Samplex 2015 Set B Flashcards Preview

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Flashcards in Samplex 2015 Set B Deck (79)
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1

Components of pulmonary lobule

A. Bronchioles, terminal bronchioles, acinus
B. Respiratory bronchiles, alveolar ducts, alveolar sacs
C. 3 to 5 terminal bronchioles, respective acinus
D. Bronchus, lung lobe, bronchioles

C

2

Oligohydramnios may cause pulmonary HTN by

A. Compression of lung tissue
B. Impede lung expansion
C. Predisposed to diaphragmatic hernia
D. Being associated with cardiac and renal anomalies

B

3

True of congenital lobar emphysema

A. Primarily affects the lower lobes
B. Bronchi at the involved site may be devoid of cartilage
C. Results from abnormal detachment of the primitive foregut
D. Hamartamous proliferation of cysts

B

4

Common source of pulmonary emboli

A. Superficial by vein thrombosis
B. Deep vein thrombosis
C. Right atrium
D. left atrium

B

5

True of septic infarcts

A. Common in large emboli
B. results in respiratory compromise but not hemodynamic compromise
C. With accompanying neutrophilic inflammatory reaction
D. White Infarcts

C

6

OSA predisposes to pulmonary HTN by this mechanism:

A. Recurrent thromboemboli
B. Chronic hypoxemia- induced changes
C. Destruction of lung parenchyma
D. Idiopathic mechanisms

B

7

Which of the ff diffuse pulmonary hemorrhage syndromes involves both kidneys and lungs?

A. Wegener Granulomatosis
B. Idiopathic Pulmonary Fibrosis
C. Familial Pulmonary ARterial Hypertension
D. Goodpasture Syndrome

D

8

Which of the following thymic lesions preserve the thymic architecture?

a. Thymic dysplasia
b. True thymic hyperplasia
c. Thymic follicular hyperplasia
d. Thymoma

B

9

True of invasive thymomas

A. Mixed with sparse lymphocytes
B. Always exhibit cytologic atypia
C. composed mostly of cortical epithelial cells
D. Most common histologuc subtype in SCC

C

10

Which of the ff neuroendocrine tumors has the best prognosis?

A. Carcinoid Tumor
B. Undifferentiated Carcinoma
C. Small cell neuroendocrine carcinoma
D. large cell neuroendocrine carcinoma

A

11

Which of the ff is the most common primary tumor of metastatic tumors to the mediastinum?

A. invasive ductal carcinoma
b. malignant melanoma
c. undifferentiated carcinoma of the nasopharynx
d. small cell undifferentiated carcinoma of the lung

D

12

Obstruction and infection are predisposing factors for the development of which of the following:

a) chronic bronchitis
b) emphysema
c) ADRS
d) Bronchiectasis
e) NOTA

D

13

Hallmark of ARDS

A. hyaline membrane and cappilaritis
B. Organizing fibromyxoid tissue
C. Atelectasis
D. Interstitial fibrosis

A

14

The basic pathology of ARDS

a. diffuse alveolitis with shunting
b. endothelial damage
c. epithelial damage
d. AOTA

D

15

Acute mediastinitis commonly affects this compartment of the mediastinum:

a. Anterior mediastinum
b. Posterior mediastinum
c. Superior mediastinum
d. Middle mediastinum

B

16

True of smoking as a significant RF for the devt of lung cancer:

A. Use of filters reduce tar within inhaled smoke resulting in less deposition of carcinogens deeper in the lungs
B. Lung cancer risk depends more on duration rather than intensity
C. Passive smokers inhale tobacco carcinogens at levels equal to that of active smokers
D. Risk in former smokers approaches the risk of non smokers after 5 years of smoking cessation

B

17

Best modality of choice to obtain a tissue biopsy for diagnosis of a peripherally located lung mass

A. sputum cytology
B. bronchoscopy guided endobronchial biopsy
C. CT guided aspiration biopsy
D Video assisted biopsy

C

18

Recommended treatment for stage 2 Non small cell CA?

a. Surgery
b. Radiotherapy
c. Concurrent chemo radio therapy
d. Chemotherapy

A

19

Type of lung cancer most often occurs in nonsmokers or former smokers and typically presents as peripheral lesions within a high propensity to metastasize

A. Adenocarcinoma
B. Lung Cell CA
C. Small Cell CA
D. Squamous cell CA

A

20

Limited stage small cell lung CA is characterized by:

A, Unilateral pleural effusion
B. Disease extent safely encompassed within a tolerable radiation field
C. Metastasis to a solitary distant site
D. Contralateral supraclavicular lymphadenopathy

B

21

Lung cancer staging is used for the ff purposes, EXCEPT:

A. defining extent of disease
B. determination of prognosis
C. predicting prognosis
D. selecting treatment options
D. Prediction of response to chemotherapy

D

22

A 60 year old smoker with cough of 4 mos history, associated with hemoptysis, lower back pain and progressive dyspnea. On PE, there in decreased breath sounds on the left lung and wheezing.

If the px initially came to you, what imaging modality would you first request?

A. Chest X-ray
B. CT Scan
C. MRI
D. NOTA

A

23

A 60 year old smoker with cough of 4 mos history, associated with hemoptysis, lower back pain and progressive dyspnea. On PE, there in decreased breath sounds on the left lung and wheezing.

Bronchoscopy guided CT revealed squamous cell CA. Work up revealed: Chest xray showed right hilar homogenous opacity, chest CT had findings of a right hilar mass 6x4x5 cm with moderate right pleural effusion, Bone scan with multiple bone metastasis

Staging by TNM would indicate that px has what stage of disease:

A. I.
B. II
C. III
D. IV

D

24

A 60 year old smoker with cough of 4 mos history, associated with hemoptysis, lower back pain and progressive dyspnea. On PE, there in decreased breath sounds on the left lung and wheezing.

What is the best treatment for the patient would be

A. Surgery
B. radiotherapy alone
C. Concurrent chemo/radiotherapy
D. systemic chemotherapy

C

25

A 60 year old smoker with cough of 4 mos history, associated with hemoptysis, lower back pain and progressive dyspnea. On PE, there in decreased breath sounds on the left lung and wheezing.

Role of chemotherapy for this patient:

A. Neo-adjuvant
B. adjuvant
C. Palliative
D. Curative

C

26

The high molecular-weight compounds are considered important agents that can induce occupation related asthma, EXCEPT:

a. metal salts
b. wood and vegetable dusts
c. pharmaceutical agents
d. enzymes

A

27

FALSE about streptomycin

a) inhibits protein synthesis
b) active against intracellular bacteria
c) must be given parenterally
d) given as prophylaxis against endocarditis

B

28

Apart from H. influenzae, what other predominant organism can be found in sputum of a patient with bronchiectasis?

A. S. pneumoniae
B. P. aeruginosa
C. M. tuberculosis
D. S. aureus

B

29

Which is TRUE about isoniazid?

a. inhibits RNA polymerase
b. treatment once a week is ok
c. bactericidal against actively growing mycobacterium
d. ototoxic

C

30

FALSE about Pyrazinamide?

a. bactericidal against active TB
b. given in maintenance
c. adverse effect is hepatotoxicity
d. inhibits mycolic acid

B