Question 1
Question
a 46 year old male complains of progressive dyspnea and cough , he has benn hospitalized multiple times over the last 2 years for respiratory distress , bronchoscopy is preformed woth biopsy of lung , histological analysis reveals large air spaces distal to terminal bronchioles . which of the following is the most likely diagnosis?
Answer
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asthma
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bronchiectasis
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bronchitis
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emphysema
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sarcoidosis
Question 2
Question
a 44 year old non smoker woman , has had a fever and cough for one month , a chest xrays reveals a 3cm preipheral mass in right upper lobe . which of the following neoplasms is most liekly to present on this woman ?
Question 3
Question
a 34 year old female has had fever and dyspnea for a month , a chest xray shows a nodular pattern along with prominent hilar lymphadenopathy , microscopic examination shows no viral inclusion , no fungus , no acid fast bacilli and no a typical cells which of the following diseases is the most likely to have ?
Answer
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silicosis
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sarcoidosis
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asbestosis
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TB
Question 4
Question
a previously healthy 55 year old man had undergone laryngeal surgery , two days postoperatively he experienced increasing respiratory difficulty with decrease arterial oxygen saturation , he was afebrile , after he coughed large amount of blood clot his condition improved . which of the following is the most likely the cause of this condition ?
Question 5
Question
on routine chest xray for a 45 year old man , revealed a 3cm well circumscribed opaque peripheral mass . a wedge resection of the lobe was done , the gross description of the pathologist was a well circumscribed mass having grayish white gelationus glistening lobulated cut surface with few clefts . what is the possible diagnosis ?
Question 6
Question
a 35 year old man siffered episodic attacks of severe dyspnea with wheezing . his temperature , pulse , respiratory rate and bood hyperinflation were nearly normal . chest xray showed inflammatory cells mainly eosinophils and desquamated epithelial cells . the most possible diagnosis
Answer
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bronchiectasis
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asthma
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chronic bronchitis
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acute brinchitis
Question 7
Question
a8 year old boy had changing in the character of his voice . on examination multiple polypoid masses were seen on the vocal cords extending to the subglottic region . microscopic examination of the excised masses showed fingerlike polypoid tissue covered by orderly arranged stratified squamous epithelium overlying a fibro vascular connective tissue core which of the following is most likely the diagnosis
Answer
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laryngeal nodule
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laryngeal papilloma
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laryngeal carcinoma
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diphtheria infection
Question 8
Question
a 60 year old man has had a cough for the past week . a chest xray reveals pneumonia like consolidation in the peripheral protion of right lower lobe . he is given antibiotic therapy but a month latter the xray picture has not changed . and his cough continues . a bronchial lavage is performed and yields atypical cells. which of the following is most liekly the diagnosis
Question 9
Question
an active primary school teacher 30 year old had noticed that his voice had changed for the past 3 years on examination there were no palpable head or neck masses but there were tow tiny hemispherical smooth surfaced masses about few millimeters in diameter seen on both vocal cords , the teacher was a smoker . excisional biopsy was done . the most likely diagnosis is
Answer
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laryngeal nodule
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juvenile papillomatosis
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squamous cell papilloma
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squamous cell carcinoma
Question 10
Question
a 60 years old man is a smoker with a 10 year history of cough productive of copious mucopurulent sputum , over the past 6 months he has developed progressive dyspnea . if microscopic picture of this condition includes hypertrophy , hyperplasia of the bronchial mucous glads which of the following is most likely the diagnosis ?
Answer
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asthma
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intrestitial pneumonia
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lobar pneumonia
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chronic bronchitis