問題一覧
1
A 50 year old presents with cough with sputum. sputum is serous, frothy and pinkish in colour. Dx?
pulmonary edema
2
Which of the following bronchopulmonary segment is found in left lobe but not in right lobe?
Lingular
3
Which of the following is not related to control of breathing?
limbic system
4
Carotid bodies mainly activated by?
arterial PO2
5
Bilateral hilar lymphadenopathy is unlikely to be present in-
lung cancer
6
Pulmonary circulation in health operates at which pressure?
24/9 mmHg
7
which of the following is an indication for ultrasound in lung disease?
to distinguish pleral fluid from pleural thickening
8
which of the following is an indication of flexible bronchoscopy in lung disease?
diagnosis of bronchocentric disorders
9
which of the following is not an indication of immunological and serological test?
sarcoidosis
10
which of the following statement is correct?
TLC increase in emphysema
11
which of the following is not a cause of cough due to involvement of lung parenchyma?
lung cancer
12
Which of the following is a cause of chronic exertional dyspnoea?
extrinsic allergic alveolitis
13
which of the following is not a feature of psychogenic hyperventilation?
low score on Nijmegen questionnaire
14
A 31-year-old woman with a history of asthma was reviewed in the respiratory clinic due to persistent productive cough and progressive dyspnoea for the past 4 months. She received multiple courses of antibiotics with poor response. Chest x-ray showed bilateral pulmonary infiltrates. Given the most likely diagnosis, what is the most appropriate treatment? a)Chest physiotherapy b)Oral montelukast c)Oral prednisolone d)Pirfenidone e)Prophylactic azithromycin
C
15
Q: An asthma patient got admitted into the hospital with fever, cough, breathlessness. Cbc shows eosinophilia and total serum IgE was 1250ng/mL and CT-chest shows proximal bronchiectasis. What is the most possible diagnosis? A) miliary TB B) pulmonary eosinophilia C) chronic pulmonary aspergillosis D) asthma E) ABPA
E
16
Q: Statements correct regarding latent TB A) life time risk of TB disease : 5-15% B) identified by TST or IGRA C) chemoprophylaxis is offered in aged people over 65 years D) isoniazid can be used for 4 months E) a course of rifampicin and isoniazid for 3 months is effective
A, B, E
17
Q.A patient presented with cough fever chest pain.he has history of travelling where he will be lived in a air cooling space.which one will be the organism - a.sterp pneumonia b.staph aureus c.mycoplasma d.legionella pnuemonia e.haemophilus influenza
D
18
Bacterial causes of pneumonia in pregnancy are? A. Klebsiella pneumoniae B. Strep pneumoniae C. Mycoplasma pneumoniae D. Haemophilus influenza E. Chlamydia pneumoniae
B, C, D
19
Viral causes of pneumonia in pregnancy are? A. HSV B. Measles C. Influenza D. Varicella zoster E. CMV
C, D
20
Which is gold standard investigation for pulmonary TB? a.Sputum for microscopy b.Sputum for C/S c.xene expert d.biopsy e.tubercular skin test
B
21
Which of the following is not a cause of finger clubbing?
emphysema
22
Which of the following can cause cause catastrophic bronchial hemorrhage?
lung abcess, bronchiectasis , intracavitary mycetoma
23
which of the following is not a parenchymal cause of hemoptysis?
idiopathic Pulmonary hemosiderosis
24
which cardiovascular diseases causes hemoptysis?
ALVF, MS, Aortic aneyrysm
25
which blood disorders causes hemoptysis?
Leukaemia, hemophilia , anticoagulants
26
which of the following is an uncommon cause of Pulmonary nodule?
lymphoma
27
which of the following is not a feature of benign lesion on CT scan of chest?
speculated
28
which of the following is not correct?
popcorn pattern suggests granuloma
29
A 40 year old female went for a CT scan which showed solid non calcified nodule. Nodule size is 2 mm. what should be the next plan of management?
Discharge
30
which of the following is one of the common causes of pleural effushion?
cardiac failure
31
which of the following is not a charactistic of pleural effushion due to rheumatoid disease?
high glucose in pleural fluid
32
which of the following is not a feature of pleural effushion due to acute pancreatitis?
lower amylase in pleral fluid than in serum
33
A 55 year old female presents with fever, chest pain and cough. chest x showing D shaped shadow in the left mid zone. Dx?
Empyema
34
which of the following is a cause of chronic type 2 respiratory failure?
kyphoscoliosis
35
which of the following is not a cause of chronic type 2 respiratory failure?
Pulmonary oedema
36
which of the following is not included in the management of acute on chronic type 2 respiratory failure?
injectable corticosteroids
37
which of the following parenchymal lung disease is an indication for lung transplantation?
lymphangioleiomyomatosis
38
which of the following drug should be used with precaution in asthma in pregnancy?
prostaglandin F 2alpha
39
which of the following is not an indication for rescue glucocorticoid course?
peak exploratory flow below 80% of the patient's personal best recording
40
which of the following treatment has no evidence benefit in management of acute severe asthma?
IV fluid
41
which of the following feature indicates near fatal asthma?
raised PaCO2
42
which of the following is not a risk factor for development of COPD?
cystic fibrosis
43
A 60 year old male presents with cough and shortness of breadth. FEV1 shows 40% of the predicted value. which stage of COPD?
stage 3 (severe)
44
which of the following is not an indication of CT scan in empyema or COPD?
assessment of severity of COPD
45
which of the following is not included in the calculation of the BODE index for COPD?
PaO2
46
which of the following is a poor prognostic indicator of COPD?
pulmonary HTN
47
congenial causes of bronchiectasis?
cystic fibrosis , primary hypogammaglobulinaemia, primary ciliary dyskinesia, kartagener syndrome
48
Acquired Adult causes of bronchiectasis?
suppurative pneumonia , pulmonary TB, ABPA complicating asthma, bronchial tumors
49
A 25 year old male presents with chronic cough with copius purulent sputum and hemoptysis. He also complaints of passage of pale, oily, offensive stool. He is diabetic for 1 year. Examination shows ascitis and spleenomegaly. Dx?
cystic fibrosis
50
In cystic fibrosis lungs are most commonly affected with-
staph aureus, gram negative bacilli
51
which of the following virus is not associated with community acquired pneumonia?
EBV
52
A patient is diagnosed as pneumonia. chest x ray shows multilobar shadowing, cavitation, pneumatocele, abcess. what is the most likely organism?
staph aureus
53
which of the following inv is not a marker of severity in CAP?
CRP
54
which of the following is not an indication for referral to ICU?
CURB score 3
55
Lemierre syndrome
rare cause of Pulmonary abscess , causative agent: Fusobacterum necrophorum, Clinical feature : sore throat, painful swollen neck, fever, rigor, haemoptysis, dyspnoea, spread into jugular veins lead to thrombosis and metastatic dispersal of the organisms
56
A patient who is diagnosed as pneumonia, presents with severe chest pain and shortness of breadth. chest x ray shows hypertranslucent area with absent bronchovascular marking in the affected lung. which organism is most likely to be associated with this?
staph aureus
57
A patient present with suppurative pneumonia. Examination shows poor dental hygiene. organism?
actinomyces
58
which of the following is not a feature of suppurative pneumonia?
low grade pyrexia
59
choice of antibiotic in aspiration pneumonia?
amoxicillin and metronidazole
60
CT scan shows 'Halo' sign in-
aspergillus
61
which of the following condition is not associated with risk of TB?
asbestosis
62
feature of hypersensitivity of Pulmonary TB?
erythema nodosum, dactilitis, phlyctenular conjuncttivitis
63
which of the following is not a feature of cryptic TB?
positive tuberculin test
64
non pulmonary complications of Pulmonary TB?
empyema necessitans, laryngitis, enteritis, amyloidosis, poncet's polyarthritis
65
which of the following is not a DD of milliary diffuse shadowing?
granulomatosis with polyangitis
66
which anti tubercular drug causes lupoid reaction, seizures, psychosis?
isoniazid
67
which anti tubercular drug causes interstitial nephritis, thrombocytoopenia, haemolyyttic anaemia?
rifampicin
68
which anti tubercular drug causes photosensitization?
pyrazinamide
69
specific screening test for detection off latent?
IGRA
70
whichvof the following is an opportunistic mycobacterial infection in soft tissue and skin?
M.marinum
71
a 30 year old presents with fever, breathlessness and productive sputum. he also mentions that he has worsening of asthmatic symptoms. Inv shows eoosinophilia and chest x ray shows pulmonary infiltrates. Dx?
ABPA
72
Features of ABPA-
proximal bronchiectasis , positive skin test to an extract of Aspergillus fumigatus, elevated A.fumigatus specific IgE or IgG, peripheral blood eosinophilia, presence or history of chest x ray abnormality
73
which of the following is not a treatment of chroniic pulmonary aspergillosis?
prednisolone
74
A 60 year old who is on chemo for lymphoma. , presents with fever, chest pain and hemoptysis. Examination shows pleural rub. Inv shows neeutropenia. HRCT shows macronodules, which may be sorrounded by a 'halo' of intermediate attenuation. Dx?
invasive pulmonary aspergillosis
75
which of the following is a common cause of large bronchus obstruction?
bronchial casts/plugs
76
Horner's syndrome
enophthalmos, ipsilateral partial ptosis, miosis
77
in pancoast syndrome, malignant destruction of which root?
T1 & C8
78
A patient present with cough, fever, hemoptysis and hand pain. what would you expect in x ray?
subperiosteal new bone formation
79
neurological non metastatic extra Pulmonary manifestation of lung cancer?
polyneuropathy, myelopathy, cerebellar degeneration , Myasthenia/lambert eaton
80
Endocrine non metastatic extrapulmonary manifestations of lung cancer?
SIADH causing hyponatraemia, Ectopic ACTH secretion, Hypercalcemia , Carcinoid syndrome , Gynaecomastia
81
HRCT finding of Idiopathic Pulmonary Fibrosis?
patchy, predominantly peripheral, subpleural and basal reticular pattern, presence of honeycomb cyst, traction bronchiectasis , Pulmonary infiltrates
82
Which of The following DPLD usually occurs in male, smoker?
desquamative interstitial pneumonia
83
Which of the following DPLD usually occurs in women and steroid responsive?
lymphocytic interstitial pneumonia
84
Which of the following is the treatment of choice in idiopathic pulmonary fibrosis?
pirfenidone
85
possible systemic involvement in sarcoidosis?
phalangeal bone cysts, mononeuritis multiplex , nasal cutaneous sarcoid lesion (lupus pernio), Erythema nodosum
86
a patient is diagnosed with sarcoidosis. chest x ray shows pulmonary fibrosis only. which stage is this?
stage IV
87
A patient is suspected to have sarcoidosis. which of the following is incorrect?
lymphocytosis
88
which of the following is not an indication of steroid in sarcoidosis?
erythema nodosum
89
hidebound chest found in-
systemic sclerosis
90
which of the following is the respiratory complication of systemic sclerosis?
diffuse pulmonary fibrosis
91
which is the most common pulmonary manifestation of rheumatoid disease?
pulmonary fibrosis
92
which drugs causes pulmonary eosinophilia?
nitrofurantoin, para aminosalicyclic acid , salfasalazine, imipramine, chlorpropamide
93
which drugs cause ARDS?
hydrochlorothiazide , thrombolytics, IV beta adrenoreceptor agonists, aspirin and opiates
94
causes of non eosinophillic alveolitis?
amiodarone, nitrofurantoin, methotrexate, bleomycin
95
A 30 year old painter presents with exertional dyspnoea and wheeze. he mentions that he feels better at weekends and holidays. what should be the confirmatory test?
serial recording of peak flow
96
Drug of choice in pulmonary embolism in pregnancy?
LMWH
97
Egg shell calcification is found in -
silicosis
98
what is the most common interstitial lung disease in old age?
idiopathic pulmonary fibrosis
99
A 25 year old smoker comes to the emergency department with shortness of breadth and hemoptysis. he also complaints of rapid deterioration of his kidney function over the last 1 week. what is the most likely diagnosis?
goodpasture syndrome
100
Shrinking lung is found in-
SLE