THEME 1: CHEST WALL 1.

In passing the needle into the pleural space, the last layer to be penetrated is the Parietal pleura 2. This layer lies in the intercostals space just external to the neurovascular plane Internal intercostals muscle THEME 2: RESPIRATORY CELL 3. Deficiency of this cell in premature newborn that suffering from Respiratory Distress Syndrome Type II pneumocyte 4. This cell act as stem cell Basal cell THEME 3: EFFECTOR OF HAEMOGLOBIN 5. When bound to Hb, this will increase the affinity of Hb to O2 CO2 6. This will break the binding of iron to the Hb Temperature THEME 4: LUNG CAPACITY 7. Volume of maximum inspiration and expiration Vital capacity (VC) 8. Volume inspired or expired with each normal breath Tidal volume (TV) THEME 5: SPIROMETRY 9. Maximum inspiratory volume in excess of tidal volume at breath Inspiratory reserve volume 10. Volume remains in the lung after maximum expiration Residual Volume

THEME 6: RECEPTORS AND CENTRE CONTROLLING RESPIRATION 11. Activation of this receptor responsible for coughing reflex Irritant receptor 12. This is stimulated by CO2 that cross blood brain barrier Central chemoreceptor THEME 7: TRANSPORT OF GASES 13. NOT AVAILABLE 14. NOT AVAILABLE THEME 8: RESPONSE TO TUBERCULIN TEST 15. Following to the infection of Mycobacterium tuberculosis, the patient developed positive reaction in duration of speed test after 72 hours Hypersensitive type IV 16. Strong T cell responsive are demonstrated in patient with active disease Hypersensitive type IV THEME 9: RESPIRATORY VIRUS 17. This virus cause severe acute respiratory syndrome Corona virus 18. Amantidine is effective against this virus Influenza A virus THEME 10: PATHOGENS CAUSING PNEUMONIA 19. This organism is a common cause for community acquired pneumonia Strepcoccus pneumoniae 20. This organism cause atypical pneumonia Mycoplasma sp. | MBBS YEAR 1 (2012/2013)

COMPILED BY: SITI SYAHIDA AM & ISMAHANI AR

THEME 11: NEMATODES INFECTION OF THE LUNG 21. This parasite causes Tropical Pulmonary Eosinophilia Brugia malayi 22. The normal habitat of this organism is in the lung Paragonimus westermani THEME 12: PULMONARY INFECTION 23. Chest X-ray of lungs shows opacity over basal region of left lung Lobar pneumonia 24. Invasive neutrophils exudation into the alveolar is seen in this stage of classical pathway Red hepatization THEME 13: CARCINOMA OF RESPIRATORY SYSTEM 25. This type of lung carcinoma is most sensitive to chemotheraphy Small cell carcinoma 26. This is related to the asbestos exposure Mesothelioma

30. A 50-year-old man complains of gradual increasing dyspnoea over the past 6 months. He is worker from the iron factory Siderosis THEME 16: DRUG ADVERSE EFFECTS 31. This drug cause the hoarseness of the voice and dysphonia when administered by inhaled route Budesonide 32. Prolong use of this drug give risk to hypertension Dexamethasone THEME 17: DRUG USED IN BRONCHIAL ASTHMA 33. Drug for acute attacks of asthma Salbutamol 34. Drug used is an anti-inflammatory agents that can be combined with formoterol Budesonide THEME 18: DRUG USED IN THE TREATMENT OF TUBERCULOSIS 35. This is a tuberculostatic drug and used as first line drug Ethambutol 36. This is a tuberculocidal drug and stop the dividing action of tubercle bacilli Rifampicin THEME 19: CHEMICAL AGENTS IN CIGARETTE 37. This chemical is the major cause for tobacco addiction Nicotine 38. This chemical is largely responsible for lung cancer among chronic smokers Tar THEME 20:39. NOT AVAILABLE 40. NOT AVAILABLE

THEME 14: CELLS INVOLVED IN TUBERCULOSIS 27. The patient having tuberculous granuloma in the lung with caseating necrosis with few cells having multiple nuclei Langhans giant cell 28. Immunity to Mycobacterium tuberculosis is primarily mediated by these cells which stimulate macrophages to kill the bacteria Th1 lymphocyte THEME 15: OCCUPATIONAL LUNG DISEASES 29. A 34-year-old man complains of gradual increasing dyspnoea over the past 6 months. A biopsy from the lung reveals a non-caseating granuloma with presence of asteroid bodies Sarcoidosis

COMPILED BY: SITI SYAHIDA AM & ISMAHANI AR

| MBBS YEAR 1 (2012/2013)

BEST OF FIVE 41. This type of cell undergoes phagocytosis in respiratory system Dust cell 42. Condition that result to respiratory acidosis Increase of CO2 43. Most of CO2 that diffuses from blood into the alveolus comes from Dissolved gas 44. Most CO2 in the blood is transported in the form of Bicarbonate 45. Nosocomial pneumonia is seen in Hospitalized individuals 46. Loefflers syndrome is cause by larvae of Ascaris lumbricoides 47. The most likely organism that cause acute pneumonia Streptococcus pneumoniae 48. This condition will most likely to cause acute dyspnoea Pulmonary embolism 49. A 6-year-old boy was taken to the emergency unit because of progressing difficulty in breathing. He was diagnosed as bronchial asthma. Drug that can dilate the bronchial immediately Salbutamol 50. A 60-year-old man lying in A&E unit with a history of breathlessness. State the appropriate investigation Chest X-ray

COMPILED BY: SITI SYAHIDA AM & ISMAHANI AR

| MBBS YEAR 1 (2012/2013)