Respiratory

Question 1

Productive cough + wheeze

Answer 1

Chronic bronchitis

Question 2

Dry cough + weight loss + pursed lip breathing

Answer 2

Emphysema

Panacinar emphysema - A1AT deficiency

Centriacinar emphysema - smoking

Question 3

Dry cough + painful red nodules on shins + uveitis

Answer 3

Sarcoidosis

Question 4

Progressively worsening Dry cough >3 months, history of SLE/RA

Answer 4

Pulmonary fibrosis

Question 5

Wheezing + diurnal variation

Answer 5

Asthma

Question 6

Thick sticky sputum with chronic cough, recurrent chest infections, steatorrhea

Answer 6

Cystic fibrosis

Question 7

Chronic productive cough, foul smelling sputum, recurrent chest infections

Answer 7

Bronchiectasis

(RF - cystic fibrosis)

Question 8

Haemoptysis, fever, fatigue, worsening symptoms

Answer 8

Tuberculosis

(Phillipines, india, china, pakistan, indonesia)

Question 9

Pleuritic chest pain, SOB, productive cough, fever

Answer 9

Pneumonia

CAP - S.pneumoniae, S.aureus

HAP - P.aeruginosa, MRSA

Most common cause in immunocompromised patient - Pneumocystis jirovecci

Question 10

Pleuritic chest pain, dry cough, progressive SOB

Answer 10

Pleural effusion

(Happening for weeks but worsened over last few days)

Question 11

Sudden sharp pleuritic chest pain with SOB

Answer 11

Pneumothorax

Question 12

Chronic cough, SOB, haemoptysis, chest pain, weight loss, fatigue

Answer 12

Lung cancer

Mesothelioma - asbestos

Smoking
Small cell lung cancer - causes cushing’s, SIADH, lambert-eaton

NSCLC - causes hypercalcemia (may cause horner’s syndrome)

Question 13

Fever, cough, occupational exposure

Answer 13

Hypersensitivity pneumonitis

Farmer’s lung
Bird fancier’s lung