Pulmonology

Pulmonology Single Best Answer

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1 / 50

1. Decreased vital capacity and decreased lung volume are common in:

A. Cystic fibrosis

B. Bronchial asthma

C. Bronchiectasis

D. Sarcoidosis

2 / 50

2. Exudative pleural effusion is characteristic of:

A. Nephrotic syndrome

B. Right ventricular failure

C. Bronchogenic carcinoma

D. Constrictive pericarditis

3 / 50

3. Which of the following does not belong to the triad of symptomatic bronchial asthma?

A. Chest pain

B. Wheeze

C. Cough

D. Dyspnoea

4 / 50

4. The risk factor for acquiring tuberculosis is maximum in:

A. HIV infection

B. Silicosis

C. Prolonged corticosteroid therapy

D. Diabetes mellitus

5 / 50

5. Which of the following is false regarding ‘ageing’?

A. Fall in residual volume

B. Increase in closing volume

C. Increase in functional residual capacity

D. Fall in vital capacity

6 / 50

6. Lung abscess is not a complication of:

A. Bronchopneumonia

B. Suppurative staphylococcal pneumonia

C. Malignancy

D. Wegener's granulomatosis

7 / 50

7. Melanoptysis (black sputum) is seen in:

A. Ochronosis

B. Goodpasture's disease

C. Maple syrup urine disease

D. Coal worker's pneumoconiosis

8 / 50

8. Which of the following is not on the list of bedside severity assessments of bronchial asthma?

A. Central cyanosis

B. Silent chest

C. Pulsus paradoxus

D. Kussmaul's sign

9 / 50

9. Cryptogenic fibrosing alveolitis may be associated with all except:

A. Hashimoto's thyroiditis

B. Chronic active hepatitis

C. Chronic constrictive pericarditis

D. Renal tubular acidosis

10 / 50

10. Serum angiotensin-converting enzyme (ACE) level is increased in all except:

A. Sarcoidosis

B. Silicosis

C. Asbestosis

D. Primary biliary cirrhosis

11 / 50

11. Acute pulmonary oedema may develop after consumption of all except:

A. Methadone

B. Procarbazine

C. Interleukin 2

D. Propoxyphene

12 / 50

12. Stridor is not a manifestation of:

A. Infection by Haemophilus influenza

B. Diphtheria

C. Tetany

D. Foreign body impacted in left main bronchus

13 / 50

13. In pleural effusion, impaired transport of glucose into the pleural space is found in:

A. Cirrhosis of liver

B. Tuberculosis

C. Rheumatoid arthritis

D. Myxoedema

14 / 50

14. Which of the following is false in restrictive lung disease?

A. Decreased functional residual capacity

B. Decreased vital capacity

C. Decreased total lung capacity

D. Increased residual volume

15 / 50

15. Broncholithiasis is usually a late complication of some infections; which does not fall in this group?

A. Histoplasmosis

B. Coccidioidomycosis

C. Aspergillosis

D. Tuberculosis

16 / 50

16. Characteristics of Mycoplasma pneumoniae pneumonia are all except:

A. Non-productive cough

B. Headache

C. Bullous myringitis

D. Pleural effusion

17 / 50

17. Commonest cause of hypertrophic osteoarthropathy is:

A. Bronchiectasis

B. Fallot's tetralogy

C. Bronchogenic carcinoma

D. Mesothelioma

18 / 50

18. Bilateral parotid enlargement is seen in all except:

A. Guanethidine-induced

B. Sjogren's syndrome

C. Sarcoidosis

D. Guillain-Barre syndrome

19 / 50

19. Rib notching exclusively in the lower border is seen in:

A. Hyperparathyroidism

B. Coarctation of aorta

C. Pulmonary stenosis

D. Neurofibromatosis

20 / 50

20. Which one of the following is not a paraneoplastic syndrome in bronchogenic carcinoma?

A. SIADH

B. Polymyositis

C. Cachexia

D. Hemoptysis

21 / 50

21. Which of the following is not responsible for the development of interstitial lung disease?

A. Methotrexate

B. Carbamazepine

C. Carbimazole

D. Amiodarone

22 / 50

22. The commonest cause of death in sarcoidosis is:

A. Nephrocalcinosis

B. Pneumonia

C. Cor pulmonale

D. Neurosarcoidosis

23 / 50

23. Which one of the following is false in silicosis?

A. Develops into progressive massive fibrosis

B. Hilar nodes may show 'eggshell' calcification

C. Predominant involvement of lower lobes

D. Predisposes to infection by Mycobacterium tuberculosis

24 / 50

24. Calcification of pleura is not seen in:

A. Haemosiderosis

B. Tuberculosis

C. Haemothorax

D. Asbestosis

25 / 50

25. All are true in pneumomediastinum except:

A. Acute mediastinitis is a sequela

B. Amphoric breath sound in auscultation

C. Presence of Hamman's sign

D. It may occur during an attack of asthma

26 / 50

26. The most reliable symptom of acute pulmonary thromboembolism is:

A. Hemoptysis

B. Substernal chest pain

C. Breathlessness

D. Syncope

27 / 50

27. Asbestosis may be complicated by all except:

A. Mesothelioma of pleura

B. Pulmonary fibrosis

C. Bronchogenic carcinoma

D. COPD

28 / 50

28. Acute lung injury (ARDS) should be differentiated from:

A. Acute LVF

B. Spontaneous pneumothorax

C. Congestive cardiac failure

D. Acute severe asthma

29 / 50

29. Which of the following is false regarding primary pulmonary hypertension?

A. Age ranges 20-40 yrs

B. Primarily due to heart disease

C. Females are the main victims

D. Calcium channel blockers may alleviate symptoms

30 / 50

30. Chronic respiratory failure is not seen in:

A. Chronic bronchitis

B. Pneumothorax

C. Diffuse interstitial fibrosis

D. Emphysema

31 / 50

31. Pulmonary fibrosis is commonly due to complications of:

A. Vincristine

B. Bleomycin

C. 6-Mercaptopurine

D. Adriamycin

32 / 50

32. Which is false regarding transudative pleural effusion?

A. pH <7.2

B. Pleural fluid/serum LDH ratio <0.6

C. Protein < 3.0 g/100 ml

D. Specific gravity < 1.016

33 / 50

33. Which of the following is not associated with interstitial lung disease?

A. Idiopathic pulmonary hemosiderosis

B. Bronchiectasis

C. Graft versus host disease

D. Scleroderma

34 / 50

34. Thymoma may be associated with all except:

A. Cushing' s syndrome

B. AIDS

C. Myasthenia gravis

D. Pure red cell aplasia

35 / 50

35. Asbestosis is not related to:

A. Mesothelioma of pleura

B. Ca Lung

C. Mesothelioma of peritoneum

D. Progressive massive fibrosis

36 / 50

36. Which of the following is not a recognised feature of fibrosing alveolitis?

A. Circulating rheumatoid factor

B. Recurrent haemoptysis

C. Velcro crepitations

D. Clubbing

37 / 50

37. Hemorrhagic pleural effusion is not characteristic of:

A. Systemic lupus erythematosus

B. Tuberculous effusion

C. Acute pancreatitis

D. Acute pulmonary thromboembolism

38 / 50

38. Malt worker’s lung is caused by:

A. Cryptostroma corticate

B. Streptomyces olivaceus

C. Thermoactinomyces vulgaris

D. Aspergillus clavatus

39 / 50

39. Stridor is characteristically found in:

A. Laryngeal diphtheria

B. Cardiac asthma

C. Carcinoid syndrome

D. Tropical eosinophilia

40 / 50

40. Orthodeoxia is characteristic of:

A. Massive ascites

B. Congestive cardiac failure

C. Hepatopulmonary syndrome

D. Chronic bronchitis

41 / 50

41. The commonest benign pulmonary neoplasm is:

A. Adenoma

B. Fibroma

C. Lipoma

D. Hamartoma

42 / 50

42. The blood level of theophylline is diminished in associated:

A. Smoking

B. Congestive cardiac failure

C. Cimetidine therapy

D. Ciprofloxacin therapy

43 / 50

43. Lovibond’ s angle is approximately:

A. 175°

B. 140°

C. 160°

D. 120°

44 / 50

44. All of the following are allergic reactions to tuberculosis except:

A. Phlyctenular conjunctivitis

B. Few cases of pleural effusion

C. Erythema nodosum

D. Lupus vulgaris

45 / 50

45. Farmer’s lung is caused by:

A. Thermophilic actinomycetes

B. Cryptostroma corticale

C. Grain dust

D. Aspergillus

46 / 50

46. Which opportunistic organism commonly affects patients of pulmonary alveolar proteinosis?

A. Pseudomonas

B. Pneumococcus

C. Nocardia

D. Staphylococcus

47 / 50

47. alpha-fetoprotein concentration in blood is raised in all except:

A. Hepatocellular carcinoma

B. Non-seminomatous germ cell tumor of testis

C. Fetal anencephaly

D. Glioblastoma multiforme

48 / 50

48. The earliest sign of clubbing is:

A. Increase in anteroposterior diameter of nail

B. Increased fluctuation at nailbed

C. Increased pulp tissue

D. Schamroth's sign

49 / 50

49. Which of the following drugs is not used in acute asthma?

A. Corticosteroids

B. lpratropium bromide

C. Zafirlukast

D. Terbutaline

50 / 50

50. Haemoptysis is characteristically seen in all except:

A. Aspergilloma

B. Goodpasture's syndrome

C. Pulmonary vasculitis

D. Byssinosis

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