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8- Respiratory (1 Hours & 55 minutes)

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   Content of this Session
    • Acute epiglottitis
    • Laryngotracheobronchitis (croup)
    • Vocal cord nodules (singer’s nodules)
    • Laryngeal papilloma
    • Laryngeal carcinoma
    • Pneumonia
    • Lung abscess
    • Tuberculosis (TB)

 

 

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[h] Cardiovascular System Flashcards

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[q] What is the most likely diagnosis?

10 years old child presenting with acute onset of fever with dysphagia, drooling, respiratory distress and inspiratory stridor. Patient try to hyperextend the neck and maintain a tripod position (upright/forward positioning with neck hyperextension) to improve his respiration. Lateral view xray shows an enlarged epiglottis “thump sign”?

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[q] The first step in management of epiglottitis is to ………..?

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[q] What is the most likely diagnosis?

2 years old patient presenting with respiratory distress, inspiratory stridor, a dry, “barky,” seal-like cough. anteroposterior neck radiographs will reveal subglottic edema known as the “steeple sign” (red arrow)?

 

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[q] Laryngotracheobronchitis (croup) is most commonly caused by …………?

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[q] Patients with moderate to severe croup (respiratory distress, stridor at rest) should be treated with corticosteroids and ………, which constricts mucosal arterioles in the upper airway and alters capillary hydrostatic pressure, leading to decreased airway edema and reduced secretions.

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[q] ……….. is a bulge that arises on the true vocal cord due to excessive use of vocal cords; usually bilateral and presents with hoarseness; resolves with resting of voice.

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[q] ………. which has affinity for stratified squamous epithelium, can cause warty growths (papillomas) on the true vocal cords, producing hoarseness and possible stridor (upper airway obstruction).

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[q] What is the most likely diagnosis?

32 years old patient presenting with fever, chills, productive cough with rusty sputum, severe respiratory distress, and tachypnea with pleuritic chest. CXR is shown blow. Sputum gram staining and culture is positive for Streptococcus pneumoniae?

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[q] What is the most likely diagnosis?

32 years old patient presenting with low grade fever, chills, dry cough, and mild respiratory distress. CXR is shown blow. Sputum gram staining and culture is negative?

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[q] The green discoloration of pus or sputum noted during bacterial infections is associated with the release of ………… from neutrophil azurophilic granules.

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[q] What is the most likely diagnosis?

40 years old heavy alcoholic presenting with fever, malaise, and cough with copious production of foul-smelling sputum. CXR shows Air-fluid levels in the right lung?

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[q] ……….. is good empiric coverage for lung abscess.

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[q] Location of lung abscess as a complication of aspiration pneumonia depends on patient’s position during aspiration:
Upright position —> ……………?
Supine position —-> ……………..?

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[q] In (Primary or secondry) M. tuberculosis infection, there is a lower lobe lung lesion (Ghon focus) accompanied by ipsilateral hilar adenopathy is described as a Ghon complex.

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[q] Later in life (usually following immunosuppression by drugs or HIV) Tuberculosis can be reactivated and establish infection in ………….?

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[q] What is the most likely diagnosis?

42 years old patient presenting with night sweats, cough with hemoptysis,  weight loss, and respiratory distress. He was on glucocorticoid the last 6 months due to SLE. Sputum sample is positive for AFB?

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