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Medicine Year 3 > Respiratory > Flashcards

Respiratory Flashcards

(60 cards)

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1
Q

Where would you place a chest drain

A 
Triangel of safety
5th IC space
Axilla
lateral pec
anterior lat
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2
Q

What happens to the transfer coefficient in restrictive lung disease

A

It increased (K CO)

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3
Q

3 systems involved in Wegeners Granumlomatosis

A

ENT (saddle shaped nose)
Respiratory
Kidney (glomerulonephritis)

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4
Q

Medication that causes lower lobe fibrosis

A

Amiodarone

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5
Q

Empyema blood results

A

Reduced pH
Reduced glucose
Increased LDH

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6
Q

1st line abx for pneumonia

A

amoxicillin

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7
Q

where does fibrosis occur in tb

A

upper zone

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8
Q

what does a ph lower than 3.5 indicate in asthma

A

co2 retention

life threatening

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9
Q

1st medication in COPD

A

Tiotropium

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10
Q

What can giving high O2 do to a COPD patient

A

Ankle oedema

Hb

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11
Q

What can renal cell carcinoma cause in the lungs

A

Cannonball mets

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12
Q

MOA of bupropion

A

Noradrenaline and dopamine reuptake inhibitor

Nicotinic antagonist

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13
Q

what happens to platelet levels in lung cancer

A

Increase

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14
Q

what happens to the bp in tension pneumo

A

Reduces (obstructed cardiac output)

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15
Q

FEV1 % in asthma reversibility

A

Increase by 12%

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16
Q

Organism to cause cavitating pneumonia

A

Klebsiella

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17
Q

Treatment of a secondary pneumothorax with SOB

A

Chest drain

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18
Q

4 contraindications to lung cancer surgery

A

SVC obstruction
FEV reduced by 1.5
Vocal cord paralysis
Malignant effusion

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19
Q

COPD treatment

A

SOB after SABA
then add LABA + LAMA
or LABA/ICS depending on asthma features (eosinophils)

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20
Q

2 features of ARDS

A

bilateral alveolar shadowing

acute pancreatitis

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21
Q

Treatment of RTI

A

Oral doxyxycline

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22
Q

Treatment of a secondary pneumothorax less than 1cm

A

Admit with o2 for 24 hours

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23
Q

Peak flow in severe asthma

A

Below 30%

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24
Q

Indication for NIV

A

Based off the ABG

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25
Causative organism for bronchiectasis
Haemophilus
26
Facial rash and lymphadenopathy
Sarcoidosis
27
Transfer factor reduced in...
IPF
28
What medication is used to stop smoking | Contraindication
Bupropion | NOT in epileptics
29
What condition would give recurrent chest infections and infertility
Kartagener (primary ciliary dyskinesia)
30
Reduce the risk of atelectasis (collapse)
Chets physio
31
What medication worsens asthma
Aspirin
32
Most common causative organism in COPD exacerbation
Haem influenza
33
Management of a patient over 40 y/o with haemoptysis
Refer 2ww
34
Requirements for home oxygen therapy with COPD
2 Po2 BELOW 7.3KPA
35
In what zone is coal worker pneumoconiosis found
Upper zone
36
Cause of COPD in youth
AIAT deficiency Obstructive disease Hepatocellular carcinoma
37
Medication for COPD prophylaxis
Azithromycin
38
Electrolyte disturbance in sarcoid
hypercalcaemia
39
Mimic of a pneumothorax in COPD
Bullae
40
What can flail chest cause
Tension pneumo
41
Smoking in pregnancy - what can you offer
Nicotine replacement therapy
42
Most common lung cancer in non-smokers
Adenocarcinoma
43
The CRP lags
44
Treatment and prevention of altitude sickness
Treatment: descent, oxygen, dexamethasone Prevent: acetazolamide
45
Lymph nodes in TB
Bilateral hilar lymphadenopathy
46
Time between inhaler puffs
Wait 30 seconds
47
Diving and pneumothorax
No diving
48
What id budesonide
ICS
49
Anion gap in DKA
Increased
50
3 features of a mitral stenosis murmur
Loud S1 Diastolic AF
51
2 features of bronchiectasis
Excessive sputum | Parallel line shadows
52
Management of normal CO2 in asthma
Exhaustion | ICU
53
Nasal rash
Sarcoidosis
54
4 causes of an anterior mediastinal mass
Teratoma Thymic mass Thyroid mass Terrible lymphadenopathy
55
What can sleep apnoea cause
HTN
56
What happens to ACE in sarcoid
Increases
57
Treatment of sarcoid
No Sx: no treatment | Sx: prednisolone
58
4 sx of sarcoid
``` Hypercalcaemia Lung disease Uveitis Rheum Heart ```
59
What type of effusion does SLE cause
Exudative
60
Prescribe a leukotrine antagonist before a LABA

Medicine Year 3 (8 decks)

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