Respiratory system:
1. A patient during evaluation has decreased vital capacity and decreased total
lung volume. What is the most probable diagnosis among the following ?
a) Bronchiectasis
b) Interstitial lung disease
c) Cystic fibrosis
d) Asthma
2. In an asthmatic patient which of the following pulmonary functions would
show the greater
improvement on inhaling a bronchodilator -
a) Tidal volume
b)FEV1
c) FEF(25-75)
d)FVC
3. Which one of the following distinguishes ARDS from cardiogenic pulmonary
oedema ?
a) Normal Pao2
b) Normal pulmonary arterial pressure
c) Normal arterial-alveolar gradient
d) Normal Paco2
4. A 28 year female, has diarrhea, confusion, high grade fever with bilateral
consolidation on x ray.The probable causative organism is
a) Legionella
b) Neisseria meningitidis
c) Streptococcus pneumoniae
d) H. influenzae
5. A patient develops fracture of the shaft of femur. On day 3, he develops
respiratory distress and decrease SPO2 and petechiae. Probable diagnosis is?
a. Hypostatic pneumonia
b. Hemolytic pneumonia
c. Crush syndrome
d. Fat embolism
6.Mesothelioma is most commonly associated with?
a. Asbestosis
b. Silicosis
c. Anthracosis
d. Coal workers pneumoconiosis
7. Treatment of choice in a patient of acute pulmonary embolism with right
ventricular hypokinesia and compromised cardiac output is?
a) Thrombolytic agent
b) Low molecular weight heparin
c) Warfarin
d) IVC filters
9. A 30 year old man presents with complaints of 2 days of fever,
malaise,cough and green sputum production. He has no significant past medical
history.
He is alert with a temperature of 39.2°C, respiratory rate 28 breaths/min,
blood pressure 110/70 mmHg, heart rate 105 beats/min, SpO2 on room air is
94%. White blood cell (WBC) count is 15,500/μL. Chest X ray shows
consolidation in the right lower lobe. Which of the following is the most
appropriate antibiotic therapy for this patient?
a) Azithromycin
b) Ceftriaxone
c) Fluconazole
d) Piperacillin/tazobactam
10. A 60 year old man, a known hypertensive, is being evaluated for 1-hour
history of chest
pain and dyspnea. The patient had been hospitalized 1 week ago for colectomy
(of colon carcinoma).
On examination, he is afebrile, the blood pressure is 110/60 mm Hg, the pulse
rate is 120/min, the respiration rate is 24/min. Oxygen saturation is 88% in
room which improves to 97% with 4L of O2. Breath sounds are normal . Chest X
ray is normal.
Which of the following tests should be done for a definitive diagnosis?
a) Assay for plasma D-dimer
b) CT pulmonary angiography
c) Lower extremity ultrasonography
d) Ventilation perfusion scan
11. All are true about aspirin sensitive asthma except?
a) Nasal polyposis
b) Treatment with inhaled corticosteroids
c) Rhinosinusitis
d) Increased prostaglandins
12. True statements about emphysema include all of the following except?
a) Cyanosis
b) Barrel shaped chest
c) Associated with smoking
d) Type 1 respiratory failure
13. A patient presents with sudden onset breathlessness after a subclavian vein
cannulation. On examination, breath sounds are absent on left side while chest
is hyper resonant on percussion on the same side. Likely diagnosis?
A. Malposition of cannula
B. Iatrogenic pneumothorax
C. Spontaneous pneumothorax
D. Pleural effusion
14. A 65 year old chronic smoker presents with complaints of Hemoptysis. His
chest x ray appears to be normal. Next best investigation?
A. Bronchscopy
B. HRCT
C. Sputum cytology
D. Spirometry
15. An elderly male was admitted for pneumonia and treated with i.v antibiotics
for 3 weeks. He presents 5 days after discharge from hospital with diarrhea
and gripping abdominal pain. Which of the following drug is likely to benefit
this patient?
A. Amoxicillin
B. Vancomycin
C. Metronidazole
D. Levofloxacin
16. Which of the following is the cardinal feature of ARDS?
A. Diffuse alveolar damage
B. Hypoxemia
C. Surfactant deficiency
D. Hypocapnia
17. Low glucose in pleural effusion is seen in all except:
a) Rheumatoid arthritis
b) Empyema
c) Malignant pleural effusion
d) Dressler’s syndrome
18. Investigation of choice to distinguish between COPD with emphysema and
bronchial asthma is?
a) Allergy test to pollens
b) Non reversible air flow obstruction
c) Chest X-ray
d) Arterial blood gas analysis
