2015 end of module exam Flashcards
What affects PH the most?
A) paco2 B) pao2 C) AaDO2 D) CaO2 E) CvO2 F) PAO2 G) AV difference at rest H) Hb saturation
A) paco2
What doesn’t change with hypoventilation?
A) paco2 B) pao2 C) AaDO2 D) CaO2 E) CvO2 F) PAO2 G) AV difference at rest H) Hb saturation
C) AaDO2
What increases with hypoventilation?
A) paco2 B) pao2 C) AaDO2 D) CaO2 E) CvO2 F) PAO2 G) AV difference at rest H) Hb saturation
A) paco2
Which of these parameters is most affected in anemia?
A) paco2 B) pao2 C) AaDO2 D) CaO2 E) CvO2 F) PAO2 G) AV difference at rest H) Hb saturation
D) CaO2
What increases in stagnant hypoxia?
A) paco2 B) pao2 C) AaDO2 D) CaO2 E) CvO2 F) PAO2 G) AV difference at rest H) Hb saturation
G) AV difference at rest
Which of the following affect the tone of the pulmonary arterioles?
A) paco2 B) pao2 C) AaDO2 D) CaO2 E) CvO2 F) PAO2 G) AV difference at rest H) Hb saturation
B) pao2
What is sensed by carotid body?
A) paco2 B) pao2 C) AaDO2 D) CaO2 E) CvO2 F) PAO2 G) AV difference at rest H) Hb saturation
B) pao2
Largely depends on the concentration of hb?
A) paco2 B) pao2 C) AaDO2 D) CaO2 E) CvO2 F) PAO2 G) AV difference at rest H) Hb saturation
D) CaO2
Trans-lung pressure (PL) depends on pleural pressure and alveolar pressure. Pleural pressure is 8 less than alveolar pressure, alveolar pressure is like barometric pressure. What is PL?
+8 (PL= 0 – (- 8))
Airway dilatation from the level of the respiratory bronchiole to the alveoli,
predominantly affecting lower zones of the lung?
Pan-acinar emphysema
What Ig plays a role in humoral immunity of the respiratory system?
A) IgA
B) IgM
C) IgD
D) IgE
A) IgA
What is seen in a tumor of the lung?
a) Small calcified nodule
b) Cavitating nodule
c) Nodule that disappears in successive films
b) Cavitating nodule
What characterizes asthma vs emphysema?
a. Expiration in emphysema is worse than in asthma
b. Inspiration of both is equally bad
c. Expiration of both is equally bad
a. Expiration in emphysema is worse than in asthma
A 9-year-old girl was admitted to the hospital with one day of malaise, anorexia, and low-grade fever. Her immunization status was incomplete. On physical examination, she had acute pharyngitis with overlying white adherent membrane. What is the most likely cause?
A) Gram +ve cocci
B) Gram –ve cocci
C) Gram +ve bacilli
D) Gram –ve bacilli
C) Gram +ve bacilli
What produces surfactants?
A) Pnemocyte type I
B) Pnemocyte type II
C) Basal cells
D) Brush cells
B) Pnemocyte type II
Surgery for goiter in anterior triangle of the neck. Patient experienced monotonous voice and unable to increase pitch. Sensation to the vestibule was intact. What nerve was damaged?
A) External laryngeal
B) Recurrent laryngeal
C) Internal laryngeal
A) External laryngeal
Internal laryngeal nerve lesion in a 60 years old patient with lung cancer. What action is lost first?
A) Abduction
B) Adduction
C) Relaxers
D) Tensors
A) Abduction
Right heart border on chest x-ray corresponds to what part of the lung?
Medial border of middle lobe
In allergic bronchial asthma, what do TH2 cells release to activate effector
cells?
A) IL4,5,9,13
B) IL 4, 12, 15, 23
A) IL4,5,9,13
What occurs in allergic bronchial asthma?
A) Upregulation of FCeR1 receptors by IL-4
B) IL-5 preventing eosinophils from exiting bone marrow
C) RANTES
D) MCP 1 causing release of histamine from basophils
A) Upregulation of FCeR1 receptors by IL-4
A 39-year-old female with fever and weight loss and cervical
lymphadenopathy?
A)Node with multiple well-formed epithelioid without necrosis
B) Lysosomal release by leukocytes
C) Induction of class complement
D) Type 4 hypersensitivity
D?
Hypersensitivity lung reaction?
A) Allergic bronchopulmonary aspergillosis (ABPA) B) Aspergilloma C) allergic aspergillus sinusitis D) pulmonary aspergillosis E) invasive pulmonary aspergillosis
A) Allergic bronchopulmonary aspergillosis (ABPA)
Fungal ball in the lung?
A) Allergic bronchopulmonary aspergillosis (ABPA) B) Aspergilloma C) allergic aspergillus sinusitis D) pulmonary aspergillosis E) invasive pulmonary
B) Aspergilloma
Hypersensitivity pneumonitis?
A) IgG precipitin antibodies B) Total serum IgE C) Allergen specific IgE D) Serum tryptase E) Intradermal test F) Eosinophil cationic protein G) Prick to prick test H) Methacholine challenge test
A) IgG precipitin antibodies