Respiratory

Question 1

Definition and classification of severity of COPD

Answer 1

Question 2

PaO2 for home O2

Answer 2

< 50

Question 3

Goals of treatment in COPD

Answer 3

Salbutamol improves lung recoil, tiotropium decreases gas trapping, steroids decreases exam and hospital admissions, Pulmonary rehab improves QoL

Question 4

NSCLC TNM staging

Answer 4

T1 < 3 cm without invasion
T2 > 3cm OR local invasion
T3 Tumour of any size with invasion into mediastinum
N - 0 no nodes, N1 metastases into ipsilateral hilarious and /or ipsilateral peribronchial nodes, N2 mets to hilarious / subcarinal nodes. N3 mets to contralateral nodes
M0 - no mets, M1 distant mets

Question 5

Treatment NSCLC

Answer 5

Chemotherapy for stage 3 and above OR any T with N2 (Mediastinal or subcarinal involvement). Surgery only for localised disease

Question 6

Paraneoplastic Neurological symptoms of lung cancer

Answer 6

Horners, UL signs ? pancoast, Recurrent laryngeal nerve palsy, diaphragmatic paralysis.
Paraneoplastic Neuro Sx -
Lambert Eaton W/ small cell (voltage gated Ca channel Abs)
Peripheral neuropathy, cerebellar degeneration, dematomyosotis, Polymyositis, acute transverse myelopathy

Question 7

Interpreting spirometry

Answer 7

Question 8

Radiological patterns of interstitial lung disease

Answer 8

Question 9

Interstitial lung disease causes

Answer 9