Respiratory

Question 1

ENT + resp symptoms with renal involvement = ?

Answer 1

granulomatosis with polyangitis / cANCA

Question 2

what is SIADH seen in?

Answer 2

SCLC

Question 3

what is the SCLC mneumonic

Answer 3

SIADH
cushings
LEMS
cerebellar syndrome

Question 4

how do pancoast tumours cause hoarseness

Answer 4

compression of recurrent laryngeal nerve

Question 5

pneumonia sympotms

Answer 5

fever + a cough

Question 6

what does klebsiella present with

Answer 6

red current jelly

Question 7

bug for epiglottiis

Answer 7

HIB

Question 8

bug for bronchiectasis

Answer 8

h influeza

Question 9

BP finding for OSA

Answer 9

hypertension

Question 10

cavitating lesion

Answer 10

SCC

Question 11

how to look for lung cancer

Answer 11

contrast enhanced CT

Question 12

symptoms of sarcoidosis

Answer 12

facial rash and lymphadenopathy

Question 13

treatment for COPD if commenceing LAMA

Answer 13

switch SAMA to SABA

Question 14

where is aspiration most common

Answer 14

right lower lobe

Question 15

COPD exacerbation with purulent sputum management

Answer 15

1. amox
2. doxy

Question 16

treatment for acute bronchitis

Answer 16

doxy

Question 17

how to calculate pack years

Answer 17

number of packs smoked per day (20 cigs per pack) x years smoked for

Question 18

SE of ICS

Answer 18

oral candidia

Question 19

symptoms of GPA

Answer 19

nose bleeds

Question 20

COPD exacerbation with no purulent sputum

Answer 20

prednisolone

Question 21

BP finding in tension pneumothorax

Answer 21

hypotension

Question 22

smoking cessation management

Answer 22

1. nicotine replacement
2. careniciline
3. bupropion

Question 23

what is meigs syndrome

Answer 23

transudative pleural effusion
ascites
benign ovarian tumour

Question 24

which cancer is seen in non smokers

Answer 24

adenocarcinoma

Question 25

which type of asthma is "patietns cant complete sentences"

Answer 25

severe

Question 26

how to check if chest tube is placed

Answer 26

pH

Question 27

CURB-65

Answer 27

0/1 home 2 consider hospital 3 sever - hosp 4/5 ICU

Question 28

where do most common causes of pulmonary fibrosis affect?

Answer 28

lower lobe

Question 29

when to give ICS in asthma

Answer 29

symptoms 3+ times per week

Question 30

COPD treatment

Answer 30

1. SAMA or SABA 2. asthma - LAMA + LABA 2. no asthma - ICS + LABA or triple therapy (LAMA + LABA + ICS)

Question 31

diagnosis of CF

Answer 31

sweat test

Question 32

when to do surgery in bronchiectasis

Answer 32

when CT shows disease in one lobe

Question 33

how to determine wether to give abx in bronchiectaisis

Answer 33

CRP level

Question 34

which sputum is seen in bronchiecasis

Answer 34

white / clear

Question 35

which resp failure is seen in COPD

Answer 35

T2

Question 36

which drug is salbutamol

Answer 36

SABA

Question 37

which drug is ipratropium

Answer 37

SAMA

Question 38

which drug is salmeterol

Answer 38

LABA

Question 39

which drug is tiotropium

Answer 39

LAMA

Question 40

FEV1/FVC <70% = what

Answer 40

obstructive so asthma or COPD

Question 41

how to describe reversibility with FEV1

Answer 41

increased from 3-3.4 or >12%

Question 42

croup treatment

Answer 42

dexamethasone

Question 43

whooping cough treatment

Answer 43

clarithromycin

Question 44

haemodynamicaaly stable PE treatment

Answer 44

DOAC 3 months

Question 45

haemodynamically unstable PE treatment

Answer 45

thrombolyse

Question 46

T2 resp failure management

Answer 46

BiPAP

Question 47

CAP mild - mod treatment

Answer 47

IV / PO amox

Question 48

CAP severe treatment

Answer 48

co-amox + doxy (PO)

Question 49

CAP ICU treatment

Answer 49

co-amox + IV clarithromycin

Question 50

how to treat microscopic polyangitis

Answer 50

IV steroids + cyclophsophamide

Question 51

bug in epiglottiis

Answer 51

HIB

Question 52

symptoms in epiglottitis

Answer 52

learning forward and drooling

Question 53

management of primary tension pneumothorax

Answer 53

<2cm + no SOB = discharge aspirate chest drain

Question 54

management of secondary pneumothorax

Answer 54

admit all for 24 hours >50 years + >2cm and / SOB = chest drain otherwise aspirate if 1-2cm chest drain if <1cm = O2 + admit for 24 hours

Question 55

how to aspirate a tension pneumothorax

Answer 55

2nd ICS, midclavicular line 16G cannula + 50ml syringe §

Question 56

CURB65

Answer 56

confusion urea >7 (2) RR>30 (2) BP <90 age >65

Question 57

antibodies found in goodpastures

Answer 57

anti-GBM

Question 58

SE of isoniazid

Answer 58

peripheral neuropathy

Question 59

SE of pyrazinamide

Answer 59

hyperuricaemia (gout)