respiratory

peter samuel
Quiz by , created about 3 years ago

respiratory quiz

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peter samuel
Created by peter samuel about 3 years ago
patho. practical slides
أطباء2020
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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
  • asthma
  • bronchiectasis
  • bronchitis
  • emphysema
  • 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 ?
Answer
  • squamous cell carcinoma
  • small cell anaplastic carocimona
  • adenocarcinoma
  • mesothelioma

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
  • silicosis
  • sarcoidosis
  • asbestosis
  • 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 ?
Answer
  • absorption collapse
  • pulmonary TB
  • suppurative lung disease
  • chronic pulomanry venous congestiom

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 ?
Answer
  • adenocarcinoma
  • bronchioalveolar carcinoma
  • hamartoma
  • squamous cell carcinoma

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
  • bronchiectasis
  • asthma
  • chronic bronchitis
  • 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
  • laryngeal nodule
  • laryngeal papilloma
  • laryngeal carcinoma
  • 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
Answer
  • mycoplasma pneumonia
  • bronchioloalveolar carcinmoa
  • sarciodosis
  • pulmonary infltrate

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
  • laryngeal nodule
  • juvenile papillomatosis
  • squamous cell papilloma
  • 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
  • asthma
  • intrestitial pneumonia
  • lobar pneumonia
  • chronic bronchitis