71q: which one of the following is not correct regarding silicosis ?
a. egg shell calcification is seen on chest X ray
b. it is more marked in the lower zone
c. may lead to progressive massive fibrosis
d. the disease may progress even after the exposure has ceased
answer: b .
72q: a person who has high fever,tachycardia,hemoptysis and a lobar consolidation on CXR has ?
a. bronchopneumonia
b. lobar pneumonia
c. pulmonary edema
d. pulmonary infarction
answer: b . lobar pneumonia .
73q: which one of the following organisms causes pneumatocele ?
a. klebsiella
b. hemophilus influenza
c. staphylococcus aureus
d. streptococcus pneumoniae
answer: c . staphylococcus aureus .
74q: kartagener's syndrome is not associated with ?
a. situs inversus
b. subluxation of lens
c. bronchiectasis
d. sinusitis
answer: b .
75q: with reference to cystic fibrosis , which one of the following statement is not correct ?
a. gene is located in the long arm of chromosome 7
b. lung function is grossly impaired at birth
c. pseudomonas infection is very common
d. diabetes is more commonly encountered than in normal population
answer: b . lung function is not actually grossly impaired at birth and hence b is the wrong statement .
76q: cystic fibrosis characteristically has all of the following features except ?
a. low levels of sodium and chloride in sweat
b. pancreatic insufficiency
c. biliary cirrhosis
d. bronchial obstruction
answer: a .
77q: a patient presents with breathlessness . he has bilateral basal crepitations. lung function tests reveal decrease in total lung capacity and vital capacity with normal FEV1/VC ratio. the most likely diagnosis is ?
a. chronic bronchitis
b. idiopathic pulmonary fibrosis
c. cystic fibrosis
d. allergic bronchopulmonary aspergillosis
answer: b . idiopathic pulmonary fibrosis .
78q: interstitial pulmonary fibrosis is associated with the following except ?
a. sarcoidosis
b. asbestosis
c. carcinoid lung
d. radiation exposure
answer: c . carcinoid lung .
79q: all the following are features of alveolitis ( interstitial lung disease ) except ?
a. exertional dyspnea
b. early productive cough
c. digital clubbing
d. coarse crepitations during inspiration
answer: b . early productive cough .
80q: pleural effusion in rheumatoid arthritis is typically associated with the following features except ?
a. glucose greater than 60 mg/dl
b. protein greater than 3gm/ml
c. pleural fluid to serum protein ratio greater than 0.6
d. pleural fluid to serum LDH ratio greater than 0.6
answer: a. rheumatoid arthritis is one of the causes of conditions with low glucose , other causes of pleural fluid low in glucose are mesothelioma ,empyema,malignant pleural effusion . tuberculosis and dressler syndrome are conditions with high glucose in pleural fluid .
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