Pulmonology

1. Cause of impaired gas in COPD

a. V/Q mismatch
b. Shunt
c. Hypoventilation
d. Hyperventilation
2. Cause early airway collapse in COPD
during early expiration
a. Small airway narrowing
b. Loss of elastic recoil
c. Loss of radial traction
d. Loss of weight
3. Causes permanent damage in COPD
a. Bronchospasm
b. Oxidative Stress
c. Mucosal edema
d. Mucociliary dysfunction
4. Most significant cause of obstruction in
COPD
a. Small airway narrowing
b. Loss of elastic recoil
c. Loss of radial traction
d. Loss of weight
5. Significant cause of cachexia in COPD
a. Increase work of breathing
b. Anorexia
c. Elastase
d. TNF a
6. Most reliable radiologic finding in COPD
a. Cardiomegaly
b. Widened ICS
c. Bullae
d. Pallas sign
7. Typical posture of COPD Patient
a. Tripod
b. Bipod
c. Gowens sign
d. Hoovers sign
8. Most common source
exacerbation
a. Viral infection
b. Bacterial infection
c. Toxic Inhalation
d. House dust

of

COPD

9. A 60y year old male was evaluated for

recurrent DOB. He had history of

asthma and allergies during childhood

and smoked cigarettes for 15 years.
What test is crucial for accurate
diagnosis?
a. Spirometry
b. Lung volume studies
c. DLCO
d. ABG
10. The most important risk factor for
bronchial asthma
a. Polyps
b. Sinusitis
c. Triggers
d. Atopy
11. Idiosyncratic asthma will have
a. Positive bronchoprovocation
test
b. Positive wheal and flare reaction
c. IgE in serum
d. Rhinitis and urticarial
12. Substance released with
degradation
a. IL8
b. Leukotriene 8
c. Histamine
d. Cholestyramine

mast

cell

13. Controls airway inflammation in asthma

a. Methylxanthine
b. Corticosteroids
c. B-agonist
d. Anticholinergics
14. Over excretion of cysteinyl leukotrienes
as mechanism for asthma exacerbation
in
a. Exercise
b. Air pollution
c. Aspirin
d. Beta-blockers
15. Seen on microscopy sputum from
asthma
a. Cushmanns spiral
b. IgE
c. Charcot-Leyden crystal
d. Hemosiderin laden crystal
16. Mucosal thermal changes
exacerbation of asthma
a. Exercise

level

to

b. Air pollution
c. Aspirin
d. B-blockers
17. Most common cause
exacerbation
a. Sulfur dioxide
b. Viral infection
c. Toxic inhalation
d. Fart

of

18. Earliest ABG findings in asthma

a. Respiratory alkalosis
b. Respiratory acidosis
c. Metabolic alkalosis
d. Metabolic acidosis

asthma

19. Complication of asthma

a. Pneumonia
b. Pleural effusion
c. PUD
d. Pneumothorax
20. A COPD on respirator developed fever
after 48 hours. Possible diagnosis?
a. HAP
b. VAP
c. Barotraumas
d. cholestasis