Respiratory medicine MCQ 113+

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• Obstructive sleep apnoea is/are usually associated with
  ক

  Familial predisposition

  খ

  Nocturnal hypoxaemia

  গ

  Obesity

  ঘ

  Systemic hypertension

  ঙ

  Female gender
• Clubbing may occur in
  ক

  Infective endocarditis

  খ

  Tetralogy of fallot

  গ

  Primary hepatocellular carcinoma

  ঘ

  Irritable bowel syndrome

  ঙ

  Pancreatic carcinoma
• Causes of clubbing include
  ক

  Bronchiectasis

  খ

  Lung abscess

  গ

  Idiopathic pulmonary fibrosis

  ঘ

  Pneumonia

  ঙ

  Pneumoconiosis
• Clubbing is a typical finding in
  ক

  Bronchiectasis

  খ

  Primary biliary cirrhosis

  গ

  Chronic bronchitis

  ঘ

  Vasculitis

  ঙ

  Ventricular septal defect
• Clubbing is a feature of
  ক

  Lung abscess

  খ

  Idiopathic pulmonary fibrosis

  গ

  Chronic bronchitis

  ঘ

  Pneumoconiosis

  ঙ

  Bronchial adenoma
• Finger clubbing is found in
  ক

  Bronchiectasis

  খ

  Primary biliary cirrhosis

  গ

  Idiopathic pulmonary fibrosis

  ঘ

  Chronic bronchitis

  ঙ

  Aspergillosis
• Finger clubbing is/are a commonly present in
  ক

  Bronchiectasis

  খ

  Idiopathic pulmonary fibrosis

  গ

  Primary biliary cirrhosis

  ঘ

  Chronic bronchitis

  ঙ

  Sarcoidosis
• Features of Sarcoidosis incude
  ক

  A-V block

  খ

  Diabetes insipidus

  গ

  Erythema multiforme

  ঘ

  Nephrotic syndrome

  ঙ

  Lymphocytosis
• Causes of elevation of hemidiaphragm is
  ক

  Phrenic nerve palsy

  খ

  Pulmonary collapse [Abdullah Radiology/P-69]

  গ

  Subphrenic abscess

  ঘ

  Pneumonic consolidation

  ঙ

  Diaphragmatic hernia
• Non-metastatic extra pulmonary manifestations of bronchial carcinoma are
  ক

  Nephrotic syndrome

  খ

  Gynaecomastia

  গ

  Eosinophilia

  ঘ

  Hypocalcaemia

  ঙ

  Cerebral degeneration
• Which of the following lung cancers are common in non-smokers
  ক

  Adenocarcinoma

  খ

  Small cell carcinoma

  গ

  Oat cell carcinoma

  ঘ

  Alveolar carcinoma

  ঙ

  Large cell carcinoma
• Features of paraneoplastic syndrome of bronchial carcinoma is
  ক

  Clubbing

  খ

  Polyneuropathy

  গ

  Nephrotic syndrome

  ঘ

  Hirsutism

  ঙ

  Optic atrophy
• Non-metastatic manifestations of bronchial carcinoma include
  ক

  Eaton-Lambert syndrome

  খ

  Nephrotic syndrome

  গ

  Eosinophilia

  ঘ

  Pleural effusion

  ঙ

  Dysphagia
• Features of paraneoplastic syndrome in bronchial carcinoma include
  ক

  Dermatomyositis

  খ

  Lambert-Eaton Myasthenic syndrome

  গ

  Gynaecomastia

  ঘ

  Degenerative changes in vertebra

  ঙ

  Leuconychia
• Tension pneumothorax should be suspected in a patient of
  ক

  Hypotension

  খ

  Severely progressive dyspnoea

  গ

  Marked Mediastinal shift

  ঘ

  Hyperthermia

  ঙ

  Severe bradycardia
• Features of massive pulmonary embolism include
  ক

  Raised JVP

  খ

  Syncope

  গ

  Central cyanosis

  ঘ

  Pleuritic chest pain

  ঙ

  G wave in lead I

  চ

  III & VL on ECG
• Clinical features of pulmonary embolism is
  ক

  Hypotension

  খ

  Right ventricular gallop

  গ

  Cyanosis

  ঘ

  Bradycardia

  ঙ

  Soft P2
• Features of acute massive pulmonary embolism are
  ক

  Tachycardia

  খ

  Right ventricular gallop

  গ

  Severe cyanosis

  ঘ

  Soft P2

  ঙ

  Hypertension
• Features of massive pulmonary embolism are
  ক

  Central cyanosis

  খ

  Raised JVP

  গ

  Syncope

  ঘ

  Pleurisy

  ঙ

  Respiratory acidosis
• a1 antitrypsin
  ক

  Inhibits neutrophil elastase

  খ

  Is produced by the liver

  গ

  Deficiency leads to cystic fibrosis

  ঘ

  Deficiency can be treated with vitamin C

  ঙ

  Is produced by the alveolar macrophage
• First line anti-tubercular drugs include
  ক

  Rifampicin

  খ

  Pyrazinamide

  গ

  Isoniazid

  ঘ

  Para aminosalycylic acid (PSA )

  ঙ

  Rifabutin
• A false- negative reaction to the tuberculin test may occur in the following circumstances
  ক

  Cyclosporine therapy

  খ

  Malignant lymphoma

  গ

  Viral infections

  ঘ

  Active tuberculosis

  ঙ

  Previous BCG vaccination
• The followings can be found in primary tuberculosis
  ক

  Positive Mantaux test

  খ

  Erythema nodosum

  গ

  Phlyectanalur conjunctivitis

  ঘ

  Clubbing

  ঙ

  Poncet's arthropathy
• Features of primary tuberculosis is
  ক

  Erythema nodosum

  খ

  Pleural effusion

  গ

  Hilar lymphadenopathy

  ঘ

  Bilateral cavitations of lungs

  ঙ

  Erythema induratum
• Features of cryptic tuberculosis include
  ক

  Normal chest X-ray

  খ

  Negative tuberculin test

  গ

  Leukaemoid blood picture

  ঘ

  High grade fever

  ঙ

  Smear positivity of sputum
• Hypersensitivity reaction of tuberculosis are
  ক

  Dactylitis

  খ

  Pleural effusion

  গ

  Mantoux test positivity

  ঘ

  Pericardial effusion

  ঙ

  Productive cough
• Feature/s of primary pulmonary tuberculosis is/are
  ক

  Lymphadenopathy

  খ

  Lobar collapse of lung

  গ

  Erythema nodosum

  ঘ

  Hypercalcemia

  ঙ

  Multiple abscess
• The most common sites for lung abscess are
  ক

  Apical segment of the lower lobe

  খ

  Posterior segment of the upper lobe

  গ

  Root of the lung

  ঘ

  The costo-mediastinal recess

  ঙ

  The lobe of the azygos vein
• In empyema thoracis:
  ক

  Percussion note is stony dull over the affected side

  খ

  Apex beat is shifted to opposite side

  গ

  Intercostal tenderness may be present

  ঘ

  Trachea is shifted to same side

  ঙ

  Breath sound is bronchial
• Risk factor/s for invasive aspergillosis is/are
  ক

  Severe chronic obstructive pulmonary disease

  খ

  Solid organ transplantation

  গ

  Neutropenia

  ঘ

  Bronchial carcinoma

  ঙ

  Pericardial effusion