

calcium in sarcoidsis ?

Answer 16

high

Question 17

in sarcoisosis, you get increase in serum?

Answer 17

ACE

Question 18

honey comb lung

Answer 18

extrinsic allergic alveolitis

Question 19

extrinsic allergic alveolitis - what kind of hyersensitivtiy?

Answer 19

type 3

Question 20

egg shell calcification at hilar nodes?

Answer 20

silicosis

Question 21

asbestosis can lead to ?

Answer 21

asbestosis

Question 22

influenza cuased by influenza?

Answer 22

A and B

Question 23

pseudo membrane formation?

Answer 23

diptheria

Question 24

rusty red sputum?

Answer 24

strep pneumonia

Question 25

comes in waves every 4 years?

Answer 25

mycoplasma pneumonia

Question 26

mycoplasma pneumonia most likely to infect?

Answer 26

children and elderly

Question 27

coxiella spread from?

Answer 27

animals such as sheep and goats

Question 28

all atypical pneumonias respond to clarithromycin

Answer 28

y

Question 29

bilateral cavitating pneumonia?

Answer 29

staph aureus

Question 30

pneumonia that alcoholics/elferly/diabetics/neuro musclar disease get ? presents with red jelly like sputum

Answer 30

klebsiella (kronenburg)

Question 31

pneumocystis pneumonia - who gets this?

Answer 31

immunocmpromised _ HIV

Question 32

pneumocstis - treated with?

Answer 32

co trimaxazol

Question 33

pneumonia seen in patients with CF/bronchiectasis?

Answer 33

pseudamonas ( treated with ciprofloxacin)

Question 34

how would legionella present?

Answer 34

colonises water tanks - seen in those who have been abroad. presents with dry cough, flu like symptoms and GI upset

Question 35

biochem in legionella?

Answer 35

hyponatraemia

Question 36

what is CURB 65

Answer 36

measure of severity of community acquired pneumonia ``` confusion Urea over 7 resp rate over 30 bp <90 <65 age over 65 ```

Question 37

1st line tx of community acquired pneumonia if nil by mouth ?

Answer 37

IV clarithromycin

Question 38

severe community acquired pneumonia severe

Answer 38

co amox and dox

Question 39

severe CAP and pen allergic

Answer 39

levofloxacin + dox

Question 40

in ITU with CAP?

Answer 40

co amoxiclav and clarithromycin

Question 41

in ITU with pen allergy?

Answer 41

levofloxacin and clarithromycin

Question 42

non severe hospital acquired?

Answer 42

oral amoxicilin and metronidazole

Question 43

severe hospital acquired step down ?

Answer 43

co trimoxazole and metronidazole

Question 44

TB affects which part of the lungs?

Answer 44

upper

Question 45

lesion at primary site of infection in lungs is called?

Answer 45

gohn focus

Question 46

granulomas heal with?

Answer 46

calcification

Question 47

dermatological of TB?

Answer 47

erythema nodosum

Question 48

TB on chest x ray?

Answer 48

o Consolidation. o Cavitating upper lobe lesions. o Bilateral hilar lymphadenopathy. Latent: fibrosis, calcified lesions

Question 49

what is the test called on sputum sample

Answer 49

zeil neilson. can also do PCR

Question 50

what is the tuberculin skin test called?

Answer 50

mantoux test

Question 51

which drug turns body fluids orange ?

Answer 51

rifampicin

Question 52

categories of pleural effusion - more than 30g/l

Answer 52

exudate - malignancy, infection PE

Question 53

what is the triad of MEIGS syndrome?

Answer 53

ascites, pleural effusion, benign ovarian tumour

Question 54

D sign on x ray?

Answer 54

empyema

Question 55

turbid yellow empyema ?

Answer 55

empyema

Question 56

lymphocytes

Answer 56

malignancy TB autoimmune

Question 57

most common mutation in CF?

Answer 57

deltaF508

Question 58

investigations for CF?

Answer 58

genetic screening | sweat test - chloride > 60 mmol

Question 59

hypoxia is defined as oxygen less than?

Answer 59

8

Question 60

signs of hypercapnia?

Answer 60

morning headache, peripheral vasodilation, tachycardia, bounding pulse,

Question 61

type 1 respiratory failure ?

Answer 61

low oxygen | low or normal co2

Question 62

target sats in type 1 resp failure?

Answer 62

94-98%

Question 63

type 2 resp failure ?

Answer 63

low oxygen high co2 target sats 88-92

Question 64

what is cor pulmonale?

Answer 64

right sided heart failure

Question 65

when can you send a pneumothorax home?

Answer 65

less than 2 cm and no SOB

Question 66

do you have to inform DVLA of sleep apnea?

Answer 66

yes

Question 67

pulmonary oedeam management ?

Answer 67

``` LMNOP loop diuretic morphine nitrate oxygen posture - sit up ```

Question 68

why is morphine used in pulmonary oedema?

Answer 68

it has vasodilator properties