Chest Week 2

1.
a)
b)
c)
d)

What is the most important test for diagnosis of occupational lung disease?
Computed Tomography
Pulmonary Function Test
Chest Radiography
Bronchoscopy

2.
a)
b)
c)
d)

Pneumoconiosis can be caused by the following except:

Asbestos
Zinc
Silica
Coal

3.
a)
b)
c)
d)

Which of the following can cause Industrial Bronchitis?

Grain worker
Plastic manufacturing
Cotton worker
Glass industry

4.
a)
b)
c)
d)

All of the following are the manifestation of silicosis except:

Clubbing of finger
Shortness of breath while exercising
Bluish skin at ear lobes or lips sometimes
Loss of appetite

5.
a)
b)
c)
d)

Histopathologic features of asthma are true except

Airway remodeling
Mucous gland hypertrophy
Edema of bronchial mucosa
Inflammatory cell infiltration

6.
a)
b)
c)
d)

What is the type of breath sound in asthma patient during the attack?
Bronchial breath sound
Vesicular breath sound
Harsh vesicular breath sound
Harsh vesicular breath sound with prolonged expiration

7.
a)
b)
c)
d)

What is one of the complications of asthma?

Fracture ribs
Osteoporosis
Pulmonary hypertension
Cardiovascular disease

8.
a)
b)
c)
d)

What may be presented in blood picture of patient suffering asthma?

Anemia
Monocytosis
Eosinophlia
Crushmans spirals

9.
a)
b)
c)
d)

All of the following are bronchodilators except

Beta agonist
Anticholinergic
Leukotriene modifier
Methylzanthines

10.Which of the following is not treatment of Status Asthmaticus?

a) Fluids
b) Beta agonist
c) Anticholinergic
d) Aminophylline
11.

Text
pH
HCO3
PaCO2

Value
7.43
20 mEq/L
31 mmHg

Normal
7.35-7.45
22-26 mEq/L
35-45 mmHg

Interpret the above table of arterial blood gases.

i.
Primary mechanism:
ii.
Compensatory mechanism:
iii.
Level of compensation:
12.Spirometry can be used to measure:
a) Residual volume
b) Functional residual capacity
c) Vital capacity
d) Total lung capacity
13.Which of the following are indications for spirometry?
a) 45 yo and smoker
b) 45 yo and past smoker
c) Patient with chronic cough
d) Exposure to lung irritants
e) All of the above
14.How many acceptable spirograms should be obtained to have valid
results?
a) 1
b) 2
c) 3
d) 4
15.Your patient has a normal FVC, FEV1/FVC of 0.6, and a g percent increase
in FEV1 with bronchodilators. What disease process is occurring?
a) None- the values are normal
b) Obstructive ventilator impairment
c) Reversible airway disease
d) Restrictive lung disease

16.Who would be most likely to show increased lung compliance?

a) An infant with insufficient surfactant production
b) A person with pulmonary fibrosis
c) A healthy 90 year old
d) A person with bronchitis
17.An individual with emphysema:
a) Would show decreased flow on forced expiration largely due to loss of
elastic recoil of lung
b) Would have elevated FEV1/FVC ratio
c) Would have less compliant lungs than is considered normal
d) Would have smaller (more negative) pleural pressure than normal TLC
18.Who would be most likely to breathe shallowly and rapidly?
a) Someone in the middle of an asthmatic attack
b) Someone with bronchitis
c) Someone with pulmonary fibrosis
d) Someone with emphysema

1.
2.
3.
4.
5.
6.
7.
8.

C
B
A
A
B
D
A
C

12.
13.
14.
15.
16.
17.
18.

C
D
C
B
C
A
C

9. C
10. C
11. pH is normal
HCO3- concentration is low (metabolic acidosis)
CO2 tension is low (respiratory alkalosis)
The pH is at the high end of normal (toward the alkalotic side), but the
bicarbonate and CO2 levels indicate something abnormal is happening.
Because the body generally doesn't overcompensate, the alkalotic factor is
the primary culprit. Here, there is a respiratory alkalosis, fully compensated
by metabolic acidosis.