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The previous question:
A 25 year old female presents with dry cough, fever and shortness of breath. She has also been suffering from
night sweats and malaise. She has also noticed bruise like lesions on her shins. She is found to have an elevated
ESR and a CXR reveals bilateral hilar lymphadenopathy, a pleural effusion and evidence of reticulo nodular
shadowing in the upper lobes. What is the most likely diagnosis?
Your answer was Sarcoidosis which is correct
Sarcoidosis correct answer
Tuberculosis
Lymphoma
Rheumatoid arthritis
Lung cancer
Explanation:
The finding of respiratory symptoms, erythema nodosum and bilateral hilar lymphadenopathy is very
suggestive of sarcoidosis. As well as bilateral hilar lymphadeonpathy, sarcoidosis can lead to interstitial lung
disease which often leads to fibrosis and reticulo nodular shadowing in the upper lobes.
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Question category: Respiratory
A 25 year old female has an acute asthma attack. She is tachycardic and is
tachypnoeic with a respiratory rate of 35. On auscultation she is very wheezy
but is beginning to tire. Her peak flow is about one third of her normal. She is
commenced on both salbutamol and ipratropium nebulisers and IV
hydrocortisone and IV magnesium sulphate however has not greatly improved.
Her gases reveal a high normal CO2 level and low normal O2 level on a
trauma mask. Which of the following is the next step in her management?
IV salbutamol
IV aminophylline
CPAP
Intubation and ventilation
BiPAP
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