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1
Q

Signet rings on high-resolution computed tomography (HRCT)

A

Bronchiectasis

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2
Q

Bilateral hilar lymphadenopathy

A

Sarcoidosis

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3
Q

Sandblaster

A

Silicosis

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4
Q

Pipe lagger, construction worker

A

Asbestosis

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5
Q

Tram-tracking

A

Bronchiectasis

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6
Q

Gold standard for DDx of OSA (obstructive sleep apnea)

A

Polysomnography

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7
Q

Ground glass appearance/honeycombing

A

Pulmonary fibrosis

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8
Q

High pleural lactate dehydrogenase (LDH) and protein

A

Exudative pleural effusion (Light’s criteria) - malignancy, infection

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9
Q

Loud P2, RV heave, elevated JVP

A

Pulmonary hypertension

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10
Q

Most diagnostic test for influenza

A

PCR

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11
Q

Monophonic wheeze

A

Tumour / foreign body / vocal cord paralysis

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12
Q

DRUG: COPD drug causing cardiac arrhythmia

A

Theophylline

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13
Q

DRUG: anti-pseudomonas activity (3)

A 
Aminoglycosides
3rd gen cephalosporins
Ticarcillin
Meropenem
Ciprofloxacin
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14
Q

DRUG: reduces efficacy of oral contraceptive (OC)

A

Rifampicin

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15
Q

Caseating granuloma

A

Tuberculosis

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16
Q

Centrilobular emphysema

A

Smoking

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17
Q

Panacinar emphysema

A

Alpha-1 anti-trypsin deficiency

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18
Q

Acid-fast bacilli

A

Pulmonary tuberculosis

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19
Q

Hypercalcaemia from paraneoplastic syndrome

A

SCC of the lung

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20
Q

Gohn focus on CXR

A

Pulmonary tuberculosis

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21
Q

Causative organism of pneumonia in an HIV patient

A

Pneumocystis jirovecii

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22
Q

SIADH/ectopic ACTH/LEMS

A

SCLC

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23
Q

Atypical pneumonia with cold agglutinins

A

Mycoplasma pneumonia

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24
Q

Office worker with pneumonia

A

Legionella

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25
Tall basketball player with SOB
Pneumothorax
26
Oat cells
SCLC
27
Rash post amoxycillin for suspected strep throat
EBV
28
Positive sweat test
CF
29
Atypical mononuclear cells
EBV
30
Cysts on toluidine blue stain
PJP
31
Rusty coloured sputum
Strep pneumoniae pneumonia
32
Pneumonia with cows
Coxiella burnetti (Q-fever)
33
Positive PCR on nasopharyngeal swab
Influenza
34
Air conditioning
Legionella pneumonia
35
Voluminous watery sputum
Adenocarcinoma
36
Urinary antigen positive
Legionella pneumonia
37
Asthmatic SOB despite oxygen
VQ mismatch
38
Pneumonia and parrots
Chlamydia psittaci
39
Atypical pneumonia with AHA, erythema multiforme, myopericarditis and meningoencephalitis
Mycoplasma pneumoniae
40
Atypical pneumonia with hyponatremia and lymphopenia
Legionella pneumonia
41
Bilateral lung nodules in a miner with RA
Caplan's syndrome
42
Calcified nodules in lower zones
Previous varicella pneumonitis
43
Antibiotics for PJP
Co-trimoxazole (TMP-SMX)
44
Antibiotic for chlamydial pneumonia
Tetracycline
45
Crackles do not clear after coughing
Pulmonary oedema, pleural effusion
46
Widespread, firm, fibrotic nodules
Silicosis
47
Wedge-shaped opacity
Pulmonary infarction
48
Swollen leg + sudden urge to defecate
Saddle embolus
49
Sputum - pus cells, culture mixed oral flora
Aspiration pneumonia
50
Potting mix + diarrhoea + pneumonia
Legionella
51
Bilateral cavitating bronchopneumonia after influenza infection
Staph aureus pneumonia
52
Polyuria
Hypercalcaemia due to active sarcoid or SCC
53
WCC elevated with 90% lymphocytes
Pertussis
54
Lowenstein-Jensen medium
TB
55
Gram negative motile bacilli on MacConkey agar
Pseudomonas
56
Slender Gram negative rods, milky white colonies on charcoal yeast extract agar
Legionella
57
Fried egg colonies, lack of cell wall
Mycoplasma pneumoniae
58
Lung cancer type most closely associated with smoking
SCC
59
Indrawn tympanic membrane
Otitis media Except acute suppurative otitis media - children
60
Sighing breaths
Metabolic acidosis
61
Most diagnostic test for influenza
PCR
62
Monophonic wheeze
Tumour / foreign body / vocal cord paralysis
63
DRUG: COPD drug causing cardiac arrhythmia
Theophylline
64
DRUG: anti-pseudomonas activity (3)
``` Aminoglycosides 3rd gen cephalosporins Ticarcillin Meropenem Ciprofloxacin ```
65
DRUG: reduces efficacy of OCP (oral contraceptive pill)
Rifampicin

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