Respiratory finals

Question 1

What is Asthma stop down management

Answer 1

The British Thoracic Society (BTS) guidelines recommend that we should consider stepping down treatment every 3 months or so.

When reducing the dose of inhaled steroids the BTS advise us to do this by 25-50% at a time.

Question 2

Drugs CI in asthma

Answer 2

NSAIDS

BB

Question 3

Asthma Tx (SILLy)

Answer 3

S - SABA -(reliever - brief)
I - ICS (preventer - constant)
L - LABA
L - LTRA (montleukast)

Question 4

Most common infective cause of COPD

Answer 4

haemophilus influenzae

strep pneumonaie

Question 5

Mx of Cystic Fibrosis

Answer 5

Chest Physio 2x/day

high calorie diet, including high fat intake*

patients with CF should try to minimise contact with each other to prevent cross infection with Burkholderia cepacia complex and Pseudomonas aeruginosa

vitamin supplementation

pancreatic enzyme supplements taken with meals

Question 6

Most common drug cause of Occupational Asthma?

Answer 6

iso-CYAN-ates —–> Cyan paint (in spray paint)

Question 7

What lobe is a foreign body most likely to be in?

Answer 7

Right main bronchus as it is wider, shorter and more vertical than the left

remember this as **L **has a horizontal bit, and **R **has the diagonal line which is more vertical, so things fall down more easily (look at the letters)

Question 9

Uncomplicated/Mild CAP

Answer 9

Amoxicillin (Doxycycline or clarithromycin in penicillin allergic

Question 10

Atypical Pneumonia mx

Answer 10

Clarithromycin

Question 11

HAP mx

Answer 11

Co-Amoxiclav

Question 12

Apical Lung Fibrosis Causes

Answer 12

T - TB
E - EXTRINSIC ALLEVIOTIS
A - ANKYLOSING SPONDYLITIS
R - RADIATION
S - SARCOIDOSIS

Question 13

Lower lung fibrosis causes

Answer 13

C- cylcophoshamide
R - Rheumatoid Arthitis
A - Asbestosis/Amiodarone
B-Bleomycin
S- Scleroderma