Lung pathology 2

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Author:
jaz_walker
ID:
272692
Filename:
Lung pathology 2
Updated:
2014-05-01 11:08:28
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pathology
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pathology
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pathology
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  1. 1. Which are the 3 core elements of COPD?
    emphysema, chronic bronchitis, bronchiolitis
  2. 2. a 75 year old ex-smoker presents with breathlessness. Chest x ray shows hyperinflation, flat hemidiaphragms, reduced peripheral vascular markings, bullae. What is this?
    COPD
  3. 3. A 23 year old woman has cystic fibrosis. What 4 respiratory complications might you expect?
    infection, bronchiectasis, hyperinflation, hypoxia
  4. 4. An ex-coalworker presents with restrictive pattern of lung function. What are the 3 forms of coal-workser's pneumoconiosis?
    simple coal-worker's pneumoconiosis, progressively massive fibrosis, caplan's syndrome - (caplan's is RA + CWP)
  5. 5. A 81 year old woman gets a chest infection in the community. Chest x ray shows lobar pneumonia. What are the two commonest causes of community acquired infection?
    Streptococcus pneumoniae, haemophilus influenzae
  6. 6. A 81 year old woman gets a chest infection a day after returning home from hospital. Chest x ray shows bronchopneumonia. What are the two commonest causes of hospital acquired infection?
    Klebsiella, pseudomonas
  7. 7. A 31 year old woman presents with a prolonged cough. ACE is raised and tuberculin skin test is reduced. Hypercalcaemia. What are you suspicious of and what is diagnostic?
    Sarcoidosis - Tissue sample
  8. 8. A 60 year old builder presents with a restrictive pattern of breathing. Chest x ray shows fibrosis in the lower zones. What are you suspicious of and what is the non-malignant cause of death?
    Asbestosis - pulmonary hypertension
  9. 9. An ex-quarry worker presents with a restrictive pattern of lung function. What form of pneumoconiosis might be involved and what infection is she prone to?
    Silicosis - silicotuberculosis
  10. 10. a 75 year old ex-smoker with known emphysema presents with breathlessness. X ray shows pneumothorax. What is the most likely pathogenesis?
    Rupture of subpleural bullae
  11. 11. A 65 year old woman has bronchiectasis secondary to necrotising pneumonia. She presents with a fever, purulent bloody sputum and a cough. What two infections are most likely to be the cause of infection?
    Pseudomonas aeruginosa, haemophilus influenzae
  12. 12. A 43 year old male with AIDS presents with shortness of breath. WCC=1. Which 1 protozoa may be responsible for this?
    Pneumocystic carinii pneumonia
  13. 13. A 41 year old woman presents with a restrictive pattern of shortness of breath. Chest x ray shows interstitial lung disease. which 2 eosinophilic diseases can cause this?
    idiopathic eosinophilic pneumonia, allergic bronchopulmonry aspergillosis
  14. 14. A 43 year old male with AIDS presents with shortness of breath. WCC=1. Which 2 fungi may be responsible for this?
    Candida, aspergillus
  15. 15. which 3 bacteriae are most commonly involved in primary atypical pneumonia?
    mycoplasma, chlamydia, rickettsia
  16. 16. A 41 year old woman presents with a restrictive pattern of shortness of breath. Chest x ray shows interstitial lung disease. which 3 drugs aer most likely to cause this?
    methotrexate, amiodarone, nitrofurantoin
  17. 17. A 41 year old woman presents with a restrictive pattern of shortness of breath. Chest x ray shows interstitial lung disease. which 3 infections are most likely to cause this?
    miliary TB, CMV, pneumocystis carinii
  18. 18. A 53 year old man presents with shortness of breath and fever. Chest x ray shows consolidation, bronchoscopy shows diffuse haemorrhage. Which 3 interstitial lung disorders cause diffuse haemorrhage?
    Goodpasture's, Wegner's, idiopathic pulmonary haemosiderosis.
  19. 19. A 43 year old male with AIDS presents with shortness of breath. WCC=1. Which 4 viruses may be responsible for this?
    CMV, RSV, VZV, measles
  20. 20. A 43 year old man is found to have emphysema. Bronchioscopy confirms that it is panacinar. Which gene may be altered and what condition does this cause?
    Antitrypsin deficiency - homozygous piZZ alteration
  21. 21. A 41 year old woman presents with a restrictive pattern of shortness of breath. Chest x ray shows interstitial lung disease. which granulomatous disease can cause this?
    sarcoidosis
  22. 22. A 41 year old woman presents with a restrictive pattern of shortness of breath. Chest x ray shows interstitial lung disease. which two connective tissue diseases can cause this?
    rheumatoid disease, scleroderma
  23. 23. True or false regarding emphysema. Often associated with fibrosis. ?
    F - tissue destruction alone.
  24. 24. True or false regarding interstitial lung disease. it can be caused by Goodpasture's syndrome. ?
    T - due to diffuse intrapulmonary haemorrhage
  25. 25. True or false regarding interstitial lung disease. it can be associated with childhood adrenal cancers. ?
    F
  26. 26. True or false regarding lung disorders. Goodpastures can cause emphysema. ?
    F - causes interstitial lung disease
  27. 27. True or false regarding pneumonia. Mainly affects the alveolar tissue. ?
    T
  28. 28. True or false regarding pneumonia. Associated with consolidation. ?
    T
  29. 29. True or false regarding pneumonia. Gram positive bacteria is associated with hospital acquired pneumonia. ?
    F - it is associated with community acquired pneumonia
  30. 30. True or false regarding pneumonia. Gram positive bacteria is associated with community acquired pneumonia. ?
    T
  31. 31. True or false regarding pneumonia. Bronchopneumonia is usually unilateral. ?
    F - usually bilateral
  32. 32. True or false regarding pneumonia. Lobar pneumonia is more likely to affect alcoholics and vagrants. ?
    T
  33. 33. True or false regarding pneumonia. Primary atypical pneumonia is associated with consolidation. ?
    F - it is not associated
  34. 34. True or false regarding Acute respiratory distress syndrome. Lead poisoning can cause ARDS. ?
    F - paraquat poisoning can
  35. 35. True or false regarding Acute respiratory distress syndrome. Acute pancreatitis is a cause of ARDS. ?
    T
  36. 36. True or false regarding Acute respiratory distress syndrome. Cardiac bypass surgery is a cause of ARDS. ?
    T

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