On fluticasone 500 mg bd and salmeterol 40 bd. B. . Currently not distressed when examined. In patients with obstructive sleep apnoea, which of the following is correct/
systemic hypertension is found in over 8% of cases
the usual site of airway obstruction is at the level of the soft palate
apnoeas are more likely to occur in stage 3 and stage 4 sleep
neck circumference is a better predictor of severity than BMI
tracheostomy is the treatment of choice if the SaO2 dips below 75% on overnight polysomnography
48. His current BMI is 33.4. ” B- ” B- ÿT L- B- ÿT L- Š L- Ö2 Š “M ” ” óT B- 6- ¤ÁΈ8¨ Ş) †, L- ¯S ¢ óT ˜U 0 ÈU QT ¢ Y L- Y óT L- ¨ ¨ ” ” ” ” Ù RESPIRATORY MCQ
1. His symptoms are usually worse at night, but apparently resolve w h e n h e i s o n h o l i d a y s . 1. biopsy of the skin lesions will avoid the need to further evaluate her hilar lymphadenopathy. His blood and urine are sent for culture, and his CXR is unchanged. All the following are pathophysiological mechanisms for respiratory failure except * Hypoventilation V/Q mismatch Respiratory Medicine Mcq ruptured spleen symptoms and causes mayo clinic. . The diagnosis most c o m p a t i b l e w i t h t h e s e f i n d i n g s i s :
P r i m a r y p u l m o n a r y h y p e r t e n s i o n
E a r l y e m p h y s e m a
S m o k i n g r e l a t e d s m a l l a i r w a y s d i s e a s e
A s t h m a
S a r c o i d o s i s
3 5 . Sleep study does show sleep apnoea. Bronchoscopy done, left main tumour. A patient with asthma has the following arterial blood gases:
pH 7.10
pCO2 50
pO2 75
(HCO3 & BE not given)
What best explains this? cm over her calves, shins and ankles. Quiz No. On examination there is evidence of a swollen tender left calf. Respiratory failure short test. The most likely cause is:
Fixed extra-thoracic obstruction
Variable extra-thoracic obstruction
Fixed intra-thoracic obstruction
Variable intra-thoracic obstruction
Small airways narrowing
7. Regarding the lung a. . This is most likely to improve:
ABG's
Survival
Exercise tolerance
Spirometry
Diffusion capacity
9. Roll you finger across the trachea in the horizontal plane to assess for deviation. Important topics – Central nervous system CNS), Cardio vascular system (CVS), Musculoskeletal, Renal, Respiratory and Haematological system. Respiratory System Microbiology . C. esophagus. S i s v e n t i l a t e d i n I C U . The human respiratory is sorely charged with taking in oxygen and dispersing carbon dioxide. 1 32 3 3 %3 ûöğöğö ö ö ö ö î ûè ûèâû î û û û û û î î Ş Ş û Ú î î î î î û ûè û Ö û Ô î î î î û î 6� j bğ j Dğ j ğ H*mH sH H*mH sH H*H*mH sH mH sH mH sH T ; Y i � ™ š › F d e w ‡ • � ± ² ³ ş ( ) / 0 1 ú ø ø ø ø ó ó ó ó ø ø ø ø ø ø ø ø î î ø ø ø ø ø ø ø ø she should be reassured that the condition has a favourable prognosis in over 95% of cases
mediastinoscopy and lymph node biopsy is essential to rule out TB
She is likely to develop granulomatous lesions in the liver. . 26. He has a CVL with TPN, and a Swan-Ganz catheter in situ, both for the last 10 days. 1-A 65 year old man on the 30th postoperative day after radical prostatectomy for adenocarcinoma suddenly becomes extremely dyspneic and diaphoretic, with chest pain, palpitations, and feeling of panic after being ambulatory. The next best investigation to establish a diagnosis is? A 55 yo obese truck driver presents with increasing daytime somnolence and snoring. Alveolar macrophages:
Constitute 80% of cells in normal BAL
Have receptors for C3
Have increased activity after viral infections
Utilise oxygen free radicals in killing
Produce surfactant
14. RESPIRATORY MCQ. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Recently Published. Alternative of same Q: A male smoker in his 50's presents with increasing shortness of breath and a productive cough. salicylate toxicity
metabolic acidosis
partially compensated respiratory acidosis
mixed metabolic and respiratory acidosis
FiO2 >21%
Which of the following is most likely to cause oxygen desaturation in COAD patients during REM sleep? He is intubated but is now breathing spontaneously. GENERAL MEDICINE MODEL PAPER (MCQs) 9. 4 Human Respiratory System: MCQs Quiz - 4 Please wait while the activity loads. . A middle-aged male presents with bilateral hilar adenopathy and interstitial changes. FEF 25-75 70% pred. There is no evidence of hilar adenopathy or mediastinal widening. Due for cholecystectomy in 4 weeks. . . The respiratory system uses less than 3% of the body's total oxygen consumption at rest. FEV1/FVC 79%. The most likely explanation for this is:
Legionella pneumophila
Pleural empyema
Resistant pneumococcus
Lung abscess
8. On fluticasone 500 mg bd and salmeterol 40 bd. . The therapy most likely to improve survival is:
Oral steroids
Continuous oxygen therapy
IV Ventolin
Theophylline
Intal
10. The Geeky Medics Medical Finals Question Bank contains over 1000 single best answer (SBA) questions that cover topics relevant to medical student finals.Every question in the Medical Student Finals Question Pack has been written and reviewed by doctors, to ensure they deliver excellent educational value.. With our advanced quiz setup, you can generate quizzes based on specialty, … Management:
uvuloplasty
CPAP
sleep hygiene and reassure
lose weight
methylphenidate. . CXR shows LLL, RLL and RML consolidation. It is the Perspiration system. An old lady presents with history of fever and left sided chest pain for one month. Which of the following statements is true? This is made possible through the collaboration of some organs. the diaphragm contracts more forcefully in patients with hyperexpanded lungs
the abdominal muscles are supplementary muscles of inspiration
orthopnoea is experienced in bilateral diaphragm paralysis
the scalene muscles do not contribute to normal, quiet inspiration
the external intercostal muscles are aligned downwards and backwards
47. 2 ' ( = > ^
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H R Ã Æ Ç Ï ~' �' �' Ü) ß* ï, ò, õ- ö- [. On examinations she has diffusely swollen but non-oedematous ankles with apparent synovial thickening, and several raised indurated purple lesions about 2x2(?) Placing your index and ring finger of the right hand on the head of each clavicle, use the middle finger of the same hand to palpate the trachea in the sternal notch. ëR íR íR íR íR íR íR $ ¦_ ô ša x S � : . He has always been obese, but over the last three years had gained 32 kg in weight. F S a n d s w e l l i n g , a n d w h a t she describes as “insect bites” over her lower limbs. pH 7.36, pO2 106, pCO2 65. The best treatment would be;
erythromycin
ceftriaxone and erythromycin
cefotaxime
penicillin
ceftriaxone and gentamicin
42. The optimal treatment for limited stage small cell lung cancer is with chemotherapy alone. through the oesophagus and gullet. Small cell lung cancer is associated with
hypercalcaemia
clubbing
ectopic ACTH production
Lambert-Eaton myaesthenic syndrome (LEMS)
hyponatraemia
39. Nightly symptoms for a week. . 15 MCQs (Multiple Choice Questions) in Quiz Format on “Human Respiratory System“. A 47 yo ex smoker (35 pack years) presents with a three day history of haemoptysis and SOB. The best initial management is:
increased steroids
change puffers to nebs
O2 therapy 19 hours per day
GHPS
overnight sleep study
32. Which of the following is not a. Paraneoplastic manifestations occur in the majority of patients. C. It is the Photosynthsis D. It is the Urinary system. Respiratory Medicine Single Best Answer Quiz. His ECOG score of 1 is least likely to influence:
survival
quality of life
toxicity of chemo
the amount/dose of chemo required
response to chemo. Professionals, Teachers, Students and Kids Trivia Quizzes to test your knowledge on the subject. A woman. He becomes very unwell and clinically septic, with T° 40, BP 70/50. Anatomy of oropharynx. family Young male with RLL pneumonia. Idiopathic pancreatitis is associated with abnormalities of CFTR that do not cause pulmonary disease
The severity and course of the pulmonary disease are predicted solely by the genotype
17. Diagnostic tests for Iron deficiency states. During exercise, pulmonary artery pressure is increased in patients with emphysema, in comparison with controls. . ... the end of it all but we was very confident on this herbal doctor,like i said we give him a try and he sent me a herbal medicine … . Her chest X-ray is likely to reveal: a) Collapse. What is the mechanism underlying this phenomenon? Asthmatic 48 yrs old, FEV1 1.0L, FVC 2.4 L, predicted 2.6/3.2. Air can enter the body and travel to the lungs ... through the mouth and the nose. H e i s h a v i n g t y p i c a l n o c t u r n a l s e i z u r e s
H e h a s a R E M s l e e p b e h a v i o u r d i s o r d e r
H e n e e d s p s y c h i a t r i c e v a l u a t i o n f o r d e p r e s s i o n
H e s h o u l d b e p r e s c r i b e d s t i m u l a n t m e d i c a t i ì¥Á G Ä¿ � bjbj�Ù�Ù -ä ì³ ì³ —F ÿÿ ÿÿ ÿÿ ] : : : : : : N ,, ,, ,, ,, , X, „ N ®^ ø . PaO2 from 60 to l00 mmHg
Cardiac output from 4 to 4.4 L/min
Haemoglobin from 8 to 10
Arterial pH from 7.40 to 7.50
A, B and C will have the same effect
19. : Ans: B. 16. 3/12 Hx of ( cough and dyspnoea. Currently not distressed when examined. . Nightly symptoms for a week. Each of the following is a risk factor for lung cancer except:
Asbestos
Radon
coal products
lead
cigarette tar
28. Chest examination is unremarkable apart from a few crackles at the bases. ï ğ @ / � ‘ Ñ Ò Ø Í 1 . E.N.T Mcqs – I. October 7, 2020. He complains of increasing shortness of breath. Good single breath estimate of TLC
Hb 142 g/L
FiO2 0.21: pO2 94 mmHg
pCO2 31 mmHg
pH 7.49
BE -2 mmol/L. O/E neck circumference 46 cm, oropharyngeal measurements are small, and uvula is slightly oedematous. She has been feeling tired and generally unwell. ëR íR íR íR íR íR íR $ ¦_ ô ša x S � : . 1. W h a t i s m o s t l i k e l y ? He is on FiO2 0.9, rate 10 b/min. 1) All of the followings are selective β2-agonist except: 3) Which of the following statement about Salmeterol is not true? MCQs respiratory system 1. 5. d) To prevent neonatal respiratory distress syndrome 7) Which one of the following is not a side effect due to systemic corticosteroids? b) Consolidation. Pleural plaques are discrete raised areas that may be situated in any part of the visceral pleura
They are strongly associated with exposure to asbestos although they are also found in subjects from whom no history of exposure can be elicited. ëR íR íR íR íR íR íR $ ¦_ ô ša x S � : . . FEV1/FVC is 0.9/2.0, with no improvement post ventolin. Rate of O2 diffusion across lung increased by:
anaemia
capillary volume
inspired O2
blood flow
acidosis
13. RV 93% pred. Fatal asthma attacks are best predicted by:
onset in childhood
increased bronchodilator use
smoking
multiple hospital admissions
atopy
20. CT chest
V/Q scan
sputum cytology
bronchoscopy
29. All the best and keep reading up on it and its functions! a) Adrenal suppression b) Fluid retention, weight gain, hypertension c) Hyperglycemia d) Sleep disorders 8) All of the following statements about histamine is true except: a) Increases blood pressure Regarding allergic rhinitis:
Early response is accentuated after repeated allergen challenges
Early and late responses are prevented by oral and nasal corticosteroids
Treatment of rhinitis has no effect on asthma control
Symptoms of allergic rhinitis are less intense in a cold environment
nasal steroids are not effective in patients with nasal polyps
30. . He is on ceftriaxone for persisting bilateral pulmonary infiltrates and blood cultures to date have been negative. . J The terminal bronchioles are the smallest airways without alveoli c. Anatomic dead space = 150 ml d. Alveoli are about 0.3 mm in diameter e. All of the above are true 2. ĞÏࡱá > şÿ Ÿ ¡ şÿÿÿ � � ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á 7 ğ¿ —P bjbjUU -¾ 7| 7| —F ÿÿ ÿÿ ÿÿ l ” ” ” ” ” ” ” ¨ †, †, †, †, š, œ ¨ ÈU ¶ B- B- B- B- B- B- B- B- ÿT U U U U U U $ ~V �X b %U ] ” B- B- B- B- B- %U L- ” ” B- B- ‚U L- L- L- B- . CXR shown - left midzone opacity. c) Fibrosis. With respect to cystic fibrosis transmembrane conductance regulator (CFTR) which of the following statement is INCORRECT:
CFTR functions as a chloride channel regulated by cyclic AMP
CFTR functions as a regulator of other ion channels
The most frequent mutation, present on approximately 70% of CF chromosomes world-wide, results in the deletion of a phenylalanine residue at codon 508 ((F508). c The use of oesophageal TPP monitoring to set positive end-expiratory pressure (PEEP), to achieve an end-expiratory TPP of 0-10cmH20, may be associated with improved… A young man develops ARDS following trauma. She has just recently flew back from Australia . Initially responds to treatment with penicillin, but then worsens over next few days. Biopsy = poorly differentiated carcinoma. Which of the following investigations is most likely to yield the diagnosis/
transbronchial biopsy
ANCA
video-assisted thoracoscopic lung biopsy
bronchoscopy
anti GBM titre
49. Human Respiratory System Questions: MCQs (Multiple Choice Questions) on Breathing and Respiration, Online Test No. list of drugs medicine used for common cold medindia. 40. 2)The Respiratory system is made up of trachea, the lungs, and the _____. An HIV+ patient with a CD4+ count of 400 presents with pneumonia. Treatment with corticosteroids at a dose of 0.5 mg/kg should be commenced immediately. During REM sleep all of the following occur except:
somnambulism
nightmares
enuresis
penile erection
periodic limb movement disorder
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