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Respiratory System- Internal Medicne 3rd Year- PMU

Question 1 of 52

1

Pectus carinatum (pigeon's chest) is met in

Select one of the following:

  • Pulmonary emphysema

  • Rickets

  • pneumonia

Explanation

Question 2 of 52

1

The features of emphysema (barrel chest) are

Select one of the following:

  • Sagittal dimensions arc larger than transversal ones, the course of the ribs is horizontal, epigastric angle is larger than 90 degrees, smooth

  • Sagittal dimensions are smaller than transversal ones, the course of the ribs is steep, epigastric angle is smaller than 90 degrees

  • The upper part of the chest (above IV rib) is larger, while the lower part is flat and narrow

Explanation

Question 3 of 52

1

Sputum as a "raspberry jelly" is a typical symptom in

Select one of the following:

  • Bronchial asthma

  • Pulmonary carcinoma

  • Bronchiectasis

Explanation

Question 4 of 52

1

Haemoptoe is found in

Select one or more of the following:

  • Pulmonary abscesses

  • Bronchiectasis

  • Pulmonary tuberculosis

Explanation

Question 5 of 52

1

Dyspnea in bronchial asthma is

Select one of the following:

  • Inspiratory

  • Expiratory

  • None of both is correct

Explanation

Question 6 of 52

1

When tumors, foreign bodies or stenosis obstruct the upper airways we have

Select one of the following:

  • Inspiratory dyspnea

  • Expiratory dyspnea

  • Mixed dyspnea

Explanation

Question 7 of 52

1

The normal respiratory rate in adults is

Select one of the following:

  • 20-25/min

  • 20-30/min

  • 16-20/min

Explanation

Question 8 of 52

1

In a newborn baby the respiratory rate is

Select one of the following:

  • Smaller than in adults

  • Greater than in adults

  • There is no difference

Explanation

Question 9 of 52

1

Temporary stop of breathing is called

Select one of the following:

  • Apnoea

  • Bradypnoea

  • Dyspnoea

Explanation

Question 10 of 52

1

Deep, noisy Kussmal breathing is met in

Select one or more of the following:

  • Diabetic ketoacidosis

  • Flare of bronchial asthma

  • Uraemic coma

Explanation

Question 11 of 52

1

"Barking"cough is typical for

Select one of the following:

  • Pneumonia crouposa (Lobar pneumonia)

  • Pulmonary tuberculosis

  • Laryngitis

Explanation

Question 12 of 52

1

Vocal fremitus in pulmonary infarction is

Select one of the following:

  • Weaker

  • Stronger

  • Normal

Explanation

Question 13 of 52

1

Which disease is presented by a stronger vocal fremitus

Select one of the following:

  • Chronic bronchitis

  • Exudative pleuritis

  • Lobar pneumonia

Explanation

Question 14 of 52

1

Weaker vocal fremitus is detected in

Select one or more of the following:

  • Hydrothorax

  • Lobar pneumonia

  • Pneumothorax

Explanation

Question 15 of 52

1

The lower border of the right lung along the midclavicular line is located on

Select one of the following:

  • V rib

  • VI rib

  • VII rib

Explanation

Question 16 of 52

1

Respiratory expansion along the midclavicular line is

Select one of the following:

  • 2 cm

  • 5 cm

  • 7 cm

Explanation

Question 17 of 52

1

The normal Kroenig spaces is

Select one of the following:

  • 3 cm

  • 4 cm

  • 5-7 cm

Explanation

Question 18 of 52

1

Which disease is presented by a narrow Kroenig's space

Select one or more of the following:

  • Tuberculosis

  • Bilateral basal bronchopneumonia

  • Carcinoma of Pancoast-Tobias

Explanation

Question 19 of 52

1

Hyperresonant sound is typical for

Select one of the following:

  • Bronchopneumonia

  • Pulmonary emphysema

  • Lobar pneumonia

Explanation

Question 20 of 52

1

Dull sound is found in

Select one of the following:

  • Exudative pleuritis

  • Acute bronchitis

  • Chronic obstructive pulmonary disease (COPD)

Explanation

Question 21 of 52

1

Tympanic sound is detected in

Select one or more of the following:

  • Drained (empty) abscesses

  • Pulmonary carcinoma

  • Tuberculose caverna

Explanation

Question 22 of 52

1

Which statement, concerning moist ronchi is correct

Select one of the following:

  • Formed in alveoli

  • Formed in alveoli, when a liquid secretion is present, heard during expiration

  • Formed in bronchi, when liquid secretion is present, heard during inspiration

Explanation

Question 23 of 52

1

Which pathologic processes are the background for the formation of dry ronchi

Select one or more of the following:

  • Presence of liquid in alveoli

  • Bronchospasm

  • Tenacious exudates (secretion) in bronchi

Explanation

Question 24 of 52

1

Dry wheezing ronchi are met in

Select one or more of the following:

  • COPD

  • Bronchial asthma

  • Exudative pleuritis

Explanation

Question 25 of 52

1

Typical features of rales (crepitations)

Select one of the following:

  • Formed when liquids are present in bronchi; heard during inspiration

  • Formed in alveoli, auscultated at the peak of inspiration

  • Formed in the presence of a tenacious secretion in bronchi, heard in both phases of respiration and more prominent during expiration

Explanation

Question 26 of 52

1

Differential diagnosis between moist ronchi and crepitations

Select one or more of the following:

  • Moist ronchi are formed in bronchi, crepitations are formed in alveoli

  • Crepitations are changed by the cough

  • Moist ronchi are auscultated during inspiration, crepitations are heard at the peak of inspiration

Explanation

Question 27 of 52

1

Pleural friction rub is heard

Select one of the following:

  • Only during expiration

  • During both phases: inspiration and expiration

  • Only during inspiration

Explanation

Question 28 of 52

1

Differential diagnosis between dry ronchi and pleural friction rub

Select one of the following:

  • Dry ronchi are heard only during inspiration, pleurai friction rub is heardi n expitation

  • Pleural friction rub is auscultated only during inspiration; dry ronchi are heard close to the ear and are getting louder under the pressure off the stethoscope

  • Dry ronchi are heard in both phases: inspiration and expiration, more prominent during expiration; pleural friction rub is heard in both phases and is getting louder under the pressure of the stethoscope

Explanation

Question 29 of 52

1

Over a drained (empty) abscesses are detected

Select one of the following:

  • Weaker vocal fremitus, dull sound, crepitations (crackles)

  • Stronger vocal fremitus, tympanic sound, bronchial breathing

  • Stronger vocal fremitus, clear sound, dry wheezes

Explanation

Question 30 of 52

1

Crackles are heard in

Select one or more of the following:

  • Exacerbated chronic bronchitis

  • Lobar pneumonia

  • Pulmonary oedema

Explanation

Question 31 of 52

1

Chronic bronchitis is presented by

Select one of the following:

  • During exacerbation crackles are heard

  • During exacerbation bronchial breathing and pleural friction rub are heard

  • During exacerbation dry, Medium and small moist ronchi are heard

Explanation

Question 32 of 52

1

Basic diagnostic criteria of acute bronchitis and pneumonias are

Select one of the following:

  • Acute bronchitis is a clinical diagnosis, radiographic changes are absent. Chest radiography is obligatory for the precise diagnosis of pneumonias

  • In acute bronchitis typical radiographic changes are present. For the diagnosis of pneumonias besides chest radiography, functional exam of respiration is obligatory

  • For the diagnosis of acute bronchitis and pneumonias are needed, clinical exam, chest radiography and functional exam of respiration

Explanation

Question 33 of 52

1

Lobar pneumonia is presented by

Select one of the following:

  • Lobar pneumonia affects interstitum of lungs

  • In the stages of grey and red hepatization crackles are auscultated

  • In the stages of grey and red hepatization bronchial breathing is heard

Explanation

Question 34 of 52

1

Lobar pneumonia is presented by

Select one or more of the following:

  • Febris continua

  • Crepiatio indux

  • Purpura simplex

Explanation

Question 35 of 52

1

In which stage of lobar pneumonia crepitatio indux is heard

Select one of the following:

  • In the stage of red hepatization

  • In the stage of hyperemia

  • In the stage of resolution

Explanation

Question 36 of 52

1

Physical findings in exudative pleuritis in the region of effusion

Select one of the following:

  • Weaker vocal fremitus, dull sound, weak or missing vesicular breathing

  • Stronger vocal fremitus, tympanic sound, dry ronchi

  • Weaker fremitus. Bronchovesicular breathing, dry ronchi

Explanation

Question 37 of 52

1

Physical findings in pulmonary emphysema

Select one or more of the following:

  • Hyper resonant sound

  • Weaker vocal fremitus

  • Weak vesicular breathing with prolonged expiration

Explanation

Question 38 of 52

1

In which diseases pathologic bronchial breathing is heard

Select one or more of the following:

  • Lobar pneumonia in the stage of hepatization

  • Over an empty cavity

  • Acute bronchitis

Explanation

Question 39 of 52

1

The highest point of the line of Damoiseau in a patient with exudative pleuritis is on

Select one of the following:

  • Scapular line

  • Midaxilar line

  • Posterior axilar line

Explanation

Question 40 of 52

1

On the line of Damoiseau breathing is

Select one of the following:

  • Vesicular

  • Gentle bronchiaI

  • Weak vesicular

Explanation

Question 41 of 52

1

Percutory sound in Garland's triangle is

Select one of the following:

  • Clear

  • Dull

  • Tympanic

Explanation

Question 42 of 52

1

The percutory sound in Grocco-Rauchfuss' triangle is

Select one of the following:

  • Tympanic

  • Dull

  • Hypereresonant

Explanation

Question 43 of 52

1

Vomique is a typical symptom for

Select one of the following:

  • Lung abscessus

  • Bronchopneumonia

  • Pulmonary carcinoma

Explanation

Question 44 of 52

1

Which instrumental techniques are used in the diagnostics of bronchiectasis

Select one or more of the following:

  • Bronchography

  • CT with a high resolution

  • Bronchoscopy

Explanation

Question 45 of 52

1

Increased levels of serum IgE are detected in

Select one of the following:

  • Allergic bronchial asthma

  • Non-allergic bronchial asthma

  • Cardiac asthma

Explanation

Question 46 of 52

1

Charcot-Leyden crystals are detected in

Select one of the following:

  • Chronic bronchitis

  • Bronchial asthma

  • Lung carcinoma

Explanation

Question 47 of 52

1

Higher eosinophil count is found in

Select one or more of the following:

  • Lung abscesses

  • Allergic bronchial asthma

  • Allergies

Explanation

Question 48 of 52

1

Which techniques can detect pathognomonic for bronchial asthma features

Select one or more of the following:

  • Functional assessment of respiration

  • Chest radiography

  • Bronchodilation test

Explanation

Question 49 of 52

1

In bronchial asthma Tiffeneau index (FEV1/VC) is

Select one of the following:

  • Increased

  • Decreased

  • Unchanged

Explanation

Question 50 of 52

1

Blood for gas analysis is taken from

Select one or more of the following:

  • Radial artery

  • Femoral artery

  • Cubital vein

Explanation

Question 51 of 52

1

Normal Pa02 is

Select one of the following:

  • 100 mmHg

  • 80-96 mmHg

  • 75-95 mmHg

Explanation

Question 52 of 52

1

The presence of a pleural effusion can be visualized by

Select one or more of the following:

  • Chest radiography

  • Echography

  • CT

Explanation

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