Name: Sivahamy Sivakumar

Theme: Respiratory Disease

OPTION LIST

A	Acute asthma	I	Pulmonary oedema
B	Chronic bronchitis	J	Small cell carcinoma
C	Cryptogenic fibrosing alveolitis	K	Squamous cell carcinoma
D	Cystic fibrosis	L	Thymoma
E	Emphysema	M	Tuberculosis
F	Mycoplasma pneumonia	N
G	Pneumococcal pneumonia	O
H	Pulmonary embolism	P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. 60 year old life long smoker presents to her GP with a 10 day history of worsening shortness of breath, cough and wheeze. Her cough produces a greenish sputum. On examination she is tachypnoeic and very cyanosed. Auscultation of her chest reveals a harsh polyphonic wheeze and signs of a right lower lobe pneumonia. This lady has developed type II respiratory failure secondary to what pulmonary disease?

2. 70 year old man presents to his GP with a four day history of haemoptysis. He has noticed he has been loosing weight over the last 4 months and has felt tired and unwell. On examination he has bilateral ptosis and proximal weakness in the limbs which improves on repeated testing

3. 52 year old lady with ovarian cancer comes into A&E with with a 10 hour history of haemoptysis associated with dysponea and pleuritic pain. Her chest X-ray is normal apart from a wedge shaped infarct peripherally on the right.

4. 45 year old fireman presents to chest clinic with a 1 year history of increasing shortness of breath. On examination you find that he is tachypnoeic and has gross clubbing of the fingers. Auscultation reveals bibasal fine end-inspiratory crackles

5. 30 year old lady presents to her GP with a productive cough. The sputum is investigated and shows neutrophils and gram-positive cocci in pairs.

ANSWERS

1. B

2. J

3. H

4.C

5.G