2nd Shifting

Question 1

Episodes of breathlessness that wake patients from sound sleep suggest the presence of Paroxysmal Nocturnal Dyspnea in patients with Congestive Heart Failure.

Answer 1

True

Question 2

Orthopnea is dyspnea in either the right or left lateral decubitus position and that suggests the presence of Pleural Effusion.

Answer 2

False

Question 3

Palliative and Provocative factors are important attributes of Chest Pain that needs to be specified during Medical Interview.

Answer 3

True

Question 4

Chest Pain that is unilateral in location, related with respiratory movements, described as “sharp” or “burning” in character, and aggravated with coughing suggests the Acute Myocardial Infarction.

Answer 4

False

Question 5

Chronic Cough in patients with Normal Chest Xray suggests the presence if Mild Asthma, GERD or Post-nasal Drip

Answer 5

True

Question 6

A change in the character or pattern of chronic cough in a smoker patient suggests the presence of Lung Malignancy

Answer 6

True

Question 7

Cough that is described as “brassy”, “barking” and “croupy” in character suggests the presence of Laryngeal Diseases.

Answer 7

True

Question 8

Cough that is productive of rust-colored or prune juice-colored sputum suggests the presence of Pneumococcal Pneumonia.

Answer 8

True

Question 9

Cough & Stridor suggests the presence of Extrathoracic Airway obstruction.

Answer 9

True

Question 10

The 2nd costal cartilage and rib can be located adjacent to the Angle of Louis or sternal angle.

Answer 10

True

Question 11

The inferior tip of the scapula usually lies at the level of the 5th rib or interspace.

Answer 11

False

Question 12

Posteriorly, the lower border of the lung lies about the level of the T10 spinous process.

Answer 12

True

Question 13

The trachea bifurcates into its mainstem bronchi at the levels of the sternal angle anteriorly and the T4 spinous process posteriotrly.

Answer 13

True

Question 14

Techniques of examination of the chest includes (in orderly fashion) – inspection, palpation, percussion, and auscultation.

Answer 14

True

Question 15

In patient with pneumothorax, the position of the trachea is shifted to the ipsilateral side.

Answer 15

False

Question 16

In patient with pleural effusion, the tactile fremitus is decreased in intensity on the affected side.

Answer 16

True

Question 17

In patient with consolidation, the tactile fremitus is increased in intensity on the affected side.

Answer 17

True

Question 18

In patient with pneumothorax, the tactile fremitus is increased in intensity on the affected side.

Answer 18

False

Question 19

In patient with atelectasis, the position of the trachea is shifted to the ipsilateral side.

Answer 19

True

Question 20

1. Triad of increased sputum volume, sputum purulence and dyspnea over 1 to 3 days in a patient with chronic respiratory symptoms suggests the presence of COPD in acute exacerbation.

Answer 20

True