Quiz
Respiratory System- Internal Medicne 3rd Year- PMU
Perguntas do quiz (52)
1Pectus carinatum (pigeon's chest) is met in
- APulmonary emphysema
- BRickets
- Cpneumonia
2The features of emphysema (barrel chest) are
- ASagittal dimensions arc larger than transversal ones, the course of the ribs is horizontal, epigastric angle is larger than 90 degrees, smooth
- BSagittal dimensions are smaller than transversal ones, the course of the ribs is steep, epigastric angle is smaller than 90 degrees
- CThe upper part of the chest (above IV rib) is larger, while the lower part is flat and narrow
3Sputum as a "raspberry jelly" is a typical symptom in
- ABronchial asthma
- BPulmonary carcinoma
- CBronchiectasis
4Haemoptoe is found in
- APulmonary abscesses
- BBronchiectasis
- CPulmonary tuberculosis
5Dyspnea in bronchial asthma is
- AInspiratory
- BExpiratory
- CNone of both is correct
6When tumors, foreign bodies or stenosis obstruct the upper airways we have
- AInspiratory dyspnea
- BExpiratory dyspnea
- CMixed dyspnea
7The normal respiratory rate in adults is
- A20-25/min
- B20-30/min
- C16-20/min
8In a newborn baby the respiratory rate is
- ASmaller than in adults
- BGreater than in adults
- CThere is no difference
9Temporary stop of breathing is called
- AApnoea
- BBradypnoea
- CDyspnoea
10Deep, noisy Kussmal breathing is met in
- ADiabetic ketoacidosis
- BFlare of bronchial asthma
- CUraemic coma
11"Barking"cough is typical for
- APneumonia crouposa (Lobar pneumonia)
- BPulmonary tuberculosis
- CLaryngitis
12Vocal fremitus in pulmonary infarction is
- AWeaker
- BStronger
- CNormal
13Which disease is presented by a stronger vocal fremitus
- AChronic bronchitis
- BExudative pleuritis
- CLobar pneumonia
14Weaker vocal fremitus is detected in
- AHydrothorax
- BLobar pneumonia
- CPneumothorax
15The lower border of the right lung along the midclavicular line is located on
- AV rib
- BVI rib
- CVII rib
16Respiratory expansion along the midclavicular line is
- A2 cm
- B5 cm
- C7 cm
17The normal Kroenig spaces is
- A3 cm
- B4 cm
- C5-7 cm
18Which disease is presented by a narrow Kroenig's space
- ATuberculosis
- BBilateral basal bronchopneumonia
- CCarcinoma of Pancoast-Tobias
19Hyperresonant sound is typical for
- ABronchopneumonia
- BPulmonary emphysema
- CLobar pneumonia
20Dull sound is found in
- AExudative pleuritis
- BAcute bronchitis
- CChronic obstructive pulmonary disease (COPD)
21Tympanic sound is detected in
- ADrained (empty) abscesses
- BPulmonary carcinoma
- CTuberculose caverna
22Which statement, concerning moist ronchi is correct
- AFormed in alveoli
- BFormed in alveoli, when a liquid secretion is present, heard during expiration
- CFormed in bronchi, when liquid secretion is present, heard during inspiration
23Which pathologic processes are the background for the formation of dry ronchi
- APresence of liquid in alveoli
- BBronchospasm
- CTenacious exudates (secretion) in bronchi
24Dry wheezing ronchi are met in
- ACOPD
- BBronchial asthma
- CExudative pleuritis
25Typical features of rales (crepitations)
- AFormed when liquids are present in bronchi; heard during inspiration
- BFormed in alveoli, auscultated at the peak of inspiration
- CFormed in the presence of a tenacious secretion in bronchi, heard in both phases of respiration and more prominent during expiration
26Differential diagnosis between moist ronchi and crepitations
- AMoist ronchi are formed in bronchi, crepitations are formed in alveoli
- BCrepitations are changed by the cough
- CMoist ronchi are auscultated during inspiration, crepitations are heard at the peak of inspiration
27Pleural friction rub is heard
- AOnly during expiration
- BDuring both phases: inspiration and expiration
- COnly during inspiration
28Differential diagnosis between dry ronchi and pleural friction rub
- ADry ronchi are heard only during inspiration, pleurai friction rub is heardi n expitation
- BPleural 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
- CDry 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
29Over a drained (empty) abscesses are detected
- AWeaker vocal fremitus, dull sound, crepitations (crackles)
- BStronger vocal fremitus, tympanic sound, bronchial breathing
- CStronger vocal fremitus, clear sound, dry wheezes
30Crackles are heard in
- AExacerbated chronic bronchitis
- BLobar pneumonia
- CPulmonary oedema
31Chronic bronchitis is presented by
- ADuring exacerbation crackles are heard
- BDuring exacerbation bronchial breathing and pleural friction rub are heard
- CDuring exacerbation dry, Medium and small moist ronchi are heard
32Basic diagnostic criteria of acute bronchitis and pneumonias are
- AAcute bronchitis is a clinical diagnosis, radiographic changes are absent. Chest radiography is obligatory for the precise diagnosis of pneumonias
- BIn acute bronchitis typical radiographic changes are present. For the diagnosis of pneumonias besides chest radiography, functional exam of respiration is obligatory
- CFor the diagnosis of acute bronchitis and pneumonias are needed, clinical exam, chest radiography and functional exam of respiration
33Lobar pneumonia is presented by
- ALobar pneumonia affects interstitum of lungs
- BIn the stages of grey and red hepatization crackles are auscultated
- CIn the stages of grey and red hepatization bronchial breathing is heard
34Lobar pneumonia is presented by
- AFebris continua
- BCrepiatio indux
- CPurpura simplex
35In which stage of lobar pneumonia crepitatio indux is heard
- AIn the stage of red hepatization
- BIn the stage of hyperemia
- CIn the stage of resolution
36Physical findings in exudative pleuritis in the region of effusion
- AWeaker vocal fremitus, dull sound, weak or missing vesicular breathing
- BStronger vocal fremitus, tympanic sound, dry ronchi
- CWeaker fremitus. Bronchovesicular breathing, dry ronchi
37Physical findings in pulmonary emphysema
- AHyper resonant sound
- BWeaker vocal fremitus
- CWeak vesicular breathing with prolonged expiration
38In which diseases pathologic bronchial breathing is heard
- ALobar pneumonia in the stage of hepatization
- BOver an empty cavity
- CAcute bronchitis
39The highest point of the line of Damoiseau in a patient with exudative pleuritis is on
- AScapular line
- BMidaxilar line
- CPosterior axilar line
40On the line of Damoiseau breathing is
- AVesicular
- BGentle bronchiaI
- CWeak vesicular
41Percutory sound in Garland's triangle is
- AClear
- BDull
- CTympanic
42The percutory sound in Grocco-Rauchfuss' triangle is
- ATympanic
- BDull
- CHypereresonant
43Vomique is a typical symptom for
- ALung abscessus
- BBronchopneumonia
- CPulmonary carcinoma
44Which instrumental techniques are used in the diagnostics of bronchiectasis
- ABronchography
- BCT with a high resolution
- CBronchoscopy
45Increased levels of serum IgE are detected in
- AAllergic bronchial asthma
- BNon-allergic bronchial asthma
- CCardiac asthma
46Charcot-Leyden crystals are detected in
- AChronic bronchitis
- BBronchial asthma
- CLung carcinoma
47Higher eosinophil count is found in
- ALung abscesses
- BAllergic bronchial asthma
- CAllergies
48Which techniques can detect pathognomonic for bronchial asthma features
- AFunctional assessment of respiration
- BChest radiography
- CBronchodilation test
49In bronchial asthma Tiffeneau index (FEV1/VC) is
- AIncreased
- BDecreased
- CUnchanged
50Blood for gas analysis is taken from
- ARadial artery
- BFemoral artery
- CCubital vein
51Normal Pa02 is
- A100 mmHg
- B80-96 mmHg
- C75-95 mmHg
52The presence of a pleural effusion can be visualized by
- AChest radiography
- BEchography
- CCT
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