respiratory Flashcards

1
Q

stony dull to percuss

A

pleural effusion

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2
Q

right sided pleuritic chest pain

A

most likely to be pneumonia

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3
Q
  1. Alveolar bat’s wings, Kerley B lines, cardiomegaly, dilated prominent upper lobe vessels Pleural effusion
A

pulmonary oedema

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4
Q

ground glass appearance on X-ray

A

pulmonary fibrosis or RDS of the newborn

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5
Q

Ziehl neelsen stain positive for acid fast bacilli

A

TB

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6
Q

caseous necrosis

A

TB

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7
Q

miliary TB

A

spread of organism into bloodstream. If organism spread via pulmonary artery, miliary dissemination into the lung occurs. If organism spread via pulmonary vein, there is systemic dissemination to the liver, spleen, and kidneys.

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8
Q

positive anti-glomerular basement membrane antibodies

A

goodpastures syndrome

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9
Q

chest infection with a pet bird

A

caused by chlamydophila psittaci

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10
Q

dry cough and diarrhoea after a holiday abroad, some indicatio of water spread

A

legionella pneumonia

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11
Q

tall, thin man, smokes weed

A

pneumothorax

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12
Q

bilateral hilar lymphadenopathy, eryhtema nodosum, granulomas, fatige, uveitis and weight loss

A

sarcoidosis

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13
Q

bronchiole wider than neighboring arteriole (signet ring sign)

A

bronchiectais

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14
Q

D sign on X ray

A

empyema

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15
Q

steeple sign on X ray

A

laryngotracheobronchitis / croup

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16
Q

child with barking cough

A

croup

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17
Q

pneumosystis pneumonia

A

HIV (treat with co-trimocazole)

18
Q

smater’s triad

A

asthma, nasal poylps, salicylate sensitivity

19
Q

alcoholic with pneumonia

A

aspiration pneumonia -> klebsiella

20
Q

red jelly sputum

A

klebsiella pneumonia

21
Q

mucoid sputum

A

chlamydia psittaci

22
Q

rusty sputum

A

pneumococcal pneumonia

23
Q

cannonball metastases

A

classically from primary renal cell carcinoma

24
Q

morning headaches

A

hypercapnia

25
Q

ACTH secreting lung tumour

A

small cell carcinoma

26
Q

PTH secreting tumour

A

squamous cell carcinoma

27
Q

increased serum ACE and CA2+

A

sarcoid

28
Q

eggshell calcification at hilar region

A

silicosis

29
Q

Ghon focus

A

TB

30
Q

horner syndrome

A

pancoast tumour

31
Q

acute management of asthma

A

O SHIT MAN

32
Q

thumbprint sign on Xray

A

epiglottits

33
Q

inspiratory whoop/ barking cough

A

pertussis

34
Q

snow storm appearance on xray

A

baritosis, silicosis

35
Q

management of infective exacerbation of COPD

A
I SOAP
ipratropium
salbutamol 
oxygen 
amoxicillin 
prednisolone
36
Q

non smoker with lung cancer

A

adenocarcinoma

37
Q

central lung cancers

A

squamous and small cell

38
Q

high d dimers suggest

A

PE

39
Q

treating a large PE

A

thryombolysis

40
Q

treating a small PE

A

LMW heparin

41
Q

honeycomb lung

A

fibrosing alveolitis