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Buzzwords > Resp Buzzwords > Flashcards

Resp Buzzwords Flashcards

1
Q

stony, dull to percuss

A

Pleural Effusion

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2
Q

right sided pleuritic chest pain

A

Pneumonia

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3
Q 
Alveolar bat wings
Kerley B lines
Cardiomegaly
Dilated prominent upper lobe vessels
Pleural Effusion
A

Pulmonary Oedema

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4
Q

ground glass appearance on CXR

A

Pulmonary Fibrosis and RDS on children

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5
Q

ziehl-neelsen stain positive for acid fast bacilli

A

TB

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6
Q

Caseous necrosis

A

TB

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7
Q

Apical disease

A

secondary TB

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8
Q

Apical lesion

A

assman focus

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9
Q

Miliary TB

A

organisms spread in blood stream

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10
Q

organism spread by pulmonary artery

A

miliary TB dissemination into lungs

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11
Q

organism spread by pulmonary vein

A

miliar TB dissemination to liver, spleen and kidney

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12
Q

child with barking cough and inspiratory wheeze

A

croup

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13
Q

pneumocystis pneumonia/pneumocystis jiroveci

A

HIV

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14
Q

treat HIV

A

co-trimoxale and prednisolone

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15
Q

positive antiglomelular basement membrane antibodies

A

goodpastures syndrome

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16
Q

chest infection with pet parrot/pigeon

A

chylamdophilia psittaci

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17
Q

dry cough and diahorrea after trip abroad

A

legionella pneumophilia

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18
Q

tall thin young man who smokes marjuana

A

marfans (possible pneumothorax)

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19
Q

bilateral hilar lymphadenopathy, erythema nodosum, granulomas, weight loss and uvetis

A

sarcoidosis

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20
Q

signet ring sign on CXR

A

bronchiectasis

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21
Q

bronchioles appear wider than neighbouring arterioles

A

bronchiectasis

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22
Q

D sign on CXR

A

empyema

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23
Q

steeple sign on CXR

A

croup/ larngyotracheobronchitis

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24
Q

child with barking cough and inspiratory wheeze

A

croup

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25
Q

adult with barking cough and inspiratory whoop

A

pertussis

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26
Q

heart failure cells in alveolar spaces

A

macrophages that have absorbed haemosiderin

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27
Q

what do heart failure cells suggest

A

pulmonary oedema and left ventricular heart failure (also present in long standing pulmonary hypertension)

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28
Q

ghon focus

A

area of infarction and caseous necrosis at periphery of lung

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29
Q

ghon focus suggests

A

TB

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30
Q

Rupture of ghon focus

A

TB pleurisy

31
Q

coin lesion on CXR

A

primary bronchial or lung carcinoma, metastatic tumour, bronchial hamartoma, carcinoid tumour, granulatomous inflammation or lung abscess

32
Q

horners syndrome

A

local spread of cancer to intrathoracic nodes or a pancoasts tumour

33
Q

signs of horners syndrome

A 
ptosis 
enopthalamus
mitosis
lack of sweating on affected side of effect
(ALL EYE RELATED)
34
Q

Explain signs of Horners syndrome

A

invasion of cervical sympathetic chain

35
Q

acute management of asthma

A

O SHIT MAN

36
Q

O SHIT MAN

A 
Oxygen (15 l/min, high flow, non rebreather)
Salbutamol (nebuliser)
Hydrocortisone (IV)
Ipratropium (nebuliser)
Theophylline (IV)
Magnesium Sulfate (IV)
ANaesthetist
37
Q

thumbprint sign on head X-ray

A

epiglottis

38
Q

small cell carcinoma

A

neuroendocrine, highly malignant, may be associated with endocrine systems

39
Q

increased serum ACE and Ca2+

A

sarcoidosis

40
Q

eggshell calcification at hilar region

A

silicosis

41
Q

asthma, nasal polyps and salicylate

A

samters triad

42
Q

alcoholics are at danger of

A

aspiration pneumonia

43
Q

red jelly sputum

A

klebsiella pneumonia (common in alcoholics)

44
Q

mucoid sputum and a pet bird

A

chlaydia psittaci

45
Q

rusty sputum

A

pneumococcal pneumonia

46
Q

cannonball metastases

A

primary renal cell carcinoma

47
Q

cannonball metastases, weight loss, haematuria, ill defined opacities

A

primary renal cell carcinoma

48
Q

morning headache

A

hypercapnia , or side effects of organic nitrates

49
Q

ACTH secreting lung tumour

A

small cell carcinoma of lungs

50
Q

PTH secreting lung tumour

A

squamous cell carcinoma of lungs

51
Q

high D-dimers

A

suggest PE

need more tests (CTPA or V/Q)

52
Q

low D-dimers

A

rule out PE

53
Q

mismatched V/Q scan

A

PE

54
Q

matched and abnormal V/Q scan

A

pneumonia/infection

55
Q

management of an infective exacerbation of COPD

A

iSOAP

56
Q

iSOAP

A 
ipratropium
Salbutamol
Oxygen
Amoxicillin 
Prednisolone
57
Q

small PE treatment

A

low molecular weight heparin

58
Q

non smoker, lung cancer

A

adenocarcinoma

59
Q

squamous and small cell lung cancers

A

central

60
Q

large PE

A

thrombolysis

61
Q

large PE treatment

A

streptokinase

62
Q

Respiratory alkalosis

A

Panic attack

63
Q

Frank pus on aspiration

A

Empyema

64
Q

Obstructive lung disease with raised eosinophils

A

Asthma

65
Q

Obstructive lung disease with raised neutrophils

A

COPD

66
Q

Pickwickian disease

A

Obesity hypoventilation syndrome

Body fat prevents air entering, causes sleep apnoea and hypercapnia

67
Q

Overnight nasal ventilation

A

Pickwickian disease

68
Q

Guillian-Barre disease

A

Causes paralysis

Preceded by strep throat/infection of GI tract

69
Q

Polyneuritis

A

Rapidly progressive, ascending motor neurone paralysis, beginning in feet and ascending to muscles

70
Q

Coal workers pneumoconiosis

A

Problems found at apex of lung

71
Q

ARDS

A

Non-cardiogenic pulmonary oedema leads to acute resp failure

CXR = bilateral shadowing

72
Q

TLCO

A

How well oxygen can diffuse into blood

73
Q

Type 1 diabetic, vomiting, not taking insulin. Deep breathing and dehydrated

A

Metabolic acidosis (diabetic ketoacidosis)

74
Q

pANCA postive

A

GPA

Buzzwords (5 decks)

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