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RESPIRATORY MEDICINE

Welcome to the online Test RESPIRATORY MEDICINE

1. A 28 year old man presents with cough, shortness of breath and wheezing. The symptoms started when he was running initially. Now the symptoms are present while walking or even at rest. During childhood he suffered from atopic dermatitis. His father and sister also suffered atopic dermatitis. He also has hay fever from 14 years of age. The cause of bronchospasm

2. A 74 year old man with a history of smoking notices blood in his chronic daily sputum production. He has no fever or chills, but has lost 10lb in the past 6months. On examination, he has B/L expiratory wheezes, and his fingers are clubbed. There are no lymph nodes and the remaining examination is normal. CXR reveals a left hilar mass. Which of the following suggests that the tumour is a small cell lung cancer

3. A 65 year old woman after total knee implant surgery complains of calf pain and swelling in the leg from last 2 days. Later she complaines of breathlessness and dies suddenly in the ward. Probable cause

4. A 50 year old male with emphysema and a chest xray that has shown apical blebs develops the sudden onset of shortness of breath and left sided pleuritic chest pain. Pneumothorax is suspected. Physical examination findings that would confirm the diagnosis are

5. Floating water lily sign on CXR is characteristic of

6. CURB-65 score is used in pneumonia to assess

7. Reactivation TB is usually seen at

8. In COPD which is true

9. Proximal bronchiectasis, eosinophilia and asthma are characteristic of

10. Mesothelioma is most commonly caused by

11. The M/C cause of pulmonary abscess in Cystic fibrosis is

12. True about sarcoidosis i. Schauman and asteroid bodies are pathognomic finding ii. CD4/CD8 <2.5 in broncho alveolar lavage fluid iii. Non caseating granuloma iv. Intravascular granuloma

13. All of the following are features of acute severe asthma except

14. Investigation of choice for interstitial diseases is:

15. A 64 year old woman is admitted to the hospital with right lobar pneumonia and sepsis syndrome. She becomes progressively shorter of breath and hypoxemic requiring intubation and mechanical ventilation. Her repeat CXR in the intensive care unit now shows diffuse pulmonary infiltrates and a diagnosis of ARDS is made. Which of the following mechanism is the most likely cause for the early “exudative” phase of ARDS.

16. A 20 year old fireman comes to the emergency room complaining of headache and dizziness after putting out a garage fire. He doesnot complain of shortness of breath and the ABG(Arterial blood gas) shows normal P O2. There is no cyanosis. Which of the following is the first step after this in this patient

17. Development of severe liver disease that is usually associated with, but may be independent of, lung disease. For each set of finding below, select the disease with which it is most likely to be associated.

18. A 33 year old farmer complains of recurrent episodes of wheezing after working in a barn where hay is stored. On auscultation, there are bibasilar crackles and heart sounds are normal. His laboratory work is normal with no increase in eosinophils and the CXR reveals patchy lower lobe infiltrates. Which of the following is the most likely diagnosis

19. All predispose to ARDS except-

20. Asthma spirometry feature are

21. A 24 year old woman notices increasing shortness of breath after recent treatment of right lobar lobe pneumonia.she has no fever, cough or sputum production. On examination, the pertinent findings are decreased fremitus,dullness on percussion,and absent breath sound on the right lower lung. In addition the trachea has shifted to the left.for the above patient with abnormal pulmonary physical findings,select the most likely diagnosis.

22. The majority of cases of community acquired pneumonia are due to infection with

23. Which of the following in the light’s criteria are suggestive of exudative pleural effusion. i. Pleural fluid protein: serum protein >0.5 ii. Pleural fluid Adenosine deaminase0.6 iv. Pleural fluid LDH> 2/3 of the upper limit of serum LDH

24. Sugarcane induced lung disease

25. A 25 year old male presents to the clinic for evaluation for infertility. He has a life long history of a productive cough and recurrent pulmonary infection. On his review of symptoms he has indicated chronic problems with abdominal pain, diarrhoea, and difficulty gaining weight. He also has DM. His CXR suggests bronchiectasis. Most likely the diagnosis

26. Pleural effusion in standing position gravitates in the region of

27. Which of the following is not a feature of consolidation

28. The most common cause of pulmonary thromboembolism

29. Life threatening features of asthma are the following except

30. In case of obstructive sleep apnoea, apnoeas are defined in adults as breathing pause lasting?

31. Difference between bronchial asthma and COPD?

32. Smokers are prone to which lung infection?

33. Cause of transudate pleural effusion?

34. A 72 year old man with COPD develops acute shortness of breath and presents to the hospital. He appears uncomfortable, BP is 120/90 mm hg, pulse 100bpm, O2 saturation 85% on room air. On examination of chest there is absent fremitus, absent breath sounds, and hyper resonant percussion of right lung. The trachea is shifted to the left. For the above patient most likely diagnosis

35. Popcorn calcification is seen in

36. In a chronic smoker, a highly malignant aggressive and metastatic lung carcinoma is

37. Lung to Lung metastasis is seen in

38. A high amylase level in pleural fluid suggest a diagnosis of

39. Features of shock lung

40. Lambda panda sign is typically seen in

41. Garland sign on CXR involves all except

42. Commonest sign of aspiration pneumonia

43. Caplan syndrome in pneumoconiosis is associated with

44. Which of the following is not a complication of bronchiectasis

45. Aspirin sensitive asthma is associated with which of the following

46. False negative tuberculin test is seen in all except

47. Presence of cholesterol crystal in pleural effusion is a feature of

48. In left sided massive pneumothorax ECG shows all except

49. Clubbing is least common in 244

50. Alpha trypsin deficiency is associated with

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