CHEST AND LUNGS SAMPLEX 25 Flashcards

(25 cards)

1
Q

A 38 year old female garment factor sewer, consults of cough she claims that she has been coughing for about 2 months now, initially the cough was non-productive and became productive of mucoid sputum about 3 weeks PTC. Few minutes PTC, she coughed up blood streak sputum

A

Pulmonary Tuberculosis

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2
Q

A 53 year old male has been coughing for almost 4 years now. Cough is productive of minimal sputum especially in the morning. On the examination, the only abnormal finding was injected pharynx

A

cigarrette smoking

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3
Q

A 23 year old student was rushed to the ER because of hemoptysis. He claimed that about 2 years ago he was also rushed to the hospital because of hemoptysis. Patient also claimed that he has been coughing for about 3 years now, and often coughs up a lot of mucoid to purulent sputum. Denies fever

A

Bronchiectasis

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4
Q

A 47 year old female sought consultation because of cough for about a month. Cough is PRODUCTIVE OF MINIMAL SPUTUM. she notes anorexia about 2 weeks prior to the onset of cough but denies any fever

A

Pulmonary Tuberculosis

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5
Q

A 70 year old female non-smoker complains of cough for more than 5 years now and shortness of breath (DOB) for about 2 years. she claims that her cough is productive of sputum. is mucoid to purulent ammounting to about 3 tablespoons per day. The severity of cough will worsen intermittently and during these occasions, the sputum becomes more purulent and she also has shortness of breath that seems to be worsening for the past 2 years. She claims that she used to cook for the family using open flame

A

COPD

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6
Q

A 47 year old male in the ER has fever, cough, and productive of purulent sputum for 3 days and few hours prior to consultation he coughed up blood sputum that was jelly-like. Which of the ff is most likely the cause of the patient’s cough

A

klebsiella pneumoniae

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7
Q

what is the most likely etiology of cough for patient with mediastinal mass

A

mechanical irritation

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8
Q

what is the most likely etiology of cough for patient with interstitial fibrosis

A

decreased lung compliance

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9
Q

what is the most likely etiology of cough for patients with bronchitis

A

inflammation

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10
Q

what is the most likely etiology of cough for patient with pulmonary edema

A

decreased lung compliance

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11
Q

A 57 year old male previous smoker with cough of more than 3 years noticed that his cough is more frequent and there was also increase in the amount of sputum about 2 days prior to consultation but denies fever. A few hours prior to consultation after a bout of coughing he suddenly felt severe shortness of breath

A

pulmonary edema

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12
Q

A 30 year old female pregnant, 26 AO6, was rushed to the ER because of shortness of breath few minutes after changing her dress. She claims that she does not have any problem prior to the onset of the sudden shortness of breath

A

pulmonary emboli

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13
Q

A 17 year old student was brought to the ER because of shortness of breath (DOB). Few hours prior to consultation, he was complaining of headache and self-medicated with OTC pain reliever. About 40 minutes after intake of the medicine, he started to feel some chest tightness and minimal coughing; productive of minimal sputum

A

asthma

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14
Q

A 23 year old male, drug abuser was found drowsy and his breathing was noted to be fast. the patient’s breathing pattern is

A

tachypneic

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15
Q

A 39 year old male was seen in the ER because of severe headache and was highly febrile. On examination, RR was high and rather irregular and patient was noted to have nuchal rigidity. The patient’s breathing pattern is

A

biot’s breathing

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16
Q

A 70 year old male hypertensive for more than 20 years diagnosed to have heart failure about 2 years ago was recently noted to gave irregular respiration by his caregiver which prompted them to bring the patient for consultation. The patient’s breathing pattern is

A

cheyne stroke respiration

17
Q

Acute pulmonary edema may develop among
patients with idiopathic reaction to which of the ff?

18
Q

Which of the ff medicine is assoc. with increased risk factor for pulmonary emboli?

A

oral contraceptive

19
Q

55 year old female was rushed to the hospital because of sudden onset of shortness of breath, chest pain, and hemoptysis. On auscultation there were no other findings except for localized wheeze heard over the right basal area. The most likely cause of the patient’s problem is?

A

pulmonary infarction

20
Q

On inspection of the breast, finding of weeping lesion and bleeding from the nipple should make one suspect

A

Paget disease

21
Q

Positive for schamroth’s sign

22
Q

Kussmaul’s respiration is usually observed in patient with

A

severe hemorrhage

23
Q

A 13-year old female was rushed in the ER with severe retrosternal pain. Nitroglycerine must be given to the patient to relieve chest pain. She claimed that the pain occurs when she ate something cold. The patient is suffering

A

esophageal spasm

24
Q

A 70-year old male was admitted to the hospital because of pneumonia. Several medicines were given and he improved, however on the 5th hospital day, he suddenly developed, SHALLOW BREATHING AND DROWSINESS, drug reaction was suspected to be the cause of sudden change. Which of the following medicine may cause this problem?

25
Patient with chronic cough and unilateral effusion will usually complain
Trepopnea