Pulmonology Practice Questions || with Accurate Answers 100%.
12 views 0 purchase
Course
Pulmonology Practice
Institution
Pulmonology Practice
1. A 19-year-old male college student presents with a 4-day history of fever, headache, sore throat, myalgia, malaise, and a nonproductive cough. On examination, you note an erythematous pharynx without exudate. The lung examination is unimpressive. A chest X-ray reveals a right-sided lower lobe pa...
Pulmonology Practice Questions || with Accurate Answers 100%.
1. A 19-year-old male college student presents with a 4-day history of fever, headache, sore throat, myalgia, malaise, and a nonproductive cough. On examination, you note an erythematous pharynx without exudate. The lung examination is unimpressive. A chest X-ray reveals a right-
sided lower lobe patchy infiltrate. Which of the following is the most likely cause? (A) Myco plasma pneumoniae (B) Klebsiella pneumoniae (C) Streptococcus pneumoniae (D) Staphylococcus aureus correct answers (A) Mycoplasma pneumoniae
2. A 40-year-old woman presents with the sudden onset of cough productive of blood-speckled sputum, chest pain with cough, shaking chills, high fever, and myalgias for the last 12 hours. On examination, she appears acutely ill, is tachypneic, and is coughing. Auscultation of the chest reveals rales and chest X-ray reveals unilateral lobar consolidation consistent with pneumonia. Which of the following is the most likely cause? (A) Myco plasma pneumoniae (B) Streptococcus pneumoniae (C) Chlamydia pneumoniae (D) aspiration pneumonia correct answers (B) Streptococcus pneumoniae
3. A 3-year-old patient presents with sudden onset of coughing and wheezing, which began at the
dinner table this evening. Vital signs are pulse 120, respirations 26, and temperature 98.6°F. The most likely diagnosis is a partial obstruction secondary to tracheal foreign body. What is the next
step in the management of this patient? (A) chest physiotherapy
(B) intubation
(C) tracheostomy
(D) bronchoscopy correct answers (D) bronchoscopy
4. An otherwise healthy 30-year-old patient presents with a 3-week history of cough and malaise.
The history reveals that prior to this episode he had an upper respiratory tract infection that was treated with acetaminophen, bedrest, and fluids. The physical examination reveals a normal lung examination result and no fever. The patient is coughing while in the office. The chest X-ray is normal. What is the most effective treatment for this patient?
(A) clarithromycin (B) albuterol HFA (C) Flumadine (D) fluticasone correct answers (B) albuterol HFA
5. A 32-year-old patient with a 3-week history of fever, malaise, weight loss, joint pain, and dry cough presents to your office. The chest X-ray reveals bilateral hilar adenopathy with no parenchymal abnormalities. You suspect and would like to rule out sarcoidosis. How can the definitive diagnosis be made? (A) biopsy of the mediastinal nodes (B) perform a bronchoalveolar lavage (C) administer an intradermal purified protein derivative (D) measure serum angiotensin-converting enzyme correct answers (A) biopsy of the mediastinal
nodes
6. What is the most common mode of transmission of the Mycobacterium tuberculosis bacteria? (A) aerosolized droplets (B)blood borne (C)transplacental (D)transdermal correct answers (A) aerosolized droplets
7. A 65-year-old alcoholic male patient presents with the acute onset of fever, cough productive of purulent sputum, hemoptysis, chest pain, and shortness of breath. On examination, he is noted to be confused and hypotensive. Chest X-ray shows bilateral infiltrates and cavitations. Sputum smear reveals gram-negative rods. Which of the following is the most likely cause of this pneumonia? (A) Pneurnocystis jiroveci (B) Mycoplasma pneumoniae (C) Chlamydia pneumoniae (D) Klebsiella pneumoniae correct answers (D) Klebsiella pneumoniae
8. What is the drug treatment of choice for Mycoplasma pneurnoniae? (A) penicillins (B)cephalosporins (C)aminoglycosides (D) macrolides correct answers (D) macrolides
9. What is the empirical drug treatment of choice for a known case of community-acquired pneumonia? (A) gentamycin (B) penicillin (C) clarithromycin (D) vancomycin correct answers (C) clarithromycin
10. A 50-year-0ld man presents with a history of persistent cough, hemoptysis, and weight loss over the past 6 months. He has smoked 2 packs per day for 30 years and also complains of shoulder and chest pain. On examination, he is noted to be pale, febrile, and dyspneic upon exertion. The chest X-ray shows hilar adenopathy. What is the most likely diagnosis? (A) asthma (B) bronchiectasis (C) bronchogenic carcinoma (D) chronic obstructive pulmonary disease (COPD) correct answers (C) bronchogenic carcinoma
11. A 43-year-old woman with a history of COPD presents to the office with worsening dyspnea,
especially at rest. She also complains of dull, retrosternal chest pain. On examination, she has
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller FullyFocus. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.69. You're not tied to anything after your purchase.
