Respiratory Medicine — Flashcards

Flashcard 31: What Investigations would you order for a suspected PE? 6

Answer: • Chest X-Ray • CTPA -> given Well's Score • D-Dimer • ECG • ABG • Troponin

Flashcard 32: What is used to detect occupational asthma?

Answer: Serial Peak flow measurements at work and at home

Flashcard 33: Type of effusion if fluid protein/serum protein ratio >0.5?

Answer: • Exudative

Flashcard 34: Pulse in severe asthma?

Answer: • >110BPM

Flashcard 35: An empyema requires?

Answer: Prompt drainage alongside antibiotic drainage

Flashcard 36: What pattern would Emphysema cause on spirometry?

Answer: • Obstructive pattern

Flashcard 37: FEV1/FVC < 70% is?

Answer: • Obstructive condition

Flashcard 38: What is the gold-standard investigation for superior vena cava obstruction? _____

Answer: CT thorax with contrast

Flashcard 39: What is the gold-standard investigation for Mesothelioma?

Answer: Thoracoscopic biopsy (histological)

Extra: Thoracoscopy (VATS) allows for direct visualization and obtaining large tissue samples, which are necessary for the histological subtype and immunohistochemistry required for a definitive diagnosis of mesothelioma.

Flashcard 40: What syndrome can present with dextrocardia and bronchiectasis?

Answer: • Kartagener's syndrome