Regarding SLE

Which of the following Antibody titer is helpful in determining flare ofSLE?

a)ANA
b)Anti Smith
c)Anti dsDNA
d)Anti SSA
e)Anti SSB

Answer: c) Anti dsDNA

40 Year old smoker

A 40yearold smoker presented to  the A & E department with sudden onset of  severe shortness of breath, his respiratory rate was 36/min, O2 Saturation at room air was 82%,heart rate 136/min, Blood pressure 80/55 mmhg. He was profusely sweating, neck veins were distended, on auscultation there was reduced air entry on  the right hemithorax.

What is the most appropriate next best step

a)Do a Chest Xray
b)Insert a partially saline filled syringe at right 2nd I.C Space
c)Call to arrange a chest drain
d)CT Chest
e)Give Streptokinase

Answer : B)Insert a partially saline filled syringe at right 2nd I.C Space. (case of tension pneumothorax. This needs  to be done even before ordering a chest xray.)

Sleep Apnoea

How many episodes of apnoea or hypopnea are required in 1hour of sleep to indicate significant Sleep Apnoea

a)5
b)10
c)15
d)20
e)25


Answer : C) 15