Respiratory

Question 1

Right sided pleuritic chest pain

Answer 1

Pneumonia ( most likely)

Question 2

Alveolar bat wings
Kerley B lines
Cardiomegaly
Dilated prominent upper lobe vessels 
Pleural effusion

Answer 2

Pulmonary oedema

Question 3

Ground glass appearance on x ray

Answer 3

Pulmonary fibrosis

Respiratory distress syndrome of new born

Question 4

Ziehl- neelsen stain positive for acid fast bacilli

Answer 4

TB

Question 5

Caseous necrosis

Answer 5

TB

Question 6

Apical disease

Answer 6

Most likely secondary TB

Question 7

Chest infection with pet bird

Answer 7

Caused by chlamydophilia psittaci

Question 8

Dry cough and diarrhoea after abroad holiday, some indication of water spread

Answer 8

Legionella pneuomphilia

Question 9

Test for legionella

Answer 9

Urine antigen test

Question 10

Bilateral hilar lymphadenopathy
Erythema nodosum
Granulomas 
Fatigue 
Uveitis 
Weight loss

Answer 10

Sarcoidosis

Question 11

D sign on x ray

Answer 11

Empyema

Question 12

Child with barking cough

Answer 12

Croup

Question 13

Red jelly sputum

Answer 13

Klebsiella

Question 14

Mucoid sputum

Answer 14

Chlamydia psittaci

Question 15

Rusty sputum

Answer 15

Pneumococcal pneumonia

Question 16

Morning headache

Answer 16

Hypercapnia ( too much CO2)

Question 17

Horners syndrome

Answer 17

Can occur when there is local spread of cancer to intrathoracic nodes or a pancoast tumour

Question 18

Drooped eyelid
Sunken eye
Small pupil
Lack of sweating in same side as invasion

Answer 18

Horners syndrome

Question 19

High D dimers

Answer 19

Suspect PE

Question 20

Low D dimers

Answer 20

Exclude PE

Question 21

Investigation for PE

Answer 21

CTPA scan

V/Q scan

Question 22

Treatment for small PE

Answer 22

Low molecular weight heparin

Question 23

Treatment for large PE

Answer 23

Thrombolysis

Question 24

Cannonball metastasis

Answer 24

From primary renal cell carcinoma

Question 25

ACTH secreting tumour

Answer 25

Small cell carcinoma of lung

Question 26

PTH secreting tumour

Answer 26

Squamous cell

Question 27

Increased serum ACE and calcium

Answer 27

Sarcoidosis

Question 28

Acute management of asthma ? Oshitman

Answer 28

``` Oxygen 100% non rebreathe mask Salbutamol nebulised back to back Hydrocortisone IV ( or oral prednisolone ) Ipratropium bromide nebulised hourly Theophylline IV or amiophylline Magnesium Anaesthetist ```

Question 29

Management of infective exacerbation of COPD | isoap

Answer 29

``` Ipratropium Salbutamol Oxygen Amoxicillin Prednisolone ```

Question 30

Stony dull on percussion

Answer 30

Pleural effusion

Question 31

P63 expression in what cancer?

Answer 31

Squamous cell

Question 32

TTF-1 is expressed in which cancer

Answer 32

Adenocarcinoma Small cell

Question 33

Where do you get a pancoast tumour

Answer 33

Apex

Question 34

Which influenza is the bad one?

Answer 34

Influenza A

Question 35

Orange pee and tears

Answer 35

Rifampicin

Question 36

Causes peripheral neuropathy

Answer 36

Isoniazid

Question 37

Causes gout

Answer 37

Pyrazimaminde

Question 38

Causes a change in vision

Answer 38

Ethambutol

Question 39

Egg shell calcification of hilar nodes

Answer 39

Silicosis

Question 40

Failure of thymus so lack of t cells

Answer 40

Di George syndrome

Question 41

Produce surfactant

Answer 41

Type 2 alveolar cells