A 75 year old man was admitted to the hospital with worsening dyspnoea. He was given a five day course of Amoxicillin. On examination, his blood pressure was 89/59 mmHg with a respiratory rate of 35/min. A chest x-ray revealed left lower lobe consolidation. Past medical history: Type 2 diabetes mellitus Arterial blood gas on air: pH 7.34 pCO2 5.4 kPa pO2 9.0 kPa Which antibiotic therapy is the most suitable?
A 26 year old man with a history of ‘brittle’ asthma is admitted with an asthma attack. High-flow oxygen and nebulised salbutamol have already been administered by the Paramedics. The patient is unable to complete sentences and he has a bilateral expiratory wheeze. He is also unable to perform a peak flow reading. His respiratory rate is 31/minute, sats 93% (on high-flow oxygen) and pulse 119/minute. Intravenous hydrocortisone is immediately administered and nebulised salbutamol given continuously. Intravenous magnesium sulphate is administered after six minutes of no improvement. These are the results from the blood gas sample that was taken after another six minutes: pH 7.32 pCO2 6.8 kPa pO2 8.9 kPa What is the most appropriate therapy in this patient?
Which of the following regarding malignant mesothelioma is correct?
A young man presents to the clinic with recurrent episodes of breathlessness. Past medical history reveals recurrent episodes of colicky abdominal pain for the past three years. On examination, he has a productive cough with foul smelling sputum. Investigations show: Sputum culture with Heavy growth of Pseudomonas aeruginosa and Haemophilus influenzae. Chest x-ray: Tramline and ring shadows. What is his diagnosis?
A 68 year old man is admitted with an infective exacerbation of chronic obstructive pulmonary disease (COPD). Investigations: blood gas taken whilst breathing 28% oxygen on admission: pH 7.30 p(O2) 7.8 kPa p(CO2) 7.4 kPa Which condition best describes the blood gas picture?
A 28 year old female hiker begins complaining of headache and nausea after reaching a height of 5010 metres. Despite having the headache and feeling nauseous, she continues to hike but becomes progressively worse. She is seen staggering, complains of feeling dizzy and has an ataxic gait. Which of the following is the appropriate treatment of this patient?
A 23 year old male medical student presents to the A&E department with pleuritic chest pain. He does not have productive cough nor is he experiencing shortness of breath. He has no past medical history. A chest x-ray which was done shows a right-sided pneumothorax with a 1 cm rim of air and no mediastinal shift. What is the most appropriate treatment option?
A 56 year old man who is a known alcoholic presents to the clinic with a fever and cough. Past medical history states that he has a long history of smoking and is found to have a cavitating lesion on his chest x-ray. Which organism is least likely to be the cause of his pneumonia?
A 60 year old man who has been complaining of increasing shortness of breath had a post-bronchodilator spirometry done. FEV1/FVC 0. 63 FEV1% predicted 63% What is the best interpretation of these results?
A phrenic nerve palsy is caused by which of the following?