September 2018 plab 1 recall-RESPIRATORY MEDICINE

RESPIRATORY MEDICINE

 CURB 65 score question
 COPD exacerbation and asked about type of oxygen to be given
 COPD with spirometer parameters i.e. raised residual lung volume etc.
 One scenario to detect COPD i.e. chronic smoking and X ray
 Pulmonary embolism investigation after X ray was fine
 Hemi thorax pleural effusion, one question with stable vitals and one with unstable vitals
and asked about management
 Exercise and history of wheeze and asked about investigation
 Back stab with dull percussion and trachea central i.e. hemi thorax
 Repeated infections scenario of cystic fibrosis
 One scenario was to diagnose COPD as it gives X ray as well
 Bronchial lung carcinoma scenario
Squamous cell carcinoma of lungs causes which type of metabolic derangement
 Pancoast tumour scenario with signs and asked about ipsi lateral truck compression
 Cough and breathlessness and with X ray, it was atypical pneumonia
 Signs of atypical pneumonia and asked about organism
 A cardiac medicine which cause night chest tightening was B blocker
 One scenario of tension pneumothorax and asked about management
 One question about pleural effusion and asked about investigation
 Large amount of sputum and blood bronchiectasis
 Old patient can’t eat orally so TPN