Respiratory System- Internal Medicne 3rd Year- PMU

Descripción

Respiratory system
Med Student
Test por Med Student , actualizado hace más de 1 año
Med Student
Creado por Med Student hace casi 6 años
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22

Resumen del Recurso

Pregunta 1

Pregunta
Pectus carinatum (pigeon's chest) is met in
Respuesta
  • Pulmonary emphysema
  • Rickets
  • pneumonia

Pregunta 2

Pregunta
The features of emphysema (barrel chest) are
Respuesta
  • 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

Pregunta 3

Pregunta
Sputum as a "raspberry jelly" is a typical symptom in
Respuesta
  • Bronchial asthma
  • Pulmonary carcinoma
  • Bronchiectasis

Pregunta 4

Pregunta
Haemoptoe is found in
Respuesta
  • Pulmonary abscesses
  • Bronchiectasis
  • Pulmonary tuberculosis

Pregunta 5

Pregunta
Dyspnea in bronchial asthma is
Respuesta
  • Inspiratory
  • Expiratory
  • None of both is correct

Pregunta 6

Pregunta
When tumors, foreign bodies or stenosis obstruct the upper airways we have
Respuesta
  • Inspiratory dyspnea
  • Expiratory dyspnea
  • Mixed dyspnea

Pregunta 7

Pregunta
The normal respiratory rate in adults is
Respuesta
  • 20-25/min
  • 20-30/min
  • 16-20/min

Pregunta 8

Pregunta
In a newborn baby the respiratory rate is
Respuesta
  • Smaller than in adults
  • Greater than in adults
  • There is no difference

Pregunta 9

Pregunta
Temporary stop of breathing is called
Respuesta
  • Apnoea
  • Bradypnoea
  • Dyspnoea

Pregunta 10

Pregunta
Deep, noisy Kussmal breathing is met in
Respuesta
  • Diabetic ketoacidosis
  • Flare of bronchial asthma
  • Uraemic coma

Pregunta 11

Pregunta
"Barking"cough is typical for
Respuesta
  • Pneumonia crouposa (Lobar pneumonia)
  • Pulmonary tuberculosis
  • Laryngitis

Pregunta 12

Pregunta
Vocal fremitus in pulmonary infarction is
Respuesta
  • Weaker
  • Stronger
  • Normal

Pregunta 13

Pregunta
Which disease is presented by a stronger vocal fremitus
Respuesta
  • Chronic bronchitis
  • Exudative pleuritis
  • Lobar pneumonia

Pregunta 14

Pregunta
Weaker vocal fremitus is detected in
Respuesta
  • Hydrothorax
  • Lobar pneumonia
  • Pneumothorax

Pregunta 15

Pregunta
The lower border of the right lung along the midclavicular line is located on
Respuesta
  • V rib
  • VI rib
  • VII rib

Pregunta 16

Pregunta
Respiratory expansion along the midclavicular line is
Respuesta
  • 2 cm
  • 5 cm
  • 7 cm

Pregunta 17

Pregunta
The normal Kroenig spaces is
Respuesta
  • 3 cm
  • 4 cm
  • 5-7 cm

Pregunta 18

Pregunta
Which disease is presented by a narrow Kroenig's space
Respuesta
  • Tuberculosis
  • Bilateral basal bronchopneumonia
  • Carcinoma of Pancoast-Tobias

Pregunta 19

Pregunta
Hyperresonant sound is typical for
Respuesta
  • Bronchopneumonia
  • Pulmonary emphysema
  • Lobar pneumonia

Pregunta 20

Pregunta
Dull sound is found in
Respuesta
  • Exudative pleuritis
  • Acute bronchitis
  • Chronic obstructive pulmonary disease (COPD)

Pregunta 21

Pregunta
Tympanic sound is detected in
Respuesta
  • Drained (empty) abscesses
  • Pulmonary carcinoma
  • Tuberculose caverna

Pregunta 22

Pregunta
Which statement, concerning moist ronchi is correct
Respuesta
  • 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

Pregunta 23

Pregunta
Which pathologic processes are the background for the formation of dry ronchi
Respuesta
  • Presence of liquid in alveoli
  • Bronchospasm
  • Tenacious exudates (secretion) in bronchi

Pregunta 24

Pregunta
Dry wheezing ronchi are met in
Respuesta
  • COPD
  • Bronchial asthma
  • Exudative pleuritis

Pregunta 25

Pregunta
Typical features of rales (crepitations)
Respuesta
  • 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

Pregunta 26

Pregunta
Differential diagnosis between moist ronchi and crepitations
Respuesta
  • 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

Pregunta 27

Pregunta
Pleural friction rub is heard
Respuesta
  • Only during expiration
  • During both phases: inspiration and expiration
  • Only during inspiration

Pregunta 28

Pregunta
Differential diagnosis between dry ronchi and pleural friction rub
Respuesta
  • 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

Pregunta 29

Pregunta
Over a drained (empty) abscesses are detected
Respuesta
  • Weaker vocal fremitus, dull sound, crepitations (crackles)
  • Stronger vocal fremitus, tympanic sound, bronchial breathing
  • Stronger vocal fremitus, clear sound, dry wheezes

Pregunta 30

Pregunta
Crackles are heard in
Respuesta
  • Exacerbated chronic bronchitis
  • Lobar pneumonia
  • Pulmonary oedema

Pregunta 31

Pregunta
Chronic bronchitis is presented by
Respuesta
  • 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

Pregunta 32

Pregunta
Basic diagnostic criteria of acute bronchitis and pneumonias are
Respuesta
  • 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

Pregunta 33

Pregunta
Lobar pneumonia is presented by
Respuesta
  • 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

Pregunta 34

Pregunta
Lobar pneumonia is presented by
Respuesta
  • Febris continua
  • Crepiatio indux
  • Purpura simplex

Pregunta 35

Pregunta
In which stage of lobar pneumonia crepitatio indux is heard
Respuesta
  • In the stage of red hepatization
  • In the stage of hyperemia
  • In the stage of resolution

Pregunta 36

Pregunta
Physical findings in exudative pleuritis in the region of effusion
Respuesta
  • Weaker vocal fremitus, dull sound, weak or missing vesicular breathing
  • Stronger vocal fremitus, tympanic sound, dry ronchi
  • Weaker fremitus. Bronchovesicular breathing, dry ronchi

Pregunta 37

Pregunta
Physical findings in pulmonary emphysema
Respuesta
  • Hyper resonant sound
  • Weaker vocal fremitus
  • Weak vesicular breathing with prolonged expiration

Pregunta 38

Pregunta
In which diseases pathologic bronchial breathing is heard
Respuesta
  • Lobar pneumonia in the stage of hepatization
  • Over an empty cavity
  • Acute bronchitis

Pregunta 39

Pregunta
The highest point of the line of Damoiseau in a patient with exudative pleuritis is on
Respuesta
  • Scapular line
  • Midaxilar line
  • Posterior axilar line

Pregunta 40

Pregunta
On the line of Damoiseau breathing is
Respuesta
  • Vesicular
  • Gentle bronchiaI
  • Weak vesicular

Pregunta 41

Pregunta
Percutory sound in Garland's triangle is
Respuesta
  • Clear
  • Dull
  • Tympanic

Pregunta 42

Pregunta
The percutory sound in Grocco-Rauchfuss' triangle is
Respuesta
  • Tympanic
  • Dull
  • Hypereresonant

Pregunta 43

Pregunta
Vomique is a typical symptom for
Respuesta
  • Lung abscessus
  • Bronchopneumonia
  • Pulmonary carcinoma

Pregunta 44

Pregunta
Which instrumental techniques are used in the diagnostics of bronchiectasis
Respuesta
  • Bronchography
  • CT with a high resolution
  • Bronchoscopy

Pregunta 45

Pregunta
Increased levels of serum IgE are detected in
Respuesta
  • Allergic bronchial asthma
  • Non-allergic bronchial asthma
  • Cardiac asthma

Pregunta 46

Pregunta
Charcot-Leyden crystals are detected in
Respuesta
  • Chronic bronchitis
  • Bronchial asthma
  • Lung carcinoma

Pregunta 47

Pregunta
Higher eosinophil count is found in
Respuesta
  • Lung abscesses
  • Allergic bronchial asthma
  • Allergies

Pregunta 48

Pregunta
Which techniques can detect pathognomonic for bronchial asthma features
Respuesta
  • Functional assessment of respiration
  • Chest radiography
  • Bronchodilation test

Pregunta 49

Pregunta
In bronchial asthma Tiffeneau index (FEV1/VC) is
Respuesta
  • Increased
  • Decreased
  • Unchanged

Pregunta 50

Pregunta
Blood for gas analysis is taken from
Respuesta
  • Radial artery
  • Femoral artery
  • Cubital vein

Pregunta 51

Pregunta
Normal Pa02 is
Respuesta
  • 100 mmHg
  • 80-96 mmHg
  • 75-95 mmHg

Pregunta 52

Pregunta
The presence of a pleural effusion can be visualized by
Respuesta
  • Chest radiography
  • Echography
  • CT
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