Which of the following is wrong for common acquired pneumonia (CAP) ?
a. CAP is diagnosed outside of the hospital in ambulatory patients
b. The most common bacterial pathogens are S pneumonia, H influenzao, M pneumor
c. The most common patter is homogeneous, non-segmental consolidation with air bronchogram in Lobar pneumonia
d. One of the hospitalization requirement criterias is respiratory rate > 30 /min
e. Typical pneumonias usually include lymphositosis and trombositopenia
e. Typical pneumonias usually include lymphositosis and trombositopenia
- Which of the following statements regarding asthma diagnosis is false?
a. The diagnosis of asthma is based on characteristic symptom patterns and evidence of variable airflow limitation.
b. The presence of atopy increases the probability that a patient has allergic asthma, but an allergy test is not mandatory for asthma diagnosis.
c. Bronchoprovocation test should be performed when a patient has obstruction in the baseline spirometry
d. PEF (Peak expiratory flow) monitoring is helpful in diagnosis of asthma
e. Normal examination and pulmonary function test do not rule out asthma diagnosis
c. Bronchoprovocation test should be performed when a patient has obstruction in the baseline spirometry
17.Which of the following is wrong for the disease and the arterial blood gas result?
a. Pulmonary embolism: Respiratory alkalosis
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b. Respiratory center depression by drugs: Respiratory alkalosis
c. Diabetic ketoacidosis: Metabolic acidosis
d. Chronic obstructive pulmonary diseases: Respiratory acidosis
e. Vomiting: Metabolic alkalosis
b. Respiratory center depression by drugs: Respiratory alkalosis
16.Which are the components of Virchow’s triad?
a. Stasis, tachycardia, hypercoagulability
b. Tachypnea, stasis, endothelial injury
c. Immobilisation, hypercoagulability, endothelial injury
d. Hypercoagulability, endothelial injury, stasis
e. Hypercoagulability, surgical injury, stasis
d. Hypercoagulability, endothelial injury, stasis
15.Which of the following definitions does “Cheyne-stokes respiration” ?
a. Altering hyperpnea and shallow respirations, followed by periods of apner
b. Shallow breathing interrupted by apnea
c. Increase in rate and depth
d. Shortness of breath while supin position
e. Shortness of breath while upright position
a. Altering hyperpnea and shallow respirations, followed by periods of apner
14.Which is wrong for sarcoidosis?
a. Sarcoidosis is a multisystem disorder of unknown causo.
b. Erythema nodosum is a spesific skin lesion for sarcoidosis.
c. The characteristic lesion of sarcoidosis is caseating epitholloid cell granulom
d. Sarcoidosis is mostly seen in young adults.
e. Sarcoidosis can cause uveitis.
c. The characteristic lesion of sarcoidosis is caseating epitholloid cell granulom
13.Which of the following is wrong for pulmonary function tests?
a. Diffusing capacity (DLCO) Increases in parenchymal lung diseases.
b. In obstructive lung diseases both residual volume and total lung capacity increases.
c. Bronchoprovocation test identifies hyperresponsive airways after histamine and methacholine inhalation.
d. In reversibility test improvement in FEV1 by 12-15% or 200 ml is considered as positivity
e. Reversibility test is important for the diagnosis of asthma.
b. In obstructive lung diseases both residual volume and total lung capacity increases.
- Which is not developed as a result of asbestos exposure?
a. Mesothelioma
b. Pleural plaques
c. Pleural effusion
d. Pneumonia
e. Lung cancer
Pneumonia
- PH: 7.30 PO2: 54 mmHg PCO2: 58 mmHg HCO3: 24 mmolt.
What is your diagnosis?
a. Compansated respiratory acidosis
b. Compansated metabolic acidosis
c. Uncompansated respiratory acidosis
d. Compansated metabolic alkalosis
e. Uncompansated metabolic acidosis
c. Uncompansated respiratory acidosis
- Which is not a risk factor for pulmonary embolism? a.Surgery
b. Pregnancy
c. Oral anticoagulant drugs
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d. Malignancy
e. Prolonged immobilization
Oral anticoagulant drugs
If patient’s pleural effusion is transudative which diseases do you think he may have?
a. Tuberculosis, pneumonia, lung cancer,
b. Rheumatoid arthritis, pulmonary embolism, nephrotic syndrome
c. Renal failure, tuberculosis, pneumonia
d. Hepatic failure, congestive heart failure, nephrotic syndrome
e. Hypoproteinemia, pulmonary embolism, pleural mesothelioma
d. Hepatic failure, congestive heart failure, nephrotic syndrome
- Which is not a risk factor for pulmonary embolism? a.Surgery
b. Pregnancy
c. Oral anticoagulant drugs
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d. Malignancy
e. Prolonged immobilization
Oral anticoagulant drugs
- Which of the following feature is not consistent with COPD ?
a. Reduced diffusing capacity (DLCO)
b. Late onset and smoking history
c. Neutrophilic inflammation
d. Poor corticosteroid response
e. Diumal variability
Diurnal variability
- A 60 years old male patient admitted to the hospital with non-productive cough and dyspnea. He had smoking history. In the physical examination bibasilar fine crackles and clubbing were present. Spirometry revealed restrictive pattern. Diffusion capacity (DLCO) and oxygen saturation were reduced. What is your pre-diagnosis?
a. Emphysema
b. Tuberculosis
c. Interstitial Lung Diseases
d. Bronchial asthma
e. Pulmonary embolism
Interstitial Lung Diseases
- Which one is not correct for tuberculosis (TB) ?
a. TB is curable and preventable
b. Ghon complex of primary TB contains granuloma, lymphangitis, hilar adenopathy
c. Mantoux Tuberculin Skin Test (TST), a substance called Purified Protein Derivative (PPD) is used in latent TB
d. Infiltrates in chest x-ray are mostly seen lower lobes
e. All persons suspected of having pulmonary TB disease should have sputum collected for acid fast bacilli (AFB) smear and culturo.
d. Infiltrates in chest x-ray are mostly seen lower lobes
- Which of the following is not used in the treatment of Chronic Obstructive Pulmonary Disease (COPD) attack?
a. Salbutamol
b. Ipratropilum bromide
c. Magnesium chloride intravenously
d. oxygen therapy
e. Methylprednisolone intravenous
c. Magnesium chloride intravenously
- Which one is not correct for the following pulmonary disease and the chest-X ray finding?
a. Asthma cavitary lesion
b. Tuberculosis- hilar lymphadenopathy
c. Lung abscess- cavity containing an air fluid loval
d. Pulmonary embolism - pleural effusion
e. Emphysema- lung hyperinflation with flattened heridiaphragms
a. Asthma cavitary lesion
3.Which of the following feature is wrong for lung cancer ?
a. %40 of lung cancers are adenocarcinoms
b. In patients with superior vena cava syndrome (SCS) secondary to non small cell lung cancer, radiotherapy is the primary treatment.
c. Surgery is the main treatment in small cell lung cancer.
d. Without treatment prognosis of small cell lung cancer is very poor.
e. Pancoast tumors are mostly non small cell lung cancers localised in the apex.
c. Surgery is the main treatment in small cell lung cancer.
- Which of the following feature is true for pulmonary malignancios ?
a. Squamous cell carcinoma is the most common form of non-small cell lung cancer.
b. P53 is a prototype tumor suppressor gene that is the most common genetic lesion
human cancers
c. Small cell lung cancer is usually found in non-smokers.
d. Neuroendocrin tumors may be cause of Homer syndrome.
• Adenocarcinoma is more common in smokers
b. P53 is a prototype tumor suppressor gene that is the most common genetic lesion
human cancers
1.Which is wrong for the physical examination finding of the following pulmonary disease
a. Interstitial oedema: fine crackles (auscultation)
b. Pneumothorax: hyperresonance (percussion)
c. Pneumonia: vocal fremitus decrease (palpatior
d. Pleural effusion: dullness (percussion)
e. Pneumothorax: breath sounds absent (auscultation)
c. Pneumonia: vocal fremitus decrease (palpatior
10) A 55 years old male patient admitted to the hospital with 4 cm mass h tho left Jung. After blopsy he was diagnosed as small cell lung cancer. He had distant organ metastasis. What
do you think about the treatment?
a. Chemotherapy + radiotherapy
b. Chemotherapy only
c. Chemotherapy + targeted therapy
O. Neoad uvant chemotherapy + surgery
e. Surgery + ad uvant chemotherapy + adiuvant radiotherapy
A
Which of the following is not diagnostic bronchoscopy endicati a)Hemoptysis b)Chronic cough
c) Localized wheezing
d) Radiological abnormalities
e)Astma attack
e)Astma attack
7) pH: 7.49 p02:69 mmHg pCO2: 29 mmHg HCO3: 22 mmol.
What is your diagnosis?
a. Uncompensated respiratory acidosis
b. Compensated respiratory acidosis
c. Uncompensated metabolic acidosis
d. Compensated metabolic alkalosis
e. Uncompensated respiratory alkalosis
e. Uncompensated respiratory alkalosis
6) Which of the following is wrong for pulmonary function tests?
a. TLC(total lung capacity)=VC (vital capacity) - RV (Residuel volume)
b. RV= FRC (Functional residual capacity) - ERV (Expiratory reserve vofume)
c. Bronchoprovocation test identifies hyperresponsive airways after histamine and methacholine inhalation.
d. In reversibility test improvement in FEV1 by 12-15% or 200 ml is considered as positivity.
e. Reversibility test is important for the diagnosis of asthma.
a. TLC(total lung capacity)=VC (vital capacity) - RV (Residuel volume)
