An increase in temperature of more than 37.5⁰C, accompanied by a new dry cough and loss of taste
Periodic cessation of breathing, accompanied by increasing respiratory, followed by a sudden and loud resumption of breathing, often with repositioning
Shivering, accompanied by a fever, with lots of sweating
Lots of sweating during the night, forcing you to change night clothes/sheets frequently
7. Which of the following is not a relevant enquiry in past respiratory illnesses in PMHx?
Whooping cough, measles, inhaled foreign body
Previous MI
Connective tissue disease
TB
Neuromuscular disorders
Pneumonia
Malignancy
Previous surgery, travel, immobility, cancer
Eczema, hay fever
Asthma in childhood
Recent surgery, loss of consciousness
8. What may a Bovine cough indicate?
COPD
Hilar malignancy
Acute bronchitis
Oesophageal reflux
9. What is the definition of OSA/OSASH?
Lots of sweating during the night, forcing you to change night clothes/sheets frequently
Shivering, accompanied by a fever, with lots of sweating
Periodic cessation of breathing, accompanied by increasing respiratory, followed by a sudden and loud resumption of breathing, often with repositioning
An increase in temperature of more than 37.5⁰C, accompanied by a new dry cough and loss of taste
10. Which of the following is not true about sputum consistency?
Firm plugs in asthma, may indicate underlying allergic bronchopulmonary aspergillosis
Increased stickiness/viscosity may indicate Acute lower respiratory infections
Large volumes of frothy secretions over weeks may indicate bronchoalveolar cell carcinoma
11. Which of the following are not indicated in instantaneous dyspnoea?
Acute allergy
Asthma
PE
Pneumothorax
12. Which of the following is not a possible cause for dyspnoea?
Hypoxia caused by ventilation/perfusion mismatch, which stimulates the chemoreceptors
Forced expiration due to alveolar tickling, which in in turn produces sputum that carries foreign objects through the mucocilliary escalator
Mechanical loading of the lung muscles dur to airflow obstruction or decreased lung compliance in fibrosis
Stimulation of the intrapulmonary afferent nerve due to interstitial inflammation or thromboembolism
13. What is the most like cause of breathlessness at rest/over night?
All of the above
COPD
Asthma
Anxiety
14. Which of the following is not associated with pleuritic chest pain?
The pain is described as a sharp, stabbing, knife-like pain
May indicate pneumothorax, pneumonia and pulmonary infarcts, or lung cancer
Burning retrosternal pain
Pain is worse in inspiration and coughing
15. What is the respiratory side effect of Beta blockers?
Diffuse parenchymal lung disease
Bronchoconstriction
Cough
Pleural effusion
16. Which is the best clinical fitting description for a PE?
A sudden episode of coughed up small blood volume with pleuritic chest pain and dyspnoea
Large volumes of haemoptysis (>20ml)
A short hx of streaks of blood in purulent sputum
Recurrent blood streaks in clear sputum
17. Which of the following best describes the breath sounds heard in laryngotracheobronchitis?
Crackle
Rales
Stridor
Wheeze
18. Which of the following is considered as haemoptysis?
Patient coughing, producing sputum is a bloody streak
Patient has blood in the mouth, following tooth extraction
Patient who tastes blood in their mouth after an episode of epitaxsis
Patient visibly sees blood lining their gums
19. Which best matches a daily purulent cough with recurrent haemoptysis?
Bronchiectasis
Lung cancer
Asthma
Interstitial lung disease
20. In which of the following diseases is weight loss not a poor prognostic indicator?
