respiratory

Question 1

what paraneoplastic syndrome is associated with squamous cell lung cancer

Answer 1

parathyroid hormone related protein secreting
(hypercalcaemia)

Question 2

ARDS is characterised by

Answer 2

bilateral pulmonary infiltrates and hyperaemia

Question 3

what is the calcium levels in sarcoidosis

Answer 3

hypercalcaemia

Question 4

what is an indicator if a chest drain needs to be inserted in a pleural effusion

Answer 4

the pH <7.2

Question 5

management of acute bronchitis

Answer 5

doxycycline

Question 6

what classification is an acute asthma exacerbation where they cannot complete full sentences but their PCO2 is normal

Answer 6

life threatening

Question 7

what on a blood test is an indicator of lung cancer

Answer 7

raised platelets

Question 8

pneumonia that diabetics and alcoholics get

Answer 8

klebsiella

Question 9

what pneumonia causes erythema nodosum and deranged LFTs

Answer 9

mycoplasma pneumonia

Question 10

blood results for legionella pneumonia

Answer 10

hyponatraemia

Question 11

lung capacity in COPD

Answer 11

increased

Question 12

lung sounds COPD

Answer 12

wheeze

Question 13

lung sound idiopathic pulmonary fibrosis

Answer 13

fine end inspiratory crackles

Question 14

dry cough, shortness of breath and target shaped skin lesion what is most likely causative organism

Answer 14

mycoplasma pneumonia

Question 15

shortness of breath, ascites and ovarian tumour what is the diagnosis

Answer 15

Meigs syndrome

Question 16

where does lung cancer metastases to

Answer 16

brain
breast
adrenal
bone

Question 17

where does the air go in pneumothorax

Answer 17

parietal space
- between visceral and parietal pleura

Question 18

what is seen in histology of asthma

Answer 18

Curschmann spirals = shed epithelium becomes whorled mucous plugs

Question 19

side effect of steroid inhaler

Answer 19

oral candidiasis (thrush)

Question 20

percussion in COPD

Answer 20

hyper resonant

Question 21

what is diffuse alveolar damage with hyaline membrane formation

Answer 21

acute respiratory distress syndrome

Question 22

main symptom of ARDS

Answer 22

acute onset respiratory failure which fails to improve with oxygen

Question 23

patient been on holiday and stayed in a hotel
comes back with a dry cough and fever
what is most likely cause

Answer 23

legionella pneummnai (hotel stay)

Question 24

what is gold standard investigation for legionella pneumonia

Answer 24

urinary antigen enzyme immunoassay test

Question 25

classic aspirin overdose history

Answer 25

high salicylate levels respiratory alkalosis

Question 26

is reduced lung expansion a sign of restrictive or obstructive

Answer 26

restrictive

Question 27

most common cause of bronchiectasis

Answer 27

H. influenza

Question 28

management of patient with acute asthma that becomes acidotic

Answer 28

intubated and ventilated

Question 29

test prior to starting azithromycin

Answer 29

ECG - rule out prolonged QT interval

Question 30

infective exacerbation of COPD what is causative organism

Answer 30

H. influenza

Question 31

management of pneumothorax that is <2cm

Answer 31

discharge and review

Question 32

what lung cancer causes hyponatraemia

Answer 32

small cell

Question 33

spirometry of severe obesity

Answer 33

restrictive

Question 34

mnemonic for upper lobe fibrosis

Answer 34

CHARTS - coal worker pneumoconiosis - histiocytosis - ankylosing spondylitis - radiation - tuberculosis - silicosis, sarcoidosis

Question 35

community acquired pneumonia management if penicillin allergic

Answer 35

clarithromycin

Question 36

complication of COPD

Answer 36

polycythaemia

Question 37

patient with COPD, presenting with worsening breathlessness, pins and needles, plethoric complexion =

Answer 37

polycytheamia

Question 38

red blood cell count in polycythaemia

Answer 38

increased

Question 39

asymptomatic sarcoidosis what is management

Answer 39

no treatment unless symptomatic

Question 40

management of HAP

Answer 40

co-amoxiclav

Question 41

complication if pleural effusion is drained too quickly

Answer 41

re-expansion pulmonary oedema

Question 42

commonest causes of anterior mediastinum mass

Answer 42

4T's - teratoma - terrible lymphadenopathy - thymic mass - thyroid mass

Question 43

what is FEV1 in asbestosis

Answer 43

reduced

Question 44

patient with transplants, fever, non productive cough and breathlessness on exertion =

Answer 44

pneumocystis pneumonia

Question 45

what is an immunocompromised patient

Answer 45

HIV transplant

Question 46

what drug can cause interstitial pulmonary fibrosis

Answer 46

amiodarone bleomycin

Question 47

CT signet ring is

Answer 47

bronchiectasis

Question 48

management of bronchiectasis

Answer 48

postural drainage

Question 49

follow up for pneumonia

Answer 49

CXR 6 weeks after resolution

Question 50

most common cause of exudative pleural effusion

Answer 50

pneumonia

Question 51

most common cause of aspiration pneumonia

Answer 51

strep pneumonia

Question 52

what lung cancer causes Lambert eaton

Answer 52

small cell lung cancer

Question 53

aspergilloma on CXR

Answer 53

target shape lesion in upper lobe

Question 54

value of protein in exudate pleural effusion

Answer 54

> 35g/l

Question 55

value of protein in transudate pleural effusion

Answer 55

< 35g/L

Question 56

causes of exudative pleural effusion

Answer 56

pneumonia malignancy

Question 57

cause of transudate pleural effusion

Answer 57

heart failure cirrhosis nephrotic syndrome

Question 58

diagnostic test for superior vena cava obstruction

Answer 58

Pemberton sign

Question 59

what lung cancer is gynaecomastia associated with

Answer 59

adenocarcinoma

Question 60

eye condition associated with sarcoidosis

Answer 60

anterior uveitis

Question 61

can you give patient clarithromycin if they have long QT syndrome

Answer 61

no