Resp

Question 1

Stony dull to percussion

Answer 1

Plural effusion

Question 2

Right sided pleuritic chest pain

Answer 2

Pneumonia

Question 3

Alveolar bat’s wings, Kerley B lines, Cardiomegaly, Dilated prominent upper lobe vessels, Pleural effusion

Answer 3

Pulmonary oedema

Question 4

Ground-glass appearance on X-ray

Answer 4

Pulmonary fibrosis

Question 5

Ground-glass appearance on X-ray in newborn

Answer 5

Respiratory distress syndrome of the newborn

Question 6

Ziehl-Neelsen stain positive for acid fast bacilli

Answer 6

TB

Question 7

Caseous necrosis

Answer 7

TB

Question 8

Apical disease

Answer 8

Most likely secondary TB

Question 9

Assmann focus

Answer 9

Apical lesion due to TB

Question 10

Positive anti-glomerular basement membrane antibodies

Answer 10

Goodpasture’s syndrome

Question 11

Chest infection with a pet bird

Answer 11

Chlamydophila psittaci

Question 12

Dry cough & diarrhoea after holiday abroad, suggestion of water spread

Answer 12

Legionella pneumophila

Question 13

Tall, thin young man who smokes cannabis

Answer 13

Pneumothorax

Question 14

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

Answer 14

Sarcoidosis

Question 15

Signet ring sign

Answer 15

Bronchiectasis

Question 16

Bronchiole wider than neighboring arterioles

Answer 16

Bronchiectasis

Question 17

D sign on X ray

Answer 17

Empyema

Question 18

Steeple sign on X ray

Answer 18

laryngotracheobronchitis/croup

Question 19

Barking cough in child

Answer 19

Croup

Question 20

Pneumocystis pneumonia

Answer 20

HIV

Question 21

Samter’s triad

Answer 21

Asthma, nasal polyps and salicylate sensitivity

Question 22

Alcoholic with pneumonia

Answer 22

Klebsiella pneumoniae

Question 23

Red jelly sputum

Answer 23

Klebsiella pneumoniae

Question 24

Mucoid sputum

Answer 24

Chlamydia psittaci

Question 25

Rusty sputum

Answer 25

Pneumococcal pneumonia

Question 26

Cannonball metastases

Answer 26

Classically from primary renal cell carcinoma

Question 27

Morning headaches

Answer 27

Hypercapnia, side effect of organic nitrates

Question 28

ACTH secreting lung tumours

Answer 28

Small cell carcinoma

Question 29

PTH secreting lung tumours

Answer 29

Squamous cell carcinoma

Question 30

Increased serum ACE and Ca2+

Answer 30

Sarcoid

Question 31

Eggshell calcification at hilar region

Answer 31

Silicosis

Question 32

Haemosiderin laden macrophages

Answer 32

Chronic pulmonary oedema, long-standing pulmonary hypertension

Question 33

Ghon focus

Answer 33

TB

Question 34

Area of infection and caseous necrosis at lung periphery beneath pleura

Answer 34

Ghon focus

Question 35

Coin lesion on CXR

Answer 35

primary bronchial or lung carcinoma

Question 36

Horner's syndrome

Answer 36

Pancoast's tumour

Question 37

Ptosis, enophthalmos, miosis and lack of sweat ipsilaterally

Answer 37

Horner's syndrome

Question 38

Thumb print sign on head X-ray

Answer 38

Epiglottitis

Question 39

Inspiratory whoop/barking cough

Answer 39

Pertussis

Question 40

Snow storm appearance on X-ray

Answer 40

Baritosis, silicosis

Question 41

Non-smoker with lung cancer

Answer 41

Adenocarcinoma (peripheral)

Question 42

Central lung cancer

Answer 42

Squamous, small cell

Question 43

High d-dimers

Answer 43

Suspect but not confirm PE

Question 44

Low d-dimers

Answer 44

Excludes PE

Question 45

Large PE treatment

Answer 45

Thrombolysis

Question 46

Small PE treatment

Answer 46

Low molecular weight heparin

Question 47

Respiratory alkalosis

Answer 47

Panic attack

Question 48

Frank pus on aspiration

Answer 48

Empyema

Question 49

Obstructive lung disease with raised eosinophils

Answer 49

Asthma

Question 50

Obstructive lung disease with raised neutophils

Answer 50

COPD

Question 51

Overnight nasal ventilation

Answer 51

Pickwickian disease

Question 52

Ascending motor dysfunction following a resp infection

Answer 52

Guillian-Barre disease

Question 53

CXR showing bilateral alveolar shadowing and clear respiratory distress

Answer 53

ARDS

Question 54

cANCA positive blood test

Answer 54

Granulomatosis with polyangiitis