Asthma is due to: a) an autosomal recessive trait b) autoimmunity c) excessive
antibiotics in childhood d) interaction of genetic and environmental factors - ANSWER
Interaction of genetic and environmental factors
In asthma, _ is/are reduced A) lung volumes B) expiratory flow rates C) air trapping D)
dead space - ANSWER Expiratory flow rates
A 13-year-old is diagnosed with asthma. Which of the following should she recognize as
part of an asthmatic attack A) headache B) chest pain C) wheeze D) bradycardia -
ANSWER Wheeze
Airway hyper-responsiveness in asthma is related to A) an increased sympathetic
nervous system response B) the release of stress hormones C) exposure to allergen
causing mast cell degranulation D) hereditary decrease in IgE responsiveness -
ANSWER Exposure to allergen causing mast cell degranulation
Airway obstruction contributing to increased airflow resistance and hypoventilation in
asthma is caused by A) type 2 alveolar cell in jury - decreased surfactant B) alveolar
fibrosis and pulmonary oedema C) mucus secretion, bronchoconstriction, airway
oedema D) collapse of cartliganous rings in bronchi - ANSWER Mucus secretion,
bronchoconstriction, airway oedema
A 10 year old is brought into ED with prolonged bronchospasm and severe hypoxaemia.
The most likely diagnosis is A) exercise induced asthma B) COPD C) status asthmaticus
D) bronchiectasis - ANSWER Status asthmaticus
A 60 year old female with emphysema is having difficulty expiring a given volume of air.
She is most likely experiencing _ pulmonary disease A) restrictive B) obstructive C)
atelectatic D) pleuritic - ANSWER Obstructive
, A 52 year old female presents with chronic bronchitis. Tests show the airway is closed
during expiration. Which of the following is most likely responsible for this condition? A)
thick mucus from hypertrophied glands B) ventilation-perfusion mismatch C)
hyperventilation D) thinning smooth muscle in the bronchioles - ANSWER Thick mucus
from hypertrophied glands
A 45 year old male presents with chronic bronchitis of 5 month's duration. Which of the
following is most likely to cause this condition A) chronic asthma B) air pollution C)
cigarette smoke D) recurrent pneumonia - ANSWER Cigarette smoke
A 45 year old male presents with chronic bronchitis of 5 month's duration. Which of the
following is the most significant concern in this patient A) left heart failure B) pulmonary
embolus C) immunosuppression D) recurrent pulmonary infections - ANSWER Recurrent
pulmonary infections
Individuals with a recent diagnosis of emphysema most often present with A) a
productive cough B) cyanosis C) dyspnoea D) cor pulmonale - ANSWER Dyspnoea
A 53-year-old man who has smoked for 20 years presents with a diagnosis of
emphysema. Because of the disease process, the patient's airways would be obstructed
due to A) excessive mucus production B) loss of elastic recoil C) infection and
inflammation D) airway oedema - ANSWER Loss of elastic recoil
A 60 year old female with a 25 year history of smoking is diagnosed with emphysema.
She has an increased anterior-posterior chest diameter due to A) air trapping B)
increased inspiratory reserve volume C) increased flow rates D) alveolar destruction -
ANSWER Air trapping
A newborn has respiratory distress syndrome. He develops atelectasis because of A)
lack of surfactant B) pulmonary oedema C) airway obstruction D) pulmonary fibrosis -
ANSWER Lack of surfactant
Reduced oxygenation of arterial blood is called A) ischaemia B) hypoxia C) hypoxaemia
D) hypocapnia - ANSWER Hypoxaemia
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