You discuss a 9 year old child you have seen with a chronic productive cough with your clinical supervisor. From the history it appears that even between simple colds he is getting a productive cough, and you consider Bronchiectasis as a differential. Which one of the following organisms from his sputum culture would be least …
You see 67 year old Mrs Galloway who has had a chesty cough and fevers for the last 2 days. Following examination, you suspect she has a Pneumonia and consider whether she needs hospital admission. Which one of the following factors would not score a point in the CURB-65 scoring?
Mrs Jackson is 55 years old and has ‘struggled with her chest on and off’ for the last 5 years. On further questioning she says she has frequent bouts of ‘bronchitis’ and gets short of breath on exertion. She has quit her long term habit of smoking 2 months ago but has found her breathing …
You receive the CT thorax report back for a 70 year old lady who has been investigated for dyspnoea. The report mentions the presence of honeycomb cysts in a basilar subpleural distribution. What is the most likely diagnosis?
Penelope is a seven year old girl who has been brought to the GP by her mother as she is concerned about her Asthma control. Penelope was diagnosed with Asthma one year ago and is currently prescribed Salbutamol for use as required and a low dose inhaled corticosteroid (ICS) Beclomethasone dipropionate inhaler. Her mum explained …
A 55 year old male patient presents with rigors, pleuritic chest pain and purulent sputum. He has alcohol dependence and Type 2 Diabetes. Chest x-ray reveals consolidation in the upper lung lobes with cavitation. Which type of pneumonia is he most likely to have?
A 65 year old retired headmistress presents with progressive exertional dyspnoea, malaise and a dry cough over several months. She has never smoked. On examination clubbing is noted along with fine ‘velcro-like’ crepitations. What is the most likely diagnosis?
Ollie is 3 years old and is brought in by his mum to the GP surgery as he has had a cough for 6 weeks. It is impacting the whole family as it is disturbing the sleep of others as well. She is asking for an inhaler as she was given one last year and …
Lara is 35 years old and has recently returned from her gap year travelling across Africa. She reports night sweats, haemoptysis and a productive cough and a chest x-ray is requested. Which one of the following chest x-ray findings is least in-keeping withTuberculosis?
You are speaking to a Respiratory consultant to discuss the management of a 57 year old patient who is suspected to have Pulmonary Fibrosis. Which one of the following medications is not known to cause Pulmonary Fibrosis?
