The previous question:

A 35 year old female who works in a cotton mill in China has recently immigrated. She states while working in the
cotton mill she would suffer from cough, shortness of breath and chest tightness on the first day of work as this
gradually improved as the week progressed. There is nil of note on examination. Chest xray and pulmonary function
tests are normal. What is the most likely diagnosis?
Your answer was Occupational asthma which is incorrect
Byssinosis correct answer
Occupational asthma
Silicosis
Berylliosis
Anxiety
Explanation:
This history is typical of byssinosis which occurs in cotton workers and is therefore rare in the UK. The
symptoms are worst when work is first commenced and then improves as the week progresses. It is thought
that the most likely aetiology is endotoxins from bacteria on the raw cotton.
Question category: Respiratory
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A 58 year old male with Churg Strauss Syndrome presents with a cough
productive of green sputum with occasional haemoptysis. He has chronic
kidney disease stage 3. He is currently on long term steroids. On examination
he appears relatively well. There is evidence of left basal crepitations and
bronchial breathing and he has a respiratory rate of 20. His temperature is
37.8. Oxygen saturations are 97%. His heart rate was 90 and Blood pressure
120/70 mmHg. A Chest Xray reveals left basal consolidation.
Oral Amoxicillin and Increase steroid dose
Oral Co-amoxiclav and Increase steroid dose
Oral Co-amoxiclav and Clarithromycin
IV amoxicillin and Increase steroid dose
IV steroids
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