resp renal csv

Question 1

how long course of acute otitis media

Answer 1

4 days

Question 2

how long course of acute sore throat/acute pharyngitis/acute tonsillitis

Answer 2

1 week

Question 3

how long course of common cold

Answer 3

1 1/2 weeks

Question 4

how long course of acute rhinosinusitis

Answer 4

2 1/2 weeks

Question 5

how long course of acute cough/acute bronchitis

Answer 5

3 weeks

Question 6

features of severe asthma (PEFR, HR, RR)

Answer 6

PEFR 33-50, hr>100 rr>25

Question 7

features of mild asthma (PEFR, HR, RR)

Answer 7

PEFR >50, hr<100, rr<25

Question 8

features of life threatening asthma (PEFR, HR, RR)

Answer 8

PEFR <33, cyanosis

Question 9

HSP has a degree of overlap with

Answer 9

IgA nephropathy

Question 10

difference between iga neph and post strep glomerulonephritis

Answer 10

Iga - symptoms 1-2 days after urti, for PSGN 1-2 weeks and has low compelent

Question 11

squamous cell lung Ca is associated with what syndrome

Answer 11

hypercalcaemia sec to PTH-rp

Question 12

egg shell calcification of hilar lymph nodes on xray

Answer 12

silicosis

Question 13

alcoholic has pnemonia, organism?

Answer 13

klebsiella

Question 14

COPD pneumonia - what organism

Answer 14

haemophilus

Question 15

Sinusitis, haemoptysis, haematuria - diagnosis?

Answer 15

Granulomatosis with polyangitis

Question 16

sinusitis, asthma, haematuria, eosinophilia - diagnosis?

Answer 16

Churg-Strauss

Question 17

Dyspnoea, cough, painful shin lesions, bilateral hilar lymphadenopathy - diagnosis?

Answer 17

sarcoidosis

Question 18

Small cell lung carcinoma - associated with which paraneoplastic syndrome

Answer 18

hyponatraemia secondary to ADH secretion

Question 19

Alpha-1 antitrypsin deficiencyassociated with

Answer 19

panacinar emphysema

Question 20

CKD on dialysis, most likely cause of death

Answer 20

Ischaemic heart disease

Question 21

recurrent episodes of dyspnoea, cough and fever, chest x-ray taken shows mid-zone fibrosis - diagnosis?

Answer 21

extrinsic allergic alveolitis

Question 22

nicotine replacement: contraindication to the prescription of bupropion

Answer 22

epilepsy, pregnancy and breast feeding

Question 23

nicotine replacement: Varenicline contraindication

Answer 23

caution in patients with a history of depression or self-harm; contraindicated in pregnancy and breastfeeding

Question 24

paraneoplastic: Which type of cancer is most associated with hypercalcaemia secondary to PTH-rp?

Answer 24

Squamous cell

Question 25

squamous cell lung Ca paraneoplastic features

Answer 25

parathyroid hormone-related protein (PTH-rp) secretion causing hypercalcaemia; clubbing; hypertrophic pulmonary osteoarthropathy (HPOA); hyperthyroidism due to ectopic TSH

Question 26

small cell lung Carcinoma paraneoplastic features

Answer 26

ADH ACTH - not typical, hypertension, hyperglycaemia, hypokalaemia, alkalosis and muscle weakness are more common than buffalo hump etc Lambert-Eaton syndrome

Question 27

adenocarcinoma paraneoplastic features

Answer 27

gynecomastia

Question 28

Asthmatic features/features suggesting steroid responsiveness in COPD:

Answer 28

previous diagnosis of asthma or atopy a higher blood eosinophil count substantial variation in FEV1 over time (at least 400 ml) substantial diurnal variation in peak expiratory flow (at least 20%)

Question 29

what in FBC would support diagnosis of lung cancer

Answer 29

raised platelets

Question 30

What is the main therapeutic benefit of inhaled corticosteroids in patients with COPD?

Answer 30

Reduced frequency of exacerbations

Question 31

recurrent collapse during exertion presents with progressive shortness of breath

Answer 31

aortic stenosis

Question 32

FVC, FEV1/FVC for pulmonary fibrosis

Answer 32

FVC - reduced, FEV1/FVC - normal

Question 33

FVC, FEV1/FVC for COPD

Answer 33

FVC - reduced, FEV1/FVC - redued

Question 34

Varenicline mechanism of action

Answer 34

nicotinic receptor partial agonist

Question 35

Bupropion mechanism of action

Answer 35

a norepinephrine-dopamine reuptake inhibitor and nicotinic antagonist

Question 36

Additional med to prescribe for end stage COPD to control symptoms

Answer 36

Opioids such as liquid morphine

Question 37

what is the minimum number of salbutamol prescriptions in the past 12 months that should prompt an urgent review of a patient's asthma control?

Answer 37

12

Question 38

lung cancer for parients who do not smoke, exposure to?

Answer 38

passive smoking

Question 39

marker most useful for monitoring the progression of patients with chronic obstructive pulmonary disease?

Answer 39

FEV1

Question 40

haemoptysis and flat nose

Answer 40

Granulomatosis with polyangiitis

Question 41

Chest x-ray shows a rounded opacity in the right upper zone surrounded by a rim of air.

Answer 41

Aspergilloma

Question 42

haemoptysis is associated with what heart sounds

Answer 42

mitral stenosis

Question 43

medication to prevent mountain sickenss

Answer 43

acetazolamide

Question 44

Indications for LTOT for COPD

Answer 44

a pO2 of < 7.3 kPa or to those with a pO2 of 7.3 - 8 kPa and one of the following: secondary polycythaemia peripheral oedema pulmonary hypertension

Question 45

bronchodilator reversibility testing in adults - which parameters show reversibility

Answer 45

improvement in FEV1 of 12% or more, together with an increase in volume of at least 200 mL (Note FEV1 so FEV1/FVC or FVC alone not important)

Question 46

next step for a patient with new diagnosis of occupational asthma

Answer 46

refer to respiratory

Question 47

most important in the long term control of symptoms of bronchiectasis

Answer 47

postural drainage

Question 48

smoking cessation: interventions that may be offered to pregnant women is most efficacious

Answer 48

CBT

Question 49

first-line antibiotic for acute bronchitis unless pregnant/child

Answer 49

doxycycline

Question 50

COPD on prophylactic azithromycin started smoking again - next step

Answer 50

stop azithromycina nd refer to respiratory

Question 51

Patients receiving LTOT should breathe supplemental oxygen for at least how many hours per day

Answer 51

15 hours

Question 52

pulmonary fibrosis average life expectancy

Answer 52

3-4 years

Question 53

how many measurements of PO2 needed to determine LTOT

Answer 53

2

Question 54

how is o2 ordered for LTOT on COPD

Answer 54

Home oxygen order form

Question 55

dose of steroid for acute COPD exacerbation

Answer 55

3mg for 5 days

Question 56

requirements for prophylactic abx for COPD

Answer 56

not currently smoker, had CT scan to exclude bronchiectasis, had sputum culture, had 5 exacerbations in 1 year

Question 57

what number of courses of oral or intravenous steroids in the past 12 months should prompt referral to secondary care for optimisation of asthma treatment?

Answer 57

more than 2