MCQs on Respiratory System Part 2

# Localised suppuration of lung is called:
A. an abscess
B. Empyema
C. Emphysema
D. Anasarca

# Not true about Pleurisy:
A. Pleural pain
B. Pleuropericardial rub
C. Usually secondary to lung infection
D. None of the above

# The following are interstitial lung disease EXCEPT:
A. Sarcoidosis
B. Fibrosing alveolitis
C. Bronchial asthma
D. Pneumoconiosis

# All of the followinng are true about COPD except:
A. Decreased FEV1
B. Decreased MEF
C. Increased RV
D. Increased diffusion capacity

# All are seen in ARDS except:
A. Pulmonary edema
B. Decreased tidal volume
C. Hypercapnia
D. Decreased compliance

# Commonest type of lung carcinoma in non smokers:
A. Squamous cell carcinoma
B. Adenocarcinoma
C. Alveolar cell carcinoma
D. Small cell carcinoma

# All of the following volumes can be measured by a simple spirometer except:
A. Vital capacity
B. Residual volume
C. Tidal volume
D. Forced vital capacity

# Pectus carinatum is almost always caused by:
A. Asthma
B. Tuberculosis
C. Idiopathic
D. Trauma

# Bronchial asthma is associated with raised levels of:
A. Leukotrienes
D. Thromboxane

# Hemoptysis may occur in the following situations EXCEPT:
A. Bronchiectasis
B. Pulmonary tuberculosis
C. Lung abscess
D. Bronchial asthma

# All of the given drugs may be useful in acute exacerbation of bronchial asthma EXCEPT:
A. Cromolyn sodium
B. Hydrocortisone
C. Salbutamol
D. Ipratropium

# All of the following are features of acute severe asthma EXCEPT:
A. Respiratory rate greater than 25
B. Hear rate greater than 110
C. PEF less than 50% of normal or predicted
D. temperature greater than 102 degree F

# The ominous sign in bronchial asthma:
A. Tachycardia
B. Night wheeze
C. Silent chest
D. Accessory muscle action

# A patient suffering from purulent sputum, cough and clubbing of fingers is probably suffering from:
A. Lung abscess with left ventricular failure
B. Bronchiectasis
C. Chronic bronchitis
D. Acute upper respiratory tract infection

# In bronchiectasis all of the following are seen except:
A. Clubbing
B. Wheezing
C. Hemoptysis
D. Recurring bouts of cough

# Bronchiectasis is most common in which lobe?
A. Right upper lobe
B. Right middle lobe
C. Left upper lobe
D. Left lower lobe

# Most likely precursor to bronchiectasis is:
B. Carcinoma
C. Bronchial adenoma
D. Bronchopneumonia

# As opposed to lobar pneumonia, bronchopneumonia is characterised grossly and microscopically by:
A. Patchy inflammatory distribution
B. Organization of alveolar exudates
C. Diffuse inflammatory distribution
D. Inflammation of bronchus

# In lobar pneumonia, the presence of fibrinosuppurative exudates with disintegration of red cells is seen in the stage of:
A. Congestion
B. Red hepatization
C. Grey hepatization
D. Resolution

# Drug of choice in Pneumocystis carini pneumonia is:
A. Ciprofloxacin
B. Cotrimoxazole
C. Zidovudine
D. Pentamidine

# The best single laboratory aid in diagnosis of TB:
A. Skin test
B. Chest X ray
C. Sputum examination
D. Histology

# Ghon complex of the lung usually:
A. Undergoes cavitation
B. Undergoes calcification
C. Progresses to tuberculous pneumonia
D. Progresses to miliary tuberculosis

# Risk factors of tuberculosis includes:
B. Type I diabetes mellitus
C. Chronic renal failure
D. All of the above

# Diseases seen to involve both the bone and the intervertebral space of the spinal cord:
A. Multiple myeloma
B. Tuberculosis
C. Lymphoma
D. Metastasis

# A 50 year old female with end stage renal disease develops pulmonary tuberculosis. Which one of the following drugs should be used in a reduced dose?
A. Rifampicin
B. Isoniazide
C. Pyrazinamide
D. Ethambutol

# In emphysema, the dilatation occurs:
A. Beyond major bronchus
B. In alveolar region
C. Beyond terminal bronchioles
D. Beyond minor bronchus

# Ventilation/Perfusion ratio is highest in:
A. Apex of lung
B. Mid zone
C. Lower zone
D. Hilum

# Lung involvement in chronic bronchitis is:
A. Unilateral
B. Bilateral
C. Segmental
D. Lobar

# Presence of cavitation in TB indicates the disease is:
A. Active
B. Inactive
C. Persistent
D. Super infection

# The following feature may raise the suspicion of TB:
A. Persistent cough
B. Spontaneous pneumothorax
C. Haemoptysis
D. All of the above

# In which condition, breath sounds are absent:
A. Bronchial asthma
B. Pneumothorax
C. Emphysema
D. Pneumonia

# Immediate management of tension Pneumothorax is:
A. Tracheostomy
B. CT thorax
C. Central venous line access
D. Decompression with needle or chest tube

# CPR should have a ratio of chest compression to mouth breathing of:
A. 1:4
B. 4:1
C. 2:3
D. 3:2

# All of the following features are suggestive of asbestosis EXCEPT:
A. Occurs within five years of exposure
B. The disease progresses even after removal of contact
C. can lead to pleural mesothelioma
D. Sputum contains asbestos bodies

# Chronic respiratory infection, steatorrhoea and disturbance of electrolyte balance is seen in:
A. Cystic fibrosis
B. Hepatitis
C. Colon carcinoma
D. Amoebiasis

# Abnormal function of epithelial chloride channel protein is the cause of:
A. Ehlers-Danlos Syndrome
B. Marfan syndrome
C. Cystic fibrosis
D. Diabetes insipidus

# Which of the following may result from chronic bronchitis?
A. Cor pulmonale
B. Increased airway resistance
C. Metaplasia and dysplasia of respiratory epithelium
D. All of the above

# Which of the following is ideal method of screening for secondaries lung?
A. Chest X ray
B. CT scan
D. Enzyme assay

# Hypercalcemia occurs in which type of lung cancer:
A. Oat cell
B. Giant cell
C. Squamous cell
D. Alveolar cell

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