M & S PAST PAPER 1

Question 1

Which of the following regarding pathophysiology of lung abscess is NOT correct?
A)Gastro-oesophageal reflux would be an insignificant finding

B)Poor dental hygiene may play a role = dental diseases, lose tooth

C)Immunosuppression state may play a role

D)Patient may have hoarse voice = vocal paralysis

Answer 1

A)Gastro-oesophageal reflux would be an insignificant finding

Gastro-oesophageal reflux is actually significant, as it can cause aspiration, contributing to lung abscess formation.

Question 2

Q:
Which of the following statements regarding the clinical presentation of a lung abscess is NOT correct:

A. Presentation is clinically different to that of pneumonia

B. Weight loss, fever, night sweats and cough

C. Production of purulent sputum (pus) and foul breath

D. Similar presentation as pneumonia

Answer 2

A: ✅ A. Presentation is clinically different to that of pneumonia

❌ Incorrect: Lung abscess has a similar clinical presentation to pneumonia.
✅ Symptoms include fever, weight loss, night sweats, cough with purulent sputum, and foul breath.

💡 Think: “SIM”ilar sounds like pneumonia.