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Flashcards in Respiratory Deck (60):
1

Signet rings on HRCT

Bronchiectasis

2

Bilateral hilar lymphadenopathy

Sarcoidosis

3

Sandblaster

Silicosis

4

Pipe lagger, construction worker

Asbestosis

5

Tram-tracking

Bronchiectasis

6

Gold standard for DDx of OSA

Polysomnography

7

Ground glass appearance/honeycombing

Pulmonary fibrosis

8

High pleural LDH and protein

Exudative pleural effusion (Light's criteria) - malignancy, infection

9

Loud P2, RV heave, elevated JVP

Pulmonary hypertension

10

Caseating granuloma

Tuberculosis

11

Centrilobar emphysema

Smoking

12

Panacinar emphysema

Alpha-1 anti-trypsin deficiency

13

Acid-fast bacilli

Pulmonary tuberculosis

14

Hypercalcaemia from paraneoplastic syndrome

SCC of the lung

15

Gohn focus on CXR

Pulmonary tuberculosis

16

Causative organism of pneumonia in an HIV patient

Pneumocystis jirovecii

17

SIADH/ectopic ACTH/LEMS

SCLC

18

Atypical pneumonia with cold agglutinins

Mycoplasma pneumonia

19

Office worker with pneumonia

Legionella

20

Tall basketball player with SOB

Pneumothorax

21

Oat cells

SCLC

22

Rash post amoxycillin for suspected strep throat

EBV

23

Positive sweat test

CF

24

Atypical mononuclear cells

EBV

25

Cysts on toluidine blue stain

PJP

26

Rusty coloured sputum

Strep pneumoniae pneumonia

27

Pneumonia with cows

Coxiella burnetti (Q-fever)

28

Positive PCR on nasopharyngeal swab

Influenza

29

Air conditioning

Legionella pneumonia

30

Voluminous watery sputum

Adenocarcinoma

31

Urinary antigen positive

Legionella pneumonia

32

Asthmatic SOB despite oxygen

VQ mismatch

33

Pneumonia and parrots

Chlamydia psittaci

34

Atypical pneumonia with AHA, erythema multiforme, myopericarditis and meningoencephalitis

Mycoplasma pneumoniae

35

Atypical pneumonia with hyponatraemia and lymphopenia

Legionella pneumonia

36

Bilateral lung nodules in a miner with RA

Caplan's syndrome

37

Calcified nodules in lower zones

Previous varicella pneumonitis

38

Antibiotics for PJP

Co-trimoxazole (TMP-SMX)

39

Antibiotic for chlamydial pneumonia

Tetracycline

40

Crackles do not clear after coughing

Pulmonary oedema, pleural effusion

41

Widespread, firm, fibrotic nodules

Silicosis

42

Wedge-shaped opacity

Pulmonary infarction

43

Swollen leg + sudden uge to defecate

Saddle embolus

44

Sputum - pus cells, culture mixed oral flora

Aspiration pneumonia

45

Potting mix + diarrhoea + pneumonia

Legionella

46

Bilateral cavitating bronchopneumonia after influenza infection

Staph aureus pneumonia

47

Polyuria

Hypercalcaemia due to active sarcoid or SCC

48

WCC elevated with 90% lymphocytes

Pertussis

49

Lowenstein-Jensen medium

TB

50

Gram negative motile bacilli on MacConkey agar

Pseudomonas

51

Slender Gram negative rods, milky white colonies on charcoal yeast extract agar

Legionella

52

Fried egg colonies, lack of cell wall

Mycoplasma pneumoniae

53

Lung cancer type most closely associated with smoking

SCC

54

Indrawn tympanic membrane

Otitis media 

Except acute suppurative otitis media - children

55

Sighing breaths

Metabolic acidosis

56

Most diagnostic test for influenza

PCR

57

Monophonic wheeze

Tumour / foreign body / vocal cord paralysis

58

DRUG: COPD drug causing cardiac arrhythmia

Theophylline

59

DRUG: anti-pseudomonas activity (3)

  1. Aminoglycosides
  2. 3rd gen cephalosporins
  3. Ticarcillin
  4. Meropenem
  5. Ciprofloxacin

60

DRUG: reduces efficacy of OCP

Rifampicin