Quiz: Chest MCQs

In acute severe asthma, the following drugs are used except

A A. Systemic steroids B B. inhaled ß agonist C C. aspirin D D -inhaled steroidsb

Cough usually caused by the following drug

A a-corticosteroid B b-ACE inhibitors C c-salbutamol D d-theophylline

The followings are risk factors for bronchogenic carcinoma except

A A.Air pollution B B.Occupational exposure C C.Alcohol D D. Smoking

All are correct with regard to bronchial asthma, except

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

Pneumothorax that causes mediastinal shift and compression of the functioning lungis called

A a- primary pneumothorax B b- secondary pneumothorax C c- traumatic pneumothorax D d- tension pneumothorax

Secondary pneumothorax is a particular risk for

A a-mechanical ventilation B b-tuberculosis C c-pneumonia D d-asthma

The following common features of non complicated bronchiectasis except

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

Lymphoma most common tumor

A A-Anterior mediastinum B B-Posterior mediastinum C C-Middle mediastinum D D-Superior mediastinum

Treatment Of IPF includes all of the following

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

the most common cause of hemoptysis

A a-COPD B b-bronchial asthma C c-chronic bronchitis D d-acute bronchitis

The most accurate diagnostic procedure for IPF is

A A.PFT B B. Lung biopsy C C.HRCT chest 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

All of the following are treatment of COPD except

A a- STERIODS B b- LABA C c- LAMA D d- Inderal

All the following are anti-tuberculous drugs except

A a- HNI-e 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

Dry cough mainly caused by

A a.ACE inhibitors B b.aspirin C c.Inderal D d.all of the above

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.FVC is increased C c.FEV1/FVC 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)lung abscess D d)empyema

Where is the safe triangle for chest drain insertion located?

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

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

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

Kronig’s isthmus borders include all the following except

A a. Medial two thirds of the clavicle ofsame side B b. Medial one third ofscapular spine C c. Angle of Lewis D d. Tip of 7 th cervical spine

Bifurcation of trachea (carina) lies opposite

A a. Angle of Lewis B b. Second thoracic vertebral body C c. Above arch of aorta D d. Below bifurcation of pulmonary conus

Tension pneumothorax shows the following clinical signs except

A a. Shift of mediastinum to opposite side B b. Hyperresonance C c. Cavernous breathing D d. Amphoric breathing

Taking history in a case suspected to be pulmonary T.B. should stress upon

A a. Present history B b. Past history C c. Family history D d. Contact history

Cor-pulmonale shows the following except

A a. Pistol shot at femoral artery B b. Tricuspid facies C c. Positive hepatic sign. D d. Congested pulsating neck veins

Shifting dullness is positive in

A a. Pleural effusion B b. Pulmonary consolidation C c. Hydropneumothorax D d. none of the above

Pleural effusion is accompanied by the following physical signs except

A a. Skodaic resonance above its upper border B b. Shifting dullness C c. Aegophony at its upper border D d. none of the above

Emphysema maybe accompanied by all the following except

A a. Increased T.V.Eof lung apices B b. Encroachment on dullness of the bare area of the heart C c. Positive tracheal tug D d. none of the above

Angle of Lewis is opposite the following except

A a. Aortic arch B b. Right upper lobe bronchial stump C c. Carina of trachea D d. none of the above

About Litten sign, the following is right except

A a. Should be in fatty patients B b. Positive in diaphragmatic paralysis C c. Should be detected with patient against sunlight D d. none

Bronchial breathing can be heard above

A a. Collapse B b. Consolidation C c. Pneumothorax D d. none

Traub's dullness occurs with

A a. Left lower lobe consolidation B b. Left lower lobe collapse C c. Left sided pleural effusion D d. none

In emphysema

A a. Bare area of heart becomes widened B b. Pigeon-shaped chest C c. Encroachment over hepatic dullness D d. none

Dull Kronig’s isthmus maybe due to

A a. Superior sulcus tumor B b. Consolidated anterior segment of upper lobe C c. Emphysema D d. none

Positive shifting dullness occurs with

A a. Hydrothorax B b. Pneumothorax C c. Hydropneumothorax D d. none

T.V.F. usually occurs over

A a. Consolidation B b. Emphysema C c. Pneumothorax D d. none

Boundaries of Traub's area include the following except

A a. Tip of left 8 th costal cartilage B b. Tip of left 6 th costal cartilage C c. Left 9 th rib in mid-axillary line (MAL). D d. Left 11th rib in MAL

In pulmonary hypertension, there maybe

A a. Wide splitting of 2 nd heart sound B b. Dull 2 nd right intercostal space C c. Organic tricuspid regurge D d. none of the above

Suppurative lung syndromes include the following except

A a. Lung abscess B b. Empyema C c. Bronchiectasis D d. Infected lung cyst.

Bronchogenic carcinoma can be presented by

A a. Lung abscessformation B b. Pneumonic consolidation C c. Normal physical findings D d. Allof the above

d'Espine sign is

A a. Bronchial breathing below 2 nd thoracic spine in adults B b. Bronchial breathing below 4 th thoracic spine in children C c. Whispering pectoriloquy below 2 nd thoracic spine in adults D d. None of the above

Upper border of liver can be detected by

A a. Heavy percussion at right mid clavicular line. B b. Light percussion at right mid clavicular line. C c. Both D d. none

Lateral end of Kronig's isthmus is

A a. Contact of acromion process with clavicle B b. Tip of cervical spine C c. Line of contact between junction of medial two thirds &lateral one third of clavicle and junction of lateral two thirds & medial one third ofscapular line D d. none

Amphoric breathing is a sign of presence of

A a. Cavity B b. Tension cavity C c. Closed pneumothorax D d. none

Tracheal tug could be detected in

A a. Emphysema B b. Acute severe asthma C c. Bilateral pulmonary T.B.(acute). D d. none

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