Quiz: Exams 2022

In acute severe asthma, life threatening asthma is characterized

A a- Silent chest B b- bradypnea C c- hypercapnia D d- all of the above

sudden dyspnea with chest pain with absent air entry mainly caused by

A a- Tension Pneumothorax B b- myocardial infarction C c- pulmonary embolism D d- angina pectoris

The followings are risk factors for bronchogenic carcinoma except

A a- Smoking B b- Air pollution C c- Occupational exposure D d- Alcohol

All are correct with regard to bronchial asthma

A a. Disease of children only B b. LABA and ICS used as a reliever C C. systemic steroids used in severe asthma D d. Montelukast used as a controller

The main differences between asthma and COPD

A a. Decreased FEV1 B b. Decreased FEV1/FVC C c. Reversibility after bronchodilation more than 12% in bronchial asthma D d. COPD more common in female than male

The standard position for chest x-ray is

A a- lateral view. B b- PA ٍview C c- AP view. D d- apical view

the most common cause of bilateral pleural effusion is

A a- heart failure B b- pneumonia C c- malignancy D d- liver cirrhosis

The following common features of non complicated bronchiectasis except

A a) cough B b) expectoration C c) edema of the lower limbs D d) clubbing of fingers

thymoma is a common tumor of

A a) Anterior mediastinum B b) Middle mediastinum C c) Posterior mediastinum D d) Superior mediastinum

Treatment of IPF includes all of the following

A a- pirfenidone B b- corticosteroids C c- lung Transplantation D d- all of the above

the most common causes of massive hemoptysis

A a- bronchogenic carcinoma B b- bronchiectasis C c- mitral stenosis D d- all of the above

The most accurate diagnostic procedure for IPF is

A a. PFT B b. HRCT chest C c. Lung biopsy D d. non of the above

The following drugs can cause Interstitial lung diseases

A a. Amiodaron B b. nitrofurantoin C c. Methotrexate D d. all of the above

The most important risk factor for COPD is

A a- cigarette smoking B b- alcohol C c- high altitude D d. all of the above

Triade of Virchow include the following except

A A- Venous stasis B B- Hypercoagulability C C- Hypokalemia D D- Endothelial injury

Triade of Virchow include the following except

A A- Venous stasis B B- Hypercoagulability C C- Hypokalemia D D- Endothelial injury

All the following are anti-tuberculous drugs except

A a- lNH B b- Ethambutol C c- Rifampicin D d- Heparin

Atypical pneumonia is caused by

A a) Chlamydia P. B b) Mycoplasma P. C c) Legionella P D d) All of the above

Pulmonary complications of SLE are

A a) pleurisy B b) pleural effusion C c) pneumonitis D d) All of the above

ARDS criteria for diagnosis all except

A a) Bilateral pulmonary infiltration B b) Profound hypoxemia C c) Systemic hypertension D d) no cardiac failure

in type 2 respiratory failure

A a. PaCO2 increased B b. Pa 02 decreased C c. cyanosis D d. all of the above

In obstructive pulmonary diseases

A a. FEV1 is increased B b. FEV1/FVC increased C c. FVC is increased D d. non of the above

The gold standard of diagnosis of bronchiectasis is

A a- HRCT B b- Chest X- ray C c- surgical biopsy D d- non of the above

Accumulation of pus in the pleural space is :

A a) pneumonia B b) bronchiectasis C c) empyema D d) bronchiectasis

there is the safe triangle for chest drain insertion located?

A a- 5th intercostal space mid clavicular line B b- 3rd intercostal space post axillary line C c- 5th intercostal space axillary line "Ant-Mid" D d- 4th intercostal space mid scapular line

Chest X-ray showing pneumothorax: the intercostal tube directed "best"

A a. Upward B b. downward C c. transverse D d. no need

Drainage of empyema by all the following except

A a. VATS B b. medical treatment C c. ٍIntercostal tube thoracostomy D d. Decortication

Indication for surgery in lung abscess all true except

A a. Occurrence of complication B b. improved by medical treatment C c. Suspicious of malignancy D d. Failed of medical treat med (6-8) weeks

the primary imaging modality for chest

A a- US B b-CT C c- plain x-ray. D d- MRI

the following drugs can be inhaled except

A a- corticosteroids B b- theophylline C c- ipratropium D d- salbutamol

Pneumothorax appear as

A a-jet black area with no vascular markings B b-tubular shadows C c- dense area D d- calcifications

Following structures are related to mediastinal surface of the right lung EXCEPT

A A. Superior vena cava B B. Inferior vena cava C C. Right atrium D D. . Arch of aorta

The base of the fibrous pericardium is related to

A A. Descending aorta B B. Diaphragm C C. Great vessels of the heart D D. Mediastinum

The Commonest cause of Acute pericarditis is

A A. Traumatic B B. Post MI C C. Idiopathic D D. TB

Duration of secondary prevention of Rheumatic fever in patients with carditis and residual valve lesion is

A A. 5 years or age of 25 years whichever is longer B B. 10 years and at least age of 40 years C C. 3 years or age of 21 years whichever is longer D D. No need for secondary prevention

Drug of choice in patients with acute Rheumatic carditis is

A A. A Salicylates B B. NSAIDs C C. Haloperidol D D. Corticosteroids

Pulsus Paradoxus is a feature of the following except

A A. Cardiac tamponade B B. Restrictive Cardiomyopathy C C. Chronic obstructive pulmonary disease (COPD) D D. Aortic Regurgitation

Male patient 65 years old, known as Diabetic and hypertensive come to ER with typical chest pain which of the following investigation you prefer to did it within 10 minutes

A A. ECG B B. CT angiography C C. Stress Echocardiography D D. MPI

The most common cause of viral myocarditis is

A A. Rubella virus B B. Herbies zoster C C. Coxaci B-virus D D. Coxiella virus

All the following are considered as lines of Medical treatment of heart failure except

A A. SGLT-2 inhibitors B B. Carvedilol C C. MRA D D. Corticosteroids

The most serious cardinal symptom of severe aortic stenosis is

A A- Syncope B B- Angina C C-Arrhythmia D D- Dyspnea

causes of acute AR include the following except

A A- Acute RF B B- Acute infective endocarditis C C- Acute MI D D- Percutaneous balloon aortic valvuloplasty

The following are peripheral signs of severe AR except

A A. De Musset sign B B. Corrigan sign C C. Durosier sign D D. Malar flush sign

year-old woman is scheduled for a major dental extraction in 3 days. She has a history of prosthetic valve replacement. She is allergic to penicillin. The most appropriate response is

A A. Yes, ampicillin 2 g orally 1 hour before the procedure B B. Yes, clindamycin 600 mg orally 1 hour before the procedure C C. Yes, cephalexin 500 mg orally 2 hours before the procedure D D. No, the most recent guidelines do not recommend prophylaxis in this situation

Based on the recent IE diagnostic criteria, the two most important parameters for the diagnosis of this infection are

A A. Laboratory abnormalities and positive blood cultures B B. Positive blood cultures and echocardiographic changes C C. ECG changes and positive physical findings D D. Positive physical findings and positive blood cultures

65-year-old hypertensive male presented to emergency department with severe agonizing chest pain of abrupt onset of 1 hour. On examination blood pressure 180/100mmHg, pulse 130b/minute. ECG showed sinus tachycardia with no other abnormalities. Rapid echocardiography showed double lumen of ascending aorta. Regarding management of the patient: Initiate thrombolytic therapy

A a. IV fluids followed by surgery B b. IV Beta-blockers/ IV vasodilator therapy followed by emergent surgery C c. IV Beta-blockers/ IV vasodilator therapy with follow up echocardiography D d. Measure cardiac enzyme levels

The murmur of MS is

A A. Pan-systolic murmur B B. Mid-diastolic rumbling murmur C C. Early diastolic murmur D D. Ejection systolic murmur

First line of treating ST elevation myocardial infarction (STEMI) is

A A. Observation B B. Nitrate and statin C C. Aspirin and Beta-blocker D D. Primary Angiography and stent

What are the risk factors for heart failure?

A A. Medical history of heart related disease B B. Weight C C. Age D D. All of the Above

What is heart failure?

A A. A condition in which the heart cannot Pump enough blood to meet the body's need B B. A condition in which the heart stop beating C C. A heart attack D D. A condition which the patient experience chest pain

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