Haemoptysis can be an extremely scary symptom to patients, however is not that uncommon. Test yourself on this set of questions to review 2 cases of a patient presenting with haemoptysis – good luck!
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Stem 1 of 5
A 67 year old man, Trevor, presents to A&E having coughed up blood in the night. He has had a productive cough for the past week but has only produced sputum up to this point, but is concerned that he’s suddenly coughing up blood. He says his GP states he has something called “COPD” but does not remember what it means.
What is the most common cause for COPD exacerbations?
Aspiration of liquids
Increase in smoking habit
Stem 2 of 5On examination Trevor is showing increased effort to breath, using his accessory muscles to breath in and out. Which of the following muscles in not used in active inspiration?
Stem 3 of 5If you were to take an ABG sample from Trevor prior to starting any treatment what would you expect to find, considering he has symptoms for a week?
CO2 high, HCO3- low
CO2 normal, HCO3- low
CO2 low, HCO3- high
CO2 high, HCO3- high
CO2 low, HCO3- normal
Stem 4 of 5A CXR is taken. For on a typical patient presenting with COPD, which one of the following features would you not expect to see?
Increased retrosternal air space
Bronchial wall thickening
Stem 5 of 5As part of treatment for exacerbation of COPD Trevor is given a salbutamol nebuliser. What type of drug is salbutamol?
Alpha 1 adrenoreceptor agonist
Beta 1 adrenoceptor agonist
Alpha 2 adrenoceptor antagonist
Beta 2 adrenoceptor antagonist
Beta 2 adrenoceptor agonist
Stem 1 of 5
A 44 year old man, Karl, comes to his GP with his partner Gail who is concerned that he has had a cough that will not go away and is now producing fresh blood tinged sputum. Gail is worried that he might have TB as one of their neighbours has recently been diagnosed.
Considering the patients presentation, what should be the next investigation step taken by the GP?
Peak flow assessment
2 Week Wait Referral
Stem 2 of 5What sputum stain can be used to identify TB?
Stem 3 of 5If Karl is diagnosed with TB the registered medical practitioners making that diagnosis has a statutory duty to notify their local council or health protection team. Which of the following is not a notifiable disease in the UK?
Stem 4 of 5On examination Karl is short of breath, states he has ongoing moderate chest pain and clothes look loose on him. If the cause of his symptoms were malignant, what would be the most likely cause?
Large cell lung carcinoma
Stem 5 of 5Karl is diagnosed with a lung cancer with metastasis found in local lymph nodes. Soon after his diagnosis Karl has recurrent hiccuping. The GP explains this is due to compression of one of his nerves in his chest. What nerve is most likely being affected?
Superior laryngeal nerve