Respiratory

Question 1

Stoney dull to percuss

Answer 1

Pleural effusion

Question 2

Right sided pleuritic chest pain

Answer 2

Most likely ammonia

Question 3

Ground-glass appearance on CXR

Answer 3

Pulmonary fibrosis
OR
Respiratory distress syndrome of newborn

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

Secondary to TB

Question 7

Lesion in mid to lower periphery zones on CXR

Answer 7

Ghon Focus (TB)

Question 8

Chest infection, owns parrot/pigeon

Answer 8

Chlamydophila psittaci

Question 9

Dry cough, diarrhoea after holiday abroad with water contact

Answer 9

Legionella pneumophila

Question 10

Erythema nodosum, fatigue, weight loss, bilateral lymphadenopathy

Answer 10

Sarcoidosis

Question 11

Bronchiole wider that neighbouring arteriole (Signet ring sign)

Answer 11

Bronchiectasis

Question 12

D sign on CXR

Answer 12

Empyema

Question 13

Steeple sign on CXR

Answer 13

Croup

Question 14

Barking cough

Answer 14

Croup

Question 15

HIV patient with chest infection

Answer 15

Pneumocystic pneumonia

Question 16

Alcoholic with chest infection

Answer 16

Klebsiella pneumoniae

Question 17

Red jelly sputum

Answer 17

Klebsiella pneumoniae

Question 18

Mucoid sputum

Answer 18

Chlamydophila psittaci

Question 19

Rusty sputum

Answer 19

Pneumococcal pneumonia

Question 20

Morning headache

Answer 20

Hypercapnia

Question 21

ACTH secreting lung tumour

Answer 21

Small cell carcinoma

Question 22

PTH secreting lung tumour

Answer 22

Squamous cell ca. of lung

Question 23

Neuroendocrine (ectopic endocrine syndromes), highly malignant

Answer 23

Small cell carcinoma

Question 24

Increased serum ACE and Ca2+

Answer 24

Sarcoidosis

Question 25

Eggshell calcification at hilar region

Answer 25

Silicosis

Question 26

Pancoast's tumour, ptosis, miosis, lack of sweating on side of effected face

Answer 26

Horner's syndrome

Question 27

OSHITMAN

Answer 27

``` Acute asthma: Oxygen 100% Salbutamol nebulised Hydrocortisone IV/prednisolone PO Ipratropium nebulised hourly Theophylline/aminophylline IV Magnesium Anaesthetist ```

Question 28

Thumbprint sign on head XR

Answer 28

Epiglottitis

Question 29

Whooping inspiratory noise

Answer 29

Pertussis

Question 30

Snow storm appearance on CXR

Answer 30

Baritosis, Silicosis

Question 31

iSOAP

Answer 31

``` Infective COPD: Ipratropium Salbutamol Oxygen Amoxicillin Prednisolone ```

Question 32

None smoker, lung cancer

Answer 32

Adenocarcinoma

Question 33

Central lung cancers

Answer 33

Squamous | Small cell

Question 34

High d-dimers

Answer 34

suspect PE

Question 35

Small PE treatment and Large PE treatment

Answer 35

Small: LMW heparin Large: Thrombolysis