16Causes Trauma Infective Neoplastic Vascular Parenchymal Non pulmonary CVSPulmonary oedemaMitral stenosisAortic aneurysmEisenmenger’s SyndromeBleeding DiathesisIncluding Drug induced
17Mrs Reddy is 42. She presents with haemoptysis, weight loss of 10 kg over 2 months and night sweats. She has never smoked
18Her CXR shows cavitation in the right upper zone.
19What are the possible diagnoses? TumourTBPneumoniaMycobateria other than TB (MOTT)Any of them
20What would you like to do next? Sputum MC+SInduced sputum x3 for AFBCT ChestCommence AntibioticsBlood Cultures
21Bronchiio-Alveolar Lavage (BAL) CT biopsy Mantoux test Sputum samples are negative for AFB. You still have high index of suspicion. What next?Bronchial BiopsyBronchiio-Alveolar Lavage (BAL)CT biopsyMantoux testRepeat CXR in 2 months
22Peter is 31. He is a non smoker , suffers from heartburn and works in a job centre. He presents with coughing up a small cup full of fresh blood over 24 hours. He normally keeps well and his mother has had problems with “DVT” in the past.
23His CXR is normal and you note that his RR is 24/min, HR 96/min and BP 121/63. His pO2 on room air is 8.3 kPa
24You put him on oxygen and start him on... WarfarinLow Molecular Weight HeparinAspirinStreptokinaseTraneximic acid
25What investigation would you arrange? CTPACT chestHRCTPFTs + DLCOV/Q scan
26If Peter was 30 years older,smoked all his life and had emphysema on his CXR
27Which test would you choose? CTPACT chestHRCTPFTs + DLCOV/Q scan
28George is 73. He presents acutely with breathlessness and coughing up frothy pink sputum. He has been suffering from orthopnoea, PND and ankle oedema over several days.
29He has fine inspiratory crackles at the bases and midzones, raised jugular venous pressure and has a heart rate of 110