Exam (elaborations)
RESPIRATORY MEDICINE PRACTICE QUESITIONS
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practice questions- systems based approach(RESPIRATORY MEDICINE)
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Respirology1) A 16 year old presents to the ER with a 5) Which is more often associated with hospital
severe asthma exacerbation. All of the acquired pneumonia than community-
following may be considered as part of the acquired pneumonia?
management plan EXCEPT: a) Streptococcus pneumoniae
a) Pulmonary Function tests b) Hemophilus influenza
b) Peak Flow meters c) Pseudomonas
c) Chest X-Ray d) Chlamydia pneumoniae
d) Oral prednisone e) Mycoplasma pneumoniae
e) Counselling for better treatment
compliance
6) A 30 year-old patient with asthma complains
of daily wheezing and occasional waking at
2) A 56 year old gentleman is referred to your night with cough and chest tightness for
clinic for evaluation of an incidental lung three weeks. His usual medication is
nodule on CXR. Which of the following salbutamol two puffs tid-qid. The next step
findings makes it more likely to be benign: in management is:
a) Greater than 3cm in diameter a) Add long-term theophylline
b) Ill-defined margins b) Increase salbutamol to two puffs q4h
c) Calcification c) Add ipratropium bromide two puffs qid
d) Doubles in size on repeat CXR in 15 d) Add beclomethasone two puffs qid
months e) Discontinue salbutamol and begin
e) Clubbing prednisone 50 mg od and taper over 2
weeks
3) A 36 year old woman presents to your clinic
with suspected pulmonary hypertension. 7) Which is not a feature of asbestosis?
Which of the following conditions is more a) Increased risk of cancer
suspicious of a secondary cause for b) Pleural thickening and effusion
pulmonary hypertension? c) Interstitial fibrosis
a) Raynauds phenomenon d) Obstructive pattern on pulmonary
b) Previous use of appetite suppressant function tests
drugs e) All of the above are features of
c) An isolated history of pneumonia 5 years asbestosis
ago
d) Recurrent pulmonary emboli
e) No family history of pulmonary disease 8) A 55 year-old man with a history compatible
with chronic bronchitis presents to your
office with shortness of breath on exam. In
4) Which of the following pulmonary function the history, all of the following would be
tests most reliably discriminates “pure” anticipated EXCEPT:
chronic bronchitis from emphysema? a) A 20-year history of smoking
a) Total lung capacity b) Worsening of symptoms with exposure
b) Functional residual capacity to smog
c) Residual volume c) Worsening of symptoms with acute
d) Single breath diffusing capacity respiratory infections
e) Low at 50% vital capacity d) Recurrent episodes of pleurisy
e) Increased incidence of chronic
respiratory disease in family members
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