Respiratory

Question 1

stony dull to percuss

Answer 1

pleural effusion

Question 2

right sided pleuritic chest pain

Answer 2

most likely pneumonia

Question 3

ground-glass appearance on X-ray

Answer 3

pulmonary fibrosis and resp. distress syndrome of the newborn

Question 4

Ziehl-Neelsen stain positive for acid fast bacilli

Answer 4

TB

Question 5

caseus necrosis

Answer 5

TB

Question 6

miliary TB

Answer 6

spread of TB into bloodstream

Question 7

TB spread via pulmonary artery

Answer 7

millary dissemination into lung

Question 8

TB spread via pulmonary vein

Answer 8

systemic dissemination to the liver, spleen and kidneys

Question 9

positive anti-GBM

Answer 9

goodpastures

Question 10

chest infection and parrot/pigeon as pet

Answer 10

chlamydophilia psittaci

Question 11

chlamydophilia psittaci

Answer 11

birds

Question 12

dyr cough and diarrhoea after holiday abroad and water tanks

Answer 12

Legionella pneumophila

Question 13

legionella pneumophila

Answer 13

water tanks

Question 14

postive urine Ag + chest infection

Answer 14

Legionella pneumophila

Question 15

tall thin young man who smokes weed

Answer 15

pneumothorax

Question 16

sarcoidosis

Answer 16

bilateral hilar lymphadenopathy 
erythema nodosum 
granulomas 
fatigue 
uveitis 
weight loss

Question 17

bilateral hilar lymphadenopathy 
erythema nodosum 
granulomas 
fatigue 
uveitis 
weight loss

Answer 17

sarcoidsosis

Question 18

bronchiole wider than neighbouring arteriole

Answer 18

bronchiectasis

Question 19

signet sing on CT

Answer 19

bronchiectasis

Question 20

D sign on x-ray

Answer 20

empyema

Question 21

steeple sign on x-ray

Answer 21

laryngotracheobronchitis or croup

Question 22

child with barking cough

Answer 22

croup

Question 23

pneumoccystis pneumonia

Answer 23

HIV

Question 24

HIV and pneumonia

Answer 24

pneuomocystis pneumonia

Question 25

tx pf pneumocystic pneumonia

Answer 25

co-trimoxazole

Question 26

samter's triad

Answer 26

asthma nasal polyps salicylate sensitivity

Question 27

klebsiella pneumoniae

Answer 27

alcoholics

Question 28

alcoholic + pneumonia

Answer 28

klebsiella pneumoniae

Question 29

red jelly sputum

Answer 29

klebsiella pnuemoniae

Question 30

mucoid sputum

Answer 30

chlamydiophilia psittaci

Question 31

rusty sputum

Answer 31

pneumococcal pneumonia

Question 32

cannonball metastases

Answer 32

primary renal cell carcinoma

Question 33

morning headache

Answer 33

hypercapnia or S/E of nitrates

Question 34

ACTH secreting lung tumour

Answer 34

small cell carcinoma of lung

Question 35

PTH secreting lung tumour

Answer 35

squamous cell carcinoma of lung

Question 36

small-cell carcinoma

Answer 36

neuroendocrine cells

Question 37

increased serum ACE and Ca

Answer 37

sarcoid

Question 38

eggshell calcification at hilar region

Answer 38

silicosis

Question 39

heart failure cells seen in alveolar spaces

Answer 39

chronic pulmonary oedema + LVH | long-standing pulmonary hypertension

Question 40

Ghon focus

Answer 40

TB | area of infection and caseous necrosis at periphery of lung, beneath pleura

Question 41

tuberculous pleurisy

Answer 41

hon focus rupture

Question 42

assman focus

Answer 42

apical lesion of secondary TB infection

Question 43

coin lesion on CXR

Answer 43

primary bronchial or lung carcinoma

Question 44

Horner's syndrome

Answer 44

pancoast's tumour

Question 45

pancoast's tumour

Answer 45

horner's syndrome

Question 46

ptosis enopthalmos miosis lack of sweating on ipsilateral sidde of face

Answer 46

horner's syndrome

Question 47

signs and symptoms of horner's syndrome

Answer 47

ptosis enopthalmos miosis lack of sweating on ipsilateral sidde of face

Question 48

acute management of asthma

Answer 48

``` O SHIT MAN O2 Salbutamol Hydrocortisone IV or prednisolone PO Ipratorpium bromide nebulised hourly Theophylline or aminophylline Magnesium + call an ANaesthetist ```

Question 49

thumb print sign on head x-ray

Answer 49

epiglottis

Question 50

inspiratory/whooping cough

Answer 50

pertussis

Question 51

snow storm appearance on chest x-ray

Answer 51

baritosis, silicosis

Question 52

management of infective exacerbation of COPD

Answer 52

``` iSOAP ipratropium Salbutamol O2 Amoxicillin Prednisolone ```

Question 53

non-smoker + lung cancer

Answer 53

adenocarcinoma

Question 54

central lung cancer

Answer 54

squamous + small cell lung cancers

Question 55

high D dimers

Answer 55

suspect PE

Question 56

low D dimers

Answer 56

exclude PE

Question 57

large PE

Answer 57

thrombolysis

Question 58

small PE

Answer 58

LMWH

Question 59

honeycomb lung

Answer 59

fibrosing alveolitis