A middle-aged man presents with sever community-acquired pneumonia. admin July 1, 2020. through the windpipe and the pores. A multiple sleep latency test shows decreased sleep latency. What is the mechanism underlying this phenomenon? Nightly symptoms for a week. Concerning lung cancer: In Australia, the incidence in women is falling. With regard to inhaled long acting (2 agonists: Salmeterol xinefoate has a large hydrophilic side chain which facilitates its binding to the cell membrane of respiratory epithelium Salmeterol xinefoate has a shorter onset of action than Eformoterol fumarate Are ineffective at preventing bronchospasm induced by inhaled allergens Plasma levels are predictive of therapeutic effect Binding to the beta receptor activated adenylate cyclase leading to an increase in intracellular cyclic AMP 27. . BMI 25. 10 Mcqs Exam. Anatomy of oropharynx. . A 55 yo obese truck driver presents with increasing daytime somnolence and snoring. \. CXR shows bilateral hilar adenopathy and diffuse interstitial infiltrates. Due for cholecystectomy in 4 weeks. . . Chest examination is unremarkable apart from a few crackles at the bases. She was a heavy smoker. O/E neck circumference 46 cm, oropharyngeal measurements are small, and uvula is slightly oedematous. Management: uvuloplasty CPAP sleep hygiene and reassure lose weight methylphenidate. RESPIRATORY MCQ. Diagnostic tests for Iron deficiency states. The optimal treatment for limited stage small cell lung cancer is with chemotherapy alone. S o f d a y t i m e h y p e r s o m n o l e nce, following an MVA caused by falling asleep at the wheel. biopsy of the skin lesions will avoid the need to further evaluate her hilar lymphadenopathy. Respiratory Medicine Single Best Answer Quiz. A 70 year old female complains that for the past two years her gentle 72 year old husband wakes her at night shouting obscenities and has struck her in bed causing bruising. It is the Respiratory system. . 1. RV 93% pred. The human respiratory is sorely charged with taking in oxygen and dispersing carbon dioxide. A middle-aged lady has a short history of dry cough and dyspnoea. Lorem ipsum dolor sit amet, consectetur adipiscing elit. A 5 0 y e a r o l d m a l e w h o i s a h e a v y s m o k e r i s d i a g n o s e d w i t h a d e n o c a r c i n o m a a f t e r b i o p s y ì¥Á G Ä¿ � bjbj�Ù�Ù -ä ì³ ì³ —F ÿÿ ÿÿ ÿÿ ] : : : : : : N ,, ,, ,, ,, , X, „ N ®^ ø . Asthmatic 48 yrs old, FEV1 1.0L, FVC 2.4 L, predicted 2.6/3.2. Do you know all there is to this specific system? . ( eosinophils. This is most likely to improve: ABG's Survival Exercise tolerance Spirometry Diffusion capacity 9. . 2 ... FCPS part 1 Medicine solved mcqs with explanation Q25; 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. Paraneoplastic manifestations occur in the majority of patients. Study Flashcards On FINALS MCQ MED RESPIRATORY at Cram.com. Bronchoscopy done, left main tumour. K He has a raised JVP and ankle oedema. 5. She has been feeling tired and generally unwell. He has a past history of PTX. General Medicine requires group study & discussion on abstract / concept of questions. 4 Human Respiratory System: MCQs Quiz - 4 Please wait while the activity loads. FVC 89% pred. P h y s i c a l e x a m i n a t i o n a n d s p i r o m e t r y a r e n o r m a l a t t h e i n i t i a l v i s i t . A. In malignant pleural effusions, a low pH predicts a shorter survival time. B. diaphragm. FEV1/FVC 79%. . A middle-aged lady presents with SOBOE and had a spontaneous PTX six months ago. A middle-aged male presents with bilateral hilar adenopathy and interstitial changes. A 30 year old asthmatic male presents with dyspnoea and the following blood gases: pH 7.20 pCO2 50 pO2 60 HCO3- 18. final frca written the royal college of anaesthetists. Plaques may occur after slight asbestos exposure The prevalence of plaques correlates with the dose of asbestos inhaled and time after first exposure to asbestos The prevalence of plaques is not related to smoking. 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. 3/12 Hx of ( cough and dyspnoea. An elderly lady who is and ex-smoker presents for management of dyspnoea. The predominant cell responsible for the late phase of asthma is: neutrophils eosinophils basophils monocytes mast cells 45. age 32, presents with increasing dyspnoea on exertion without other significant symptoms. 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. 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. Respiratory Physiology MCQs with answers 1. 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? Respiratory System Mcqs for Preparation of Fpsc, Nts, Kppsc, Ppsc, and other test. The use of chemotherapy in combination with radiotherapy in patients with stage IIIB non-small cell lung cancer is associated with improved survival. c) Fibrosis. More MCQs: "Human Physiology" | “Human Respiratory System” | All MCQs Quiz on "Biology" | More MCQs … Examination reveals him to be mildly febrile (375), SOB at rest, and pale. ëR íR íR íR íR íR íR $ ¦_ ô ša x S � : . Respiratory system MCQs (Physiology practice multiple choice questions for FCPS, MRCP, USMLE, and PLAB) Respiratory system MCQs 1) In Caissons disease pain in the joints and muscles is due to The best adjustment to the ventilator is: ( PEEP ( RR ( RR ( TV ( FiO2 37. After the initial resuscitation you should; change all lines and send for culture culture tracheal aspirate perform bronchoscopy +/- transbronchial biopsy echo 41. ” 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. 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. Question category: Respiratory. . . She has no past medical history although she is on the contraceptive pill. Initially responds to treatment with penicillin, but then worsens over next few days. With regard to muscles of respiration, which one of the following statements is most correct? His blood and urine are sent for culture, and his CXR is unchanged. ' ( = > ^ _ » ½ $ % n o s t ° ± R S Ü İ \ ] l m º » H R Ã Æ Ç Ï ~' �' �' Ü) ß* ï, ò, õ- ö- [. CXR shows bilateral hilar and paratracheal lymphadenopathy with no parenchymal changes. Quickly memorize the terms, phrases and much more. BP 150/100. His CXR reveals patchy consolidation in both lung fields. On examination there is evidence of a swollen tender left calf. Which if the following statement is true? A CT chest is shown (consensus is that showed bronchiectatic changes). c. d. î. ï. A steroid-dependent patient with COPD presents with an exacerbation. Best option for management: a. chemotherapy b. radiotherapy c. palliative surgery bronchoscopic laser 3. A 26 year old man who has worked as a spray painter for 4 years is referred with a history of intermittent wheeze, SOB and cough. . ABGs show pH 7.36, pCO2 60, pO2 62. The best initial management is: increased steroids change puffers to nebs O2 therapy 19 hours per day GHPS overnight sleep study 32. increased blood viscosity lactic acidosis decreased blood volume decreased pulmonary vascular capacity inability to clear CO2 21. for peripheral cyanosis. S i s v e n t i l a t e d i n I C U . He has: Partially compensated metabolic acidosis Partially compensated respiratory acidosis Mixed metabolic and respiratory acidosis Respiratory acidosis Compensated respiratory acidosis FiO2 greater than 0.21 Theophylline toxicity 6. 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. C. It is the Photosynthsis D. It is the Urinary system. He ignored this for a couple of days as he often has a smokers cough. 16. An old lady presents with history of fever and left sided chest pain for one month. 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. Examination of respiratory system shows decreased chest movements, stony dull percussion note and absent breath sounds on left side. 2)The Respiratory system is made up of trachea, the lungs, and the _____. During exercise, pulmonary artery pressure is increased in patients with emphysema, in comparison with controls. Which of the following is not a. Regarding the Cystic Fibrosis Transmembrane Conductance Regulator ( CFTR) gene and glycoprotein It acts as a sodium channel on the apical membrane At present only 16 alleles of CFTR are recognised Male infertility is caused by reduced sperm motility Stimulates outwardly-reacting chloride channels (ORCs) Abnormal gene is on chromosome 10q 31. He is intubated but is now breathing spontaneously. She has worsening RVF. The next best investigation to make a diagnosis is? He is very concerned that he has been having uncharacte r i s t i c a l l y v i o l e n t d r e a m s f o r t w o y e a r s . Had lots of arousals (26/hour) and decreased sleep latency. . He has always been obese, but over the last three years had gained 32 kg in weight. TLC 102% pred. . Rate of O2 diffusion across lung increased by: anaemia capillary volume inspired O2 blood flow acidosis 13. Her preoperative management would be: a. admit for iv hydrocortisone prednisone and review in 2/52 admit 3/7 prior increase the salmeterol add ipratropium bromide 2. cm over her calves, shins and ankles. The most likely diagnosis is? On fluticasone 500 mg bd and salmeterol 40 bd. C. esophagus. A sleep study is performed and is reported as no apnoeas, no desaturations, but multiple arousals per hour ( ?40). 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? . He is on ceftriaxone for persisting bilateral pulmonary infiltrates and blood cultures to date have been negative. An HIV+ patient with a CD4+ count of 400 presents with pneumonia. On fluticasone 500 mg bd and salmeterol 40 bd. The body's food-processing system. C. Respiratory muscles are more efficient than large muscle groups. < Regarding Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) gene and glycoprotein: It acts as a sodium channel on the apical membrane At present only 16 alleles of CFTR are recognised Male infertility is caused by reduced sperm motility Stimulates outwardly rectifying chloride channels (ORCs) Abnormal gene is on chromosome 10q 12. Drugs Acting on CVS, GIT And Respiratory System Mcqs for Preparation of Fpsc, Nts, Kppsc, Ppsc, and other test. The body's breathing system. . In a multiple sleep latency test, narcolepsy would be diagnosed if 2 out of 5 naps had a sleep latency of 10 minutes or less If overnight oximetry demonstrates that desaturations are no more than 2% from baseline, then obstructive sleep apnoea is excluded as a cause of the hypersomnolence Narcolepsy is confirmed if REM sleep occurs in 2 or more naps during a multiple sleep latency test If periodic limb movements are shown to be present on overnight polysomnography, then they are likely to be the cause of his symptoms a trial of nasal CPAP should be offered, irrespective of the results of polysomnography. Due for cholecystectomy in 4 weeks. Quiz No. Tuberculous pleural effusions are usually bloody pleural effusion eosinophilia usually indicates a benign process Chylous pleural effusions are most commonly caused by lymphoma 18. He has become unwell over the past couple of days, he feels very under the weather, tired, feverish and has a productive cough of green sputum. 26. The respiratory system uses less than 3% of the body's total oxygen consumption at rest. b) Consolidation. Transpulmonary pressure (TPP) and ventilator-associated lung injury: a At end-inspiration, the TPP is the principal force maintaining inflation. He is on FiO2 0.9, rate 10 b/min. Sleep study does show sleep apnoea. Each of the following is a risk factor for lung cancer except: Asbestos Radon coal products lead cigarette tar 28. All the best and keep reading up on it and its functions! RhF, ANA and ANCA all normal. There are about 300 million alveoli in the human lung b. Spirometry FEV1/FVC 1.9/4.6 CT scan = bronchiectasis. 1) All of the followings are selective β2-agonist except: 3) Which of the following statement about Salmeterol is not true? Likely organism: Aspergillus fumigatus Chlamydia psittaci Mycoplasma pneumoniae Mycobacterium avium Nocardia 15. The most likely organism is: TB PCP MAC strep pneumoniae mycoplasma 46. gallium scan serum ACE CT chest open lung biopsy transbronchial biopsy 34. The next best investigation to establish a diagnosis is? Chest xray, left lung white out and lymph node positive for neuron specific enolase. . The body's blood-transporting system. 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, … Biopsy = poorly differentiated carcinoma. 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. Important topics – Central nervous system CNS), Cardio vascular system (CVS), Musculoskeletal, Renal, Respiratory and Haematological system. KCO 52% pred. She has been a smoker of 10-20 cigarettes a day for 13 years. MCQ quiz on Respiratory System multiple choice questions and answers on Respiratory System MCQ questions quiz on Respiratory System objectives questions with answer test pdf. The updated, second edition includes 261 multiple-choice questions covering the full breadth of the specialty, using clinical vignettes that test not only the readers' knowledge but their ability to apply that knowledge in daily practice. The best treatment would be; erythromycin ceftriaxone and erythromycin cefotaxime penicillin ceftriaxone and gentamicin 42. . CXR shown - left midzone opacity. Asthmatic 48 yrs old, FEV1 1.0L, FVC 2.4 L, predicted 2.6/3.2. Which of the following will most increase arterial O2 delivery? 33. . With respect to pleural plaques which of the following statements is INCORRECT? 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. She is not aware whether he snores or has apnoeic episodes. 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… General Medicine – Respiratory System 1. 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. GENERAL MEDICINE MODEL PAPER (MCQs) 9. . entrance papers and practicing our online papers will help a lot. J A 28 year old female presents with acute onset of shortness of breath and pleuritic chest pain. 35 yo man with asthma. Cram.com makes it easy to get the grade you want! A patient is evaluated in the emergency department. 1. F 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 Sputum shows Gram +ve cocci. 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 . . A flow volume loop is shown with plateauing of the inspiratory loop only. B. 1. Respiration is achieved through the mouth, nose, trachea, lungs, and diaphragm. Her chest X-ray is likely to reveal: a) Collapse. Create your own free quizzes using our quiz creator app. A woman. 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