Quiz: Exams 2023

In acute severe asthma, life threatening asthma is characterized by all of the following except

A a. Silent chest B b- bradypnea C c-hypercapnia D d. tachypnea

The followings are risk factors for bronchogenic carcinoma

A a- Smoking B b- Air pollution C c- Occupational exposure D d- all of the above

The main differences a between asthma and COPD

A a. Decreased FEV1 B b- Decreased FEV1/FVC C c-Reversibility after bronchodilation more than 12% in bronchial asthma D d-COPD more common in female than male

chest tube is required for parapneumonic effusion if

A a-the fluid resembles frank pus B b- pleural fluid glucose is more than 40 mg/dl C c- pleural fluid pH more than 7.20 D d- non of the above

The safest site for insertion of chest tube is

A a-4th intercostal space B b- 2nd intercostal space C c-3rd intercostal space D d- 5th intercostal space

Prevalence of bronchiectasis is probably falling due to

A a) proper use of vaccinations and antibiotics B b) decreased air pollution worldwide C c) effective use of protective equipment D d) Advent of HRCT

myasthenia gravis is common with

A A-teratoma B B-thymoma C C-lymphoma D D-seminoma

Treatment Of IPF includes all of the following

A a. pirfenidone B b. lung Transplantation C c. corticosteroids D d. all of the above

Posterior mediastinal masses include the following except

A a- Schwannomas B b-Neuroblastomas C c- Neurosarcomas D d- teratoma Anterior

The most accurate diagnostic procedure for IPF is

A a- PFT B b-Lung biopsy C c- HRCT chest D d- non of the above

pleural mesothelioma is presented as a complication For

A a. sarcoidosis B b. asbestosis C c. HSP D d. IPF

The most common cause of germ cell tumours is

A a. seminoma B b. Choriocarcinoma C c. Yolk sac tumours D d. teratoma

Triade of Virchow include the following except

A a.Venous stasis B b.Hypercoagulability C c.Endothelial injury D d. malignancy

Atypical pneumonia is caused by

A a) anaerobes B b) haemophilus influenza P. C c) d)Moraxella catarrhalis D d) Legionella P

the most important controller drug in asthma therapy is

A a) inhaled ICS B b) short acting beta 2 agonist. C c) montelukast D d) All of the above

Risk factors for aortic dissection include the following except

A a) Hypertension B b) Ischemic heart disease C c) Marfan's syndrome D d) Bicuspid aortic valve

female patient 40y old diabetic hypertensive complaining of typical chest pain, in resting ECG there is no specific changes, the most diagnostic test for coronary artery disease is

A A- Cardiac CT B B- Echocardiography C C- Stress ECG D D- Myocardial perfusion imaging

NYHA functional classification of HF depends mainly on

A A- Presence of structural heart disease B B- LV Ejection Fraction (LVEF) C C- Physical activity of the patient D D- Presence of risk factors for developing HF

Drug therapy for HF include all of the following except

A A- Calcium channel blockers B B- RAAS blockers C C-Beta Blockers D D- Digitalis

During treatment of Pericarditis if patient not respond to ibuprofen we ad

A A-cholchicin B B-cortison C C-antibiotic D D- Anticoagulants

the most diagnostic sign of myocarditis is

A a. cardiac CT B b.Thallium study C c.Serum troponin D d.endomyocardial biopsy

In relation to the S1 and S2 heart sounds, Which of the following are NOT CORRECT?

A a. Systole occurs immediately prior to S1. B b. Diastole occurs between S2 and S1 C c. S2 marks the end of systole. d. Systole occurs between $1 and S2 D d. S1 marks the end of diastole

male patient 65 year old hypertensive presented to emergency department with severe agonizing chest pain of abrupt onset of 1 hour. On examination blood pressure 180/100mmHg, pulse 130b/minute. ECG showed sinus tachycardia with no other abnormalities. Rapid echocardiography showed double lumen of ascending aorta. Regarding management of the patient

A a. Initiate thrombolytic therapy B b. IV fluids followed by surgery C c. IV Beta-blockers/ IV vasodilator therapy followed by emergent surgery D d. IV Beta-blockers/ IV vasodilator therapy with follow up echocardiography

Major Jones criteria of RF include all the following except

A a- arthritis B b- chorea C c- carditis D d- atherilgia

patient has severe aortic stenosis. When Assessing the patient, which if indings be expected?

A a- Narrowed pulse pressure B b-Diastolic murmur C c-Hypertension D d- Bounding pulses

The diurnal variation in Peak Expiratory Flow (PEF) that is consistent with asthma is more than

A A-10% B B-20% C C-30% D D-40%

What is the most common symptom of VSD?

A a) Cyanosis B b) Shortness of breath C c) Heart murmur D d) Chest pain

The MOST common complaint in patients with bronchiectasis is

A a) cough and production of copious purulent sputum B b) Hemoptysis C c) Clever D d) anorexia

Stages of pneumonia are all of the following except

A a. gray hepatization B b. resolution C c. red hepatization D d. metaplasia

In acute severe asthma, the following drugs are used Except

A a. Systemic steroids B b- inhaled β agonist C c- inhaled steroids D d- aspirin

Cough usually caused by the following drug

A a- ACE inhibitors B b- corticosteroid C c- salbutamol D d- theophylline

The followings are risk factors for bronchogenic carcinoma except

A a- Smoking B b- Air pollution C c- Occupational exposure D d- Alcohol

All are correct with regard to bronchial asthma, except

A a- Disease of children only B b- LABA and ICS used as a reliever C C- systemic steroids used in severe asthma D d-Montelukast used as a controller

The main differences between asthma and COPD

A a- Decreased FEV1 B b- Decreased FEV1/FVC C C- Reversibility after bronchodilation more than 12% in bronchial asthma D d- COPD more common in female than male

Pneumothorax that causes mediastinal shift and compression of the functioning lung is called

A a - primary pneumothorax B b- secondary pneumothorax C c- traumatic pneumothorax D d- tension pneumothorax

The following common features of non complicated bronchiectasis except

A a) cough B b) expectoration C c) clubbing of fingers D d) edema of the lower limbs

the most common cause of hemoptysis

A a-COPD B c-bronchial asthma C b-chronic bronchitis D d-acute bronchitis

The most important risk factor for COPD is

A a- cigarette smoking B b- alcohol C c- high altitude D d- all of the above

All of the following are treatment of COPD except

A a-STERIODS B b- LABA C c-LAMA D d-Inderal

Atypical pneumonia is caused by

A a) Chlamydia P. B b) Mycoplasma P. C c) Legionella P D d) All of the above

in type 2 respiratory failure

A a. PaCO2 increased B b. Pa O2 decreased C c. cyanosis D d. all of the above

In obstructive pulmonary diseases

A a. FEV1 is increased B b. FVC is increased C c. FEV1/FVC increased D d. non of the above

The gold standard of diagnosis of bronchiectasis is

A a- HRCT B b. Chest X- ray C c. surgical biopsy D d. non of the above

Where is the safe triangle for chest drain insertion located?

A a- 5 th intercostal space mid clavicular line B b- 3 th intercostal space post axillary line C c- 5 th intercostal space axillary line “Ant-Mid” D d- 4 th intercostal space mid scpular line

In acute severe asthma, the following drugs are used Except:

A a. Systemic steroid B b. inhaled β agonist C c. inhaled steroids D d. aspirin

the most common cause of hemoptysis is

A A. bronchial asthma B B. COPD C C. Acute bronchitis D D. pneumonia

The followings are risk factors for bronchogenic carcinoma except

A A- Air pollution B B- Alcohol C C- Smoking D D- Occupational exposure

All are correct with regard to bronchial asthma, except

A A- LABA and ICS used as a reliever B B- Disease of children only C C- systemic steroids used in severe asthma D D- Montelukast used as a controller

The main differences between asthma and COPD

A A. Decreased FEV1/FVC B B. Decreased FEV1 C C. Reversibility after bronchodilation more than 12% in bronchial asthma D D. COPD more common in female than male

Sudden onset of acute chest pain with dyspnea is

A A. myocardial infarction B B. tension pneumothorax C C. massive pulmonary embolism D D. all of the above

the most common cause of bilateral pleural effusion is

A A. heart failure B B. pneumonia C C. liver cirrhosis D D. malignancy

The following common features of non complicated bronchiectasis except:

A a. cough B b. expectoration C c. clubbing of fingers D d.edema of the lower limbs

Lymphoma most common tumor

A A- Anterior mediastinum B B- Posterior mediastinum C C- Middle mediastinum D D- Superior mediastinum

Treatment Of IPF includes all of the following

A a. pirfeniclone B b. corticosteroids C c. lung Transplantation D d. all of the above

the most common cause of hemoptysis

A A- COPD B B- bronchial asthma C C- chronic bronchitis D D- acute bronchitis

The most accurate diagnostic procedure for IPF is

A A- PFT B B- Lung biopsy C C- HRCT chest D D- non of the above

The following drugs can cause Interstitial lung diseases

A A. Amiodaron B B. nitrofurantoin C C. Methotrexate D D. all of the above

The most important risk factor for COPD is

A A- cigarette smoking B B- high altitude C C- alcohol D D- all of the above

Triade of Virchow include the following except

A A- Venous stasis B B- Hypercoagulability C C- Endothelial injury D D- Hypokalemia

All the following are anti-tuberculous drugs except

A A. INH B B. Ethambutol C C. Rifampicin D D. Heparin

Atypical pneumonia is caused by

A a) Chlamydia P. B b) Mycoplasma P C c) Legionella P D d) All of the above

Pulmonary complications of SLE are

A a) pneumonitis B b) pleural effusion C c) pleurisy D d) All of the above

ARDS criteria for diagnosis all except

A a) Bilateral pulmonary infiltration B b) Systemic hypertension C c) no cardiac failure D d) Profound hypoxemia

in type 2 respiratory failure

A a. PaCO2 increased B b. Pa O2 decreased C c. cyanosis D d. ALL of the above

In obstructive pulmonary diseases

A a. FEV1 is increased B b. c.FEV1/FVC increased C c. FVC is increased D d. non of the above

The gold standard of diagnosis of bronchiectasis is

A a. Chest X-ray B b. surgical biopsy C c. non of the above D d. HRCT

Accumulation of pus in the pleural space is

A a. empyema B b. bronchiectasis C c. lung abscess D d. pneumonia

Where is the safe triangle for chest drain insertion located?

A a. 5thintercostal space mid clavicular line B b. intercostal space post axillary line C c. 5thintercostal space axillary line "Ant-Mid" D d. 4thintercostal space mid scpular line

Chest X-ray showing pneumothorax: the intercostal tube directed "best"

A a. Upward B b. downward C c. no need D d. transverse

Drainage of empyema by all the following except

A a. VATS B b. Intercostal tube thoracostomy C c. Decortication D d. medical treatment

Indication for surgery in lung abscess all true except

A a. Occurrence of complication B b. improved by medical treatment C c. Suspicious of malignancy weeks D d. Failed of medical treat med (6-8)

the primary imaging modality for chest screening is

A a. Us B b. CT C c. MRI D d. plain Xray

The standard position for chest x-rayis

A a- lateral view B b- apical view. C c- AP view D d- PA view

the following drugs can be inhaled except

A a- theophylline B b- corticosteroids C c- salbutamol D d- ipratropium

Pneumothorax appear as

A a- jet black area with no vascular markings. B b- dense area C c- calcifications D d- tubular shadows

Following structures are related to mediastinal surface of the right lung EXCEPT

A a- Superior vena cava B b- Inferior vena cava C c- Right atrium D d- Arch of aorta

The base of the fibrous pericardium is related to

A a- A Descending aorta B b- Diaphragm C c- Great vessels of the heart D d- Mediastinum

the following are the cause of chest pain except

A a. Myocardial infarction B b. Costocondritis C c. Peptic ulcer D d. .Hypertension

Typical chest pain of myocardial ischemia characterized by

A a. Retrosternal compressing pain B b. Referred to left shoulder, arm, and left jaw C c. Improved by sublingual nitrate D d. All of the above

diagnosis of Rh fever by the following

A a. One major Jones criteria and one minor B b. Three minor Jones criteria only C c. Two major Jones criteria only D d. One or two major Jones criteria and two minor

Unstable angina characterized by

A a. Increased frequency of pain B b. Increased duration of pain C c. Increased severity of pain D d. All of the above

duration of secondary prevention of Rh fever in Rh carditis and residual lesion

A a. 5 years or until age of 21 B b. 10 years after the last attack or at least 4Q years C c. for at least 40 years or sometimes for life D d. 10 years or well enter in adulthood

Signs of severe MS are the following except

A a. long duration of murmur B b. louder murmur of MS C c. closing of OS from A2 D d. non of the above

the following are clinical findings of MS except

A a. accentuated S1 B b. OS with presystolic accentuated in sinus rhythm patients C c. Pansystolic murmur at lower left sternal border D d. Weak P2

patient coming to ED by typical chest pain first investigation should be done

A a) cardiac enzyme B b) chest x-ray C c) ECG D d) Echocardiography

High output cardiac failure is seen in

A a) Thyrotoxicosis B b) Congestive cardiac failure C c) Cor-puulmonale D d) Aortic stenosis

Commonest congenital heart disease is

A a. Ventricular septal defect B b. Mitral valve prolapse C c. Atrial Septal Defect D d. Patent Ductus Arteriosus

the following enzymes elevated in acute MI except

A a. CK B b. LDH C c. Troponin T,I D d. Alkaline phosphatase

the following are signs of infective endocarditis except

A a. roth spots B b. jenway bodies C c. oslar,s nodules D d. all of the above

As Regard to Kussmaul's sign all of the following correct Except

A a. Is a paradoxical increase in the JVP with inspiration B b. It can occur in any condition where right ventricular filling is restricted C c. Occur in constrictive pericarditis D d. Not present in cardiac tamponade

Usual position of the Apex Beat

A a- The apex beat should be situated in the fifth intercostal space along the midclavicular line B b-lf the apex beat is impalpable here, move inferiorly and laterally C c- Displacement of the apex in this direction suggests cardiomegaly D d- All of The Above

the following drugs used in treatment of unstable angina

A a- asprin and clopodegrel B b. trimitazidine and potassium channels openers C c. tenormin and diltiazem D d. all of the above

the following is grade 4 of dyspnea

A a. at mild exertion B b.at reste C c. at recumbency D d. over than ordinary activity

The following Are the cause of syncope except

A a. mitral stenosis B b. complete heart block C c. severe aortic stenosis D d. severe pulmonary hypertension

Malar flash is the sign of the following

A a. Mitral stenosis B b. aortic stenosis C c. pulmonary stenosis D d. ischemic cardiomyopathy

the following are the cause of AF

A a. IHD B b. congenital heart disease C c.COPD D d.all of the above

the following drugs used in treatment of infective endocarditis except

A a. streptomycin B b. vancomycin C c. penicillin D d. garamycin

the following drug is contraindicated in renal artery stenosis or renal failure

A a. amlodipine B b. niterate C c. c ramipril D d. aminophylline

As Regard to 3rd Heart Sound All of the Following is correct

A a-A third sound is caused by passive filling of ventricles in systole B b-Mitral regurgitation C c-Aortic regurgitation D d-All of the Above

Chronic irritation of respiratory epithelium of bronchial tree leading to

A A.Atrophy B B.Hypertrophy C C.Hyperplasia D d. Metaplasia

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