Medical Post Graduation | Paediatrics | Paediatric pulmonology

Practice Medical Post Graduation | Paediatrics | Paediatric pulmonology on Bissoy — browse topics below and open any question.

Questions

Statements about croup

ক

Usually due to viral infection

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X-ray neck is helpful

গ

Relieved by the nebulization with epinephrine

ঘ

Lower respiratory tract infection

ঙ

Antibiotics are always indicated

Features of bronchiolitis in infancy include

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Rapid breathing

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Wheezy cough

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Vesicular breath sound with prolonged expiration

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High fever

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No improvement with salbutamol nebulization

Regarding acute Bronchiolitis:

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Inflammatory cytokines are involved in its pathogenesis

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IgE immnoglobulin is related to wheeze in these children

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Hypercapnia is an important biochemical change

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Adenovirus is the predominant organism

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Common in infants below 3 month of age

Severe pneumonia in 2 months of age:

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Stopped feeding well is a danger sign

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Respiratory rate> 70 min is an indication of oxygen therapy

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Can be treated outside the hospital

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Both fast breathing & chest indrawing must be present for diagnosis

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Severe malnutrition is a danger sign

The cause(s) of false negative test is/are

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Malnutrition

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Milliary TB

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Steroid therapy

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Non-tuberculous mycobacterial infection

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Pulmonary tuberculosis

Typical features of primary tuberculosis are

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Erythema nodosum

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Pleural effusion

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Sustained pyrexial illness

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Hilar lymphadenopathy

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Non-reactive Mantoux Test

Biphasic stridor occurs in

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Tracheomalacia

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Vocal cord paralysis

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Supraglottic obstruction

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Laryngomalacia

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Laryngeal web

Central cyanosis

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Detected when arterial saturation falls below 80-85%

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Due to presence of excessive reduced Hb in the blood

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Detected in skin and mucus membrane

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Hands are cyanosed and cold

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Hands are cyanosed and warm

Features of pleural effusion are

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Decreased vocal resonance

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Dullness on percussion

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Shifting of trachea to same side

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Vesicular breath sound with prolong expiration

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Bronchial breath sound

Cystic fibrosis is associated with

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Recurrent cough

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Chronic or recurrent diarrhea

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Poor weight gain

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Non-consanguineous parents

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Sweat chloride test <60 mmol/L