Pneumonia MCQ 15+

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• Severe pneumonia in 2 months of age:
  ক

  Stopped feeding well is a danger sign

  খ

  Respiratory rate> 70 min is an indication of oxygen therapy

  গ

  Can be treated outside the hospital

  ঘ

  Both fast breathing & chest indrawing must be present for diagnosis

  ঙ

  Severe malnutrition is a danger sign
• Aspiration pneumonia
  ক

  Is usually unilateral

  খ

  Occurs in debilitated patient

  গ

  Dramatically responds to antibiotic

  ঘ

  Usually causes apical lesions

  ঙ

  Is caused by low virulent organisms
• Typical features of legionella pneumonia include
  ক

  Vomiting and diarrhea

  খ

  Hyponatremia

  গ

  Acute confusional state

  ঘ

  Signs of consolidation on chest examination

  ঙ

  Erythema multiforme
• The following feature suggests a poor prognosis in pneumonia in adult:
  ক

  Confusion

  খ

  Blood urea of 9 mmol/L

  গ

  Diastolic blood pressure of 90 mm of Hg

  ঘ

  Respiratory rate of 20 breath per minute

  ঙ

  White blood cell count of <3000 /cumm of blood
• Poor prognosis in pneumonia may present with
  ক

  Hypotension

  খ

  Confusion

  গ

  Blood urea of 10 mmol/L

  ঘ

  WBC count of 5000X109/L

  ঙ

  Fever
• Features suggestive of poor prognosis of pneumonia include
  ক

  Diastolic blood pressure of 50 mmHg

  খ

  Confusion

  গ

  Blood urea 9 mmol/L

  ঘ

  Respiratory rate 20 breaths/minute

  ঙ

  White cell count <3000x109/L
• Complications of pneumonia is
  ক

  Empyema

  খ

  ARDS

  গ

  Atrial fibrillation

  ঘ

  Hypercapnea

  ঙ

  Hypernatremia
• Pneumonic consolidation may turn in to
  ক

  Abscess formation

  খ

  Resorption

  গ

  Hemangioma

  ঘ

  Hypernatremia

  ঙ

  Fibrosis
• Indications of ICU admission for a patient with pneumonia is
  ক

  Paco2> 6.6 kpa

  খ

  Confusional state

  গ

  Circulatory failure

  ঘ

  Blood pH of 7.3

  ঙ

  Respiratory alkalosis
• Factors predisposing to pneumonia include
  ক

  Cigarette smoking

  খ

  Glucocoticoid therapy

  গ

  Indoor air pollution

  ঘ

  Herpes zoster

  ঙ

  Cytomegalovirus infection
• Chest findings in pneumonic consolidation is
  ক

  Restricted movement on the affected side

  খ

  Dull Percussion note

  গ

  Bronchial breath sound

  ঘ

  Shifting of mediastinum

  ঙ

  Decreased vocal resonance
• Complications of pneumonia include
  ক

  Empyema

  খ

  Arrhythmia

  গ

  Myocarditis

  ঘ

  Arthritis

  ঙ

  Type II respiratory failure
• Marker of severity in pneumonia is/are
  ক

  Bacteraemia

  খ

  Hyponatraemia

  গ

  Hypoalbuminaemia

  ঘ

  Neutrophilic leucocytosis

  ঙ

  Herpes simplex labialis