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MRCP Part 2 > Respiratory Medicine > Flashcards

Respiratory Medicine Flashcards

(84 cards)

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1
Q

Eosinophilia + Asthma + Glomerulonephritis

A

Eosinophilic Granulomatosis with Polyangiitis

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2
Q

Causes of Renal Failure and Eosinophilia

A
  • RPGN
  • EGPA
  • Acute Tubulo Interstitial Nephritis
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3
Q

Causes of drug-induced pulmonary fibrosis (BEN-CAM )

A
  • Cyclophosphamide
  • Amiodarone
  • Methotrexate
  • Busulphan
  • Ethambutol
  • Nitrofurantoin
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4
Q

Antibiotics interacting with Theophylline

A

Quinolone and
Macrolide antibiotics like
Ciprofloxacin
Erythromycin

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5
Q

Clinical Features of theophylline toxicity

A

hypotension
cardiac arrhythmias
seizures

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6
Q

Productive cough + eosinophilia + perihilar
infiltrates diagnosis

A

Allergic bronchopulmonary aspergillosis (ABPA)

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7
Q

Confirmatory tests for ABPA

A
  • High titers of IgE and IgG antibodies
  • +ve Hypersensitivity skin test to Aspergillus fumigatus
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8
Q

Treatment of ABPA

A

Prolonged course of itraconazole.

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9
Q

Cold Sore + Cough + Old Age

A

Streptococcal Pneumoniae

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10
Q

Severe Staphylococcal Pneumonia

A

Linezolid

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11
Q

Patient on Amiodarone + Shortness of Breath + Pleuritic Chest Pain + Cough

A

Amiodarone Toxicity

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12
Q

Management of Amiodarone Toxicity

A

Stop the medication + Corticosteroids may be added

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13
Q

Threshold for Respiratory Support in GBS while monitoring FVC

A

20mL/Kg (For 50 Kg weight it is 1 Liter)

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14
Q

Pneumonia which causes elevated transaminases

A

Leigeonella Pneumonia

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15
Q

Pneumonia associated with cold agglutinins

A
  • Mycoplasma Pneumonia
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16
Q

Respiratory Conditions associated with cold agglutinins

A
  • Infectious Mononucleosis
  • Mycoplasma Pneumonia
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17
Q

Management of Pneumocystis Jirovecii

A

1st Line: Co-Trimoxazole +

Prednisolone (If PaO2 <9.3 kPa)

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18
Q

Management of Pneumocystis Jirovecii not tolerating Co-Trimoxazole

A

Clindamycin + Primaquine + Prednisolone

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19
Q

Methenamine Silve and Galactomannan Test +ve

A

Aspergillosis

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20
Q

IOC for Sarcoidosis

A

Transbronchial Lung Biopsy

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21
Q

IOC for Pneumothorax if P/A Chest X-ray is normal

A

Lateral Decubitus X-Ray (More sensitive for smaller lesions)

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22
Q

Click Sound Synchronous with Heart sound Diagnosis

A

Small Apical Left Pneumothorax

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23
Q

Management of Large PE with severe symptoms

A

Alteplase (can be given even in hypotension)

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24
Q

Restrictive lung disease for people working in Metal Recycling plant

A

Berylliosis

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25
IOC for Berylliosis
Beryllium Lymphocyte Proliferation Test (BeLPT)
26
Rifampicin Side Effects
Orange secretions and Hepatotoxicity
27
Isoniazid Side Effects
Peripheral neuropathy and Hepatotoxicity
28
Ethambutol Side Effects
Optic Neuritis and Ototoxicity
29
Management of Multifocal Atrial Tachycardia in COPD
Verapamil
30
ARDS Ventilator Settings
High PEEP,Low Tidal Volume and RR of 35/min
31
Silicosis X-ray finding
May show multiple round nodules in a symmetrical pattern
32
Duchenne Muscular Dystrophy + Type 2 Respiratory failure management
NIV > Intubation (Due to risk of difficulty in weaning off)
33
Indication for CT in expiration phase
COPD patient to see Air trapping
34
Cystic Fibrosis patient with fever and sputum showing Gram -ve bacilli
Burkholderia cepacia
35
Initial management of Sarcoidosis
Spontanous resolution hence only supportive
36
Pneumocystis jirovecii prophylaxis in HIV +ve patients with CD4 count <200
Co-trimoxazole 80/400mg 1-0-0
37
Pneumocystis jirovecii prophylaxis for patients takin Fludarabine
Co-trimoxazole 160/800mg three times weekly
38
Indication for ICD insertion in pleural effusion (2-3-4 Pause Organ)
pH <7.2 Glucose <3.3 LDH >1000 Frank Pus Organism in fluid
39
Management of Latent Tuberculosis
Monotherapy with Isoniazid for 6-9 months
40
Asthmatic symptoms not resolving on Inhalers and HRCT shows B/L Centrally dilated thickened airways Diagnosis
Allergic bronchopulmonary aspergillosis
41
IOC for confirming pleural effusion due to TB
Pleural Biopsy culture
42
Management of SIADH not getting corrected on Fluid Restriction
Demeclocycline
43
Allergic Bronchopulmonary Aspergillosis
Oral Corticosteroids +/- Itraconazole
44
Kartagener syndrome
Recurrent Sinusitis + Bronchiectasis + Azoospermia + Situs Inversus
45
Lymphoid Interstitial Pneumonia
Slow Onset SOB + Diffuse increase in Immunoglobulins + Lung biopsy shows diffuse interstitial Lymphoid Aggregates
46
Cystic Fibrosis GI symptoms
Pancreatic Exocrine Insufficiency
47
Female + Mother died of unknown cause + X ray shows small dots
Alveolar Microliths
48
Therapy to improve long term prognosis in Cor-Pulmonale
LTLO - 15 hours per day
49
Finger Clubbing + Long Bone pain + bone scan revealing uptake in bones particularly mandible
Hypertrophic Pulmonary Osteoarthropathy
50
Contraindications for pneumonectomy
FEV1 < 2 Liters post bronchodilators
51
Of the ATT which should be avoided the most in CLD
Pyrazinamide
52
Management of Lung Fibrosis in Systemic Sclerosis
Immunosuppressant therapy with MFM and Cyclophosphamide
53
Exercise Induced Oxygen desaturation in a patient with immunosuppression
Pneumocystis Jirovecii infection
54
Criteria for Lung Transplant in COPD
- FEV1 <20% of predicted - Increased frequency of hospitalisation - Pulmonary Hypertension or Cor Pulmonale - BODE Score >7
55
Yellow Nail Syndrome Clinical Features
Primary Lymphoedema + Yellow Nails + Recurrent pleural effusion
56
Management of Vomiting During Intubation procedure
Suctioning to prevent aspiration
57
Management of Cystic Fibrosis patient with long term Pseudomonas colonisation
6 months oral Azithromycin
58
Post Transplant Patient complaints of Shortness of Breath and Wheeze after 3 months or more of procedure
Bronchiolitis obliterans syndrome
59
IOC for Mesothelioma
Thoracoscopy and Biopsy
60
Management of Granulomatosis with Polyangiitis
Prednisolone + Cyclophosphamide
61
PR3 Antibodies +ve is suggestive of
Granulomatosis with Polyangiitis
62
How to confirm Chylothorax
Triglyceride levels >1.2 in fluid
63
Low Total Protein with normal albumin levels along with Reccurent Chest Infections and Offensive smelling stools
X-linked Hypogammaglobulinemia
64
X-linked Hypogammaglobulinemia IOC
Measure Immunoglobulins
65
Medication associated with greatest chance of smoking cessation
Bupropion
66
DOC for Hopsital Acquired Pneumonia in patients with Myasthenia Gravis
Co-Trimoxazole
67
Indication for Repeat X-ray after 6 weeks for Pneumonia
- Age >50 - Persistent Symptoms - Resp examination features +
68
Facial Swelling + Bluish Discoloration of Face + Headache Along with cough and hemoptysis
Superior Vena Cava Syndrome
69
Management of SVC Syndrome
1st Line: Corticosteroids 2nd Line: Endovascular Stenting
70
Medication associated with increased survival in Idiopathic Pulmonary Fibrosis and GERD
PPI
71
Dyspnoea along with tender, swollen, edematous, Jaw
Ludwigs Angina
72
Isolation of Highly active TB
Negative Pressure Room
73
Sarcoidosis First Line Management
Prednisolone
74
Aspergilloma management
1st Line: Lobectomy 2nd Line: Bronchial Artery Embolization
75
Extrinsic Allergic alveolitis X-ray finding
Upper Lobe Nodular pattern of fibrosis
76
Honeycomb pattern of fibrosis in upper lob of chest x-ray seen in
End Stage Interstitial fibrosis
77
IOC for Legionella Pneumonia
- Urine Antigen Testing - Direct Immunofluorescent staining of bronchial wash - Blood and sputum test
78
Pulmonary Alveolar Proteinosis findings
on BAL - PAS Positive Proteinaceous fluid
79
Investigation to confirm empyema
Pleural fluid pH <7.2
80
Lymphangioleiomyomatosis Clinical Features
Recurrent Pneumothorax + Chylous Effusion In a women of reproductive age group
81
Initial Investigation for Pulmonary Hypertension
USG Abdomen and Venous Doppler
82
Ferility in Cystic Fibrosis patients
Male - 98% Infertile Female - Can have children
83
Causes of Restrictive pattern with decreased KCO
- Idiopathic Pulmonary Fibrosis - Sarcoidosis
84
Definition of Typical Sarcoid Granuloma on Biopsy
Granuloma with epitheloid cells with sparse lymphocytic infiltrates at the margins

MRCP Part 2 (14 decks)

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