Respiratory

Question 1

Stony dull to percussion

Answer 1

Pleural effusion

Question 2

Right sided pleuritic chest pain

Answer 2

Pneumonia

Question 3

Ground glass appearance on CXR

Answer 3

Neonatal respiratory distress syndrome or pulmonary fibrosis

Question 4

Ziehl Neelson stain

Answer 4

TB

Question 5

Caseous necrosis

Answer 5

TB

Question 6

Apical disease

Answer 6

Secondary disease

Question 7

Assmann Focus

Answer 7

Apical lesion- TB

Question 8

How is military TB spread?

Answer 8

Bloodstream

Question 9

+ anti-GBM antibodies

Answer 9

Goodpasture’s syndrome

Question 10

Chest infection with birds

Answer 10

Chlamydia psittaci

Question 11

Dry cough and diarrhoea after holiday abroad with indication of water spread

Answer 11

Legionella

Question 12

Tall thin man who indulges in marijuana

Answer 12

Pneumothorax

Question 13

Bilateral hilar lymphadenopathy, erythema nodosum, granulomas, weight loss, fatigue, uveitis

Answer 13

Sarcoidosis

Question 14

Bronchiole wider than neighbouring arteriole- signet ring sign

Answer 14

Bronchiectasis

Question 15

D sign on Xray

Answer 15

Empyema

Question 16

Steeple sign on CXR

Answer 16

Croup

Question 17

Child with barking cough

Answer 17

Croup

Question 18

Pneumocyctis pneumonia

Answer 18

HIV

Question 19

How do you treat pneumocyctis?

Answer 19

Co-trimoxazole

Question 20

Alcoholic with pneumonia

Answer 20

Klebsiella

Question 21

Red jelly sputum

Answer 21

Klebsiella

Question 22

Mucoid sputum

Answer 22

Chlamydia psittaci

Question 23

Rusty sputum

Answer 23

Pneumococcal

Question 24

Cannonball metastases, weight loss, haematuria

Answer 24

Renal cell carcinoma

Question 25

Morning headache

Answer 25

Hypercapnia or effect of organic nitrates

Question 26

ACTH secreting tumour

Answer 26

Small cell carcinoma

Question 27

PTH secreting tumour

Answer 27

Squamous cell carcinoma

Question 28

Increased serum ACE and Ca++

Answer 28

Sarcoidosis

Question 29

Egg shell calcification at hilar region

Answer 29

Silicosis

Question 30

Area of infection and caseous necrosis at the periphery of the lung found in TB

Answer 30

Ghon focus

Question 31

Horner's syndrome

Answer 31

Pancoast tumour

Question 32

Thumbprint sign on head x-ray

Answer 32

Epiglottitis

Question 33

Inspiratory whoop/barking cough

Answer 33

Whooping cough

Question 34

Snow storm appearance on x-ray

Answer 34

Baritosis or silicosis

Question 35

Non-smoker with lung cancer

Answer 35

Adenocarcinoma

Question 36

Central lung cancer

Answer 36

Squamous or small cell

Question 37

High d dimers

Answer 37

PE

Question 38

Low d dimers

Answer 38

Exclude PE

Question 39

Alveolar bats wings, Kerley b lines, cardiomegaly, dilated prominent upper lobe vessels

Answer 39

Pulmonary oedema

Question 40

Hyperexpanded chest

Answer 40

COPD (or alpha 1 anti-trypsin)

Question 41

Stridor

Answer 41

Upper airway obstruction

Question 42

Early onset emphysema

Answer 42

Alpha1 antitrypsin

Question 43

Positive sweat test >60mmol/L NaCl

Answer 43

CF

Question 44

Fever, night sweats, anorexia, haemoptysis

Answer 44

TB

Question 45

Orange coloured secretions

Answer 45

Rifampicin

Question 46

Peripheral neuropathy

Answer 46

Isoniazid

Question 47

Colour blindness

Answer 47

Ethambutol

Question 48

Gout

Answer 48

Pyrazinimide

Question 49

PEFR in restrictive disease is?

Answer 49

Normal

Question 50

sudden onset chest pain with history of marfan's syndrome

Answer 50

pneumothorax

Question 51

protein > 35g/L

Answer 51

Exudate effusion

Question 52

protein < 35g/L

Answer 52

Transudate effusion

Question 53

CD4 mediated with eosinophil infiltrate

Answer 53

asthma

Question 54

CD8 mediated with neutrophil infiltrate

Answer 54

COPD