Lung pathology 2

1. Which are the 3 core elements of COPD?

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?

3. A 23 year old woman has cystic fibrosis. What 4 respiratory complications might you expect?

4. An ex-coalworker presents with restrictive pattern of lung function. What are the 3 forms of coal-workser's pneumoconiosis?

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?

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?

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?

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?

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?

10. a 75 year old ex-smoker with known emphysema presents with breathlessness. X ray shows pneumothorax. What is the most likely pathogenesis?

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?

12. A 43 year old male with AIDS presents with shortness of breath. WCC=1. Which 1 protozoa may be responsible for this?

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?

14. A 43 year old male with AIDS presents with shortness of breath. WCC=1. Which 2 fungi may be responsible for this?

15. which 3 bacteriae are most commonly involved in primary atypical pneumonia?

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?

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?

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?

19. A 43 year old male with AIDS presents with shortness of breath. WCC=1. Which 4 viruses may be responsible for this?

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?

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?

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?

23. True or false regarding emphysema. Often associated with fibrosis. ?

24. True or false regarding interstitial lung disease. it can be caused by Goodpasture's syndrome. ?

25. True or false regarding interstitial lung disease. it can be associated with childhood adrenal cancers. ?

26. True or false regarding lung disorders. Goodpastures can cause emphysema. ?

27. True or false regarding pneumonia. Mainly affects the alveolar tissue. ?

28. True or false regarding pneumonia. Associated with consolidation. ?

29. True or false regarding pneumonia. Gram positive bacteria is associated with hospital acquired pneumonia. ?

30. True or false regarding pneumonia. Gram positive bacteria is associated with community acquired pneumonia. ?

31. True or false regarding pneumonia. Bronchopneumonia is usually unilateral. ?

32. True or false regarding pneumonia. Lobar pneumonia is more likely to affect alcoholics and vagrants. ?

33. True or false regarding pneumonia. Primary atypical pneumonia is associated with consolidation. ?

34. True or false regarding Acute respiratory distress syndrome. Lead poisoning can cause ARDS. ?

35. True or false regarding Acute respiratory distress syndrome. Acute pancreatitis is a cause of ARDS. ?

36. True or false regarding Acute respiratory distress syndrome. Cardiac bypass surgery is a cause of ARDS. ?