146 - respiratory system mcqs - part 5

41q: hemoptysis is an important symptom in all except ?

a. idiopathic hemosiderosis
b. bronchial adenoma
c. alpha antitrypsin deficiency
d. pulmonary tuberculosis

answer: c . alpha antitrypsin deficiency .

42q: finger clubbing is not a usual feature with ?

a. mesothelioma
b. bronchiectasis
c. tropical eosinophilia
d. fibrosing alveolitis

answer: c . tropical eosinophilia .

43q: bulging fissure sign is characteristic of pneuomonia due to ?

a. anaerobic bacteria
b. mycoplasma
c. pseudomonas
d. klebsiella

answer: d . klebsiella .

44q: miliary mottling of the lung is seen in all except ?

a. silicosis
b. aspergillosis
c. hemosiderosis
d. tuberculosis

answer: b . aspergillosis .

45q: best position to reveal small pleural effusions on chest X ray is ?

a. AP view
b. PA view
c. lateral view
d. lateral decubitus view

answer: d . lateral decubitus view .

46q: stony dull note on percussion is charateristic of ?

a. pleural effusion
b. consolidation
c. pleurisy
d. tuberculous cavity

answer: a . pleural effusion .

47q: total minute volume of the normal lung is ?

a. 2 litres
b. 4 liters
c. 4.5 liters
d. 7 liters

answer: d . 7 liters .

48q: FEV1/VC is decreased in all except ?

a. bronchiectasis
b. emphysema
c. chronic bronchitis
d. interstitial lung disease

answer: d. FEV1/VC is normally decreased in obstructive lung diseases , in the options given only d is not an example of obstructive lung disease .

49q: in chronic obstructive pulmonary disease all are seen except ?

a. low FEV1
b. increased FEV1/VC ratio
c. smoking strongly associated
d. partially reversible with bronchodilator therapy

answer: b .

50q: bronchial asthma is associated with raised levels of ?

a. leukotrienes
b. PGI2
c. PGI1
d. thromboxane

answer: a . leukotrienes .

144 - respiratory system mcqs - part 3

21q: which of the following is not a feature of kartagener's syndrome ?

a. bronchiectasis

b. pancreatic insufficiency

c. sinusitis

d. situs inversus 

answer: b . pancreatic insufficiency .

22q: complication of bronchiectasis are all except ?

a. cerebral abscess

b. lung abscess

c. amyloidosis

d. bronchogenic carcinoma 

answer: d . bronchogenic carcinoma is not a complication of bronchiectasis.

23q: what is the histological landmark of langerhan's cells ?

a. dendritic cell processes

b. giant mitochondria 

c. birbeck granules

d. increased serum alkaline phosphatase

answer: c . birbeck granules .

24q: pulmonary embolism causes all except ?

a. bradycardia

b. decreased cardiac output

c. arterial hypoxemia 

d. acute right ventricular strain 

answer: a . bradycardia .

25q: in acute pulmonary embolism, the most frequent ECG finding is?

a. S1Q3T3 pattern

b. P. pulmonale

c. sinus tachycardia 

d. right axis deviation 

answer: c . sinus tachycardia .

26q: which of the following is characteristic of pulmonary embolism ?

a. respiratory alkalosis

b. right axis deviatioin

c. normal A-a gradient

d. left ventricular strain 

answer: b . right axis deviation .

27q: pleural fluid low in glucose is seen in all except ?

a. rheumatoid arthritis

b. tuberculosis

c. mesothelioma

d. empyema

answer: b. tuberculosis .

28q: cause of hemorrhagic pleural effusion are all except ?

a. pulmonary infarction

b. mesothelioma

c. bronchial adenoma

d. tuberculosis 

answer: c . bronchial adenoma .

29q: all of the following are causes of hemorrhagic pleural effusion except ?

a. pulmonary embolism

b. rheumatoid arthritis

c. pancreatitis

d. TB

answer: c . pancreatitis .

30q: most unlikely cause of pleural effusion is ?

a. thyroid tumors

b. bronchial carcinoma

c. carcinoma breast

d. lymphoma

answer: a . thyroid tumors .

143 - respiratory system mcqs - part 2

11q: causes of hypersensitivity pneumonitis is/are ?

a. silicosis

b. farmer's lung

c. anthracosis

d. asbestosis

answer: b. farmer's lung caused by thermophilic actinomycetes .

12q: the following does not occur with asbestosis ?

a. pneumoconiosis

b. pleural mesothelioma

c. pleural calcification

d. methhaemoglobinemia

answer: d . methhaemoglobinemia .

13q: asbestosis causes which of the following ?

a. apical nodular fibrosis

b. coin shadow

c. hilar lymphadenopathy

d. basal peribronchal fibrosis

answer: a . apical nodular fibrosis .

14q: which of the following disease coexists with silicosis ?

a. sarcoidosis

b. tuberculosis

c. lymphoma

d. rheumatoid arthritis 

answer: b . tuberculosis .

15q: which feature is most characteristic of silicosis ?

a. apical nodular fibrosis

b. coin shadow

c. hilar lymphadenopathy

d. basal peribronchal fibrosis 

answer: a . apical nodular fibrosis .

16q: what is true regarding byssinosis ?

a. dyspnea and other respiratory symptoms on day 5

b. similar to chronic bronchitis and emphysema

c. presents as interstitial lung disease

d. eosinophils are prominent in lavage fluid 

answer: c . presents as intersititial lung disease .

17q: monday dyspnea is seen in ?

a. byssinosis

b. pulmonary eosinophilia

c. malingering

d. chronic bronchitis

answer: a . byssinosis .

18q: cotton dust causes one of the following occupational lung disease ?

a. byssinosis

b. berylliosis

c. bagassosis

d. silicosis 

answer: a . byssinosis .

19q: mycoplasma infection simulates 

a. pneumococcal pneumonia

b. viral pneumonia

c. pulmonary oedema

d. pulmonary infarction 

answer: b . viral pneumonia .

20q: ultrastructural abnormalities reported in defective cilia in immotile cilia syndrome are ?

a. dyenin arm deficiency

b. absence of radial spokes

c. absence of central microtubule 

d. all of the above

answer: d . all of the above .

142 - respiratory system mcqs - part 1

1q: volume of air taken into the lungs in normal respiration is known as ?

a. vital capacity
b. timed vital capacity
c. tidal volume
d. inspiratory reserve volume

answer: c . tidal volume .

2q: for diagnosis of obstructive airway disease which of the following measurement is usual ?

a. vital capacity
b. timed vital capacity
c. tidal volume
d. blood gas analysis

answer: b . timed vital capacity .

3q: in cryptogenic fibrosing alveolitis which of the following is not seen ?

a. decreased lung capacity
b. decreased diffusing capacity
c. decreased arteriolar oxygen tension
d. decreased FEV1/FVC ratio

answer: d . decreased FEV1/FVC ratio . cryptogenic means a disease of obscure or unknown origin .

4q: if FEV1 is 1.3 litres and FVC is 3.1 litres in an adult man , the pattern is suggestive of ?

a. normal lung function
b. restrictive lung disease
c. obstructive lung disease
d. none of the above

answer: c . obstructive lung disease .

5q: the hallmark of generalised obstructive lung disease is ?

a. reduced tidal volume
b. reduced residual volume
c. reduced timed vital capacity
d. reduced vital capacity

answer: c . reduced timed vital capacity .

6q: idiopathic pulmonary fibrosis , features include all except ?

a. decreased TLC
b. decreased RV
c. decreased diffusion capacity
d. decreased FEV1
e. decreased FEV1/FVC

answer: e . decreased FEV1 /FVC .

7q: nasal allergy is most often due to ?

a. pollen grains
b. animal dust
c. house dust
d. automobile dust

answer: a . pollen grains .

8q: curshmann's spirals in sputum is seen in ?

a. asthma
b. tuberculous cavity
c. bronchitis
d. bronchiectasis

answer: a . asthma .

9q: exercise induced asthma is not precipitated by ?

a. high altitude climb and exercises
b. cycling in cold water
c. swimming in hot water
d. swimming in cold water

answer: c . swimming in hot water .

10q: one of the following is not an indicator of the severity of asthma ?

a. use of accesory muscles
b. pulsus paradoxus
c. cyanosis
d. systolic hypertension

answer: d . systolic hypertension .