Occupational Diseases 2022

Question 1

Match the pulmonary function test results to the Chronic obstructive pulmonary disease:

A. Increased total lung capacity (TLC), decreased vital capacity (VC), decreased FEV1/FVC ratio
B. Decreased TLC, decreased VC, decreased residual volume (RV), increased FEV1/FVC ratio, normal maximum inspiratory pressure (MIP)
C. Decreased TLC, increased RV, normal FEV1/FVC ratio, decreased MIP
D. Normal TLC, normal RV, normal FEV1/FVC ratio
E. All the above are equally possible

Answer 1

B. Decreased TLC, decreased VC, decreased residual volume (RV), increased FEV1/FVC ratio, normal maximum inspiratory pressure (MIP)

Question 2

Which drugs are indicated to treat high-risk or low-risk pulmonary thromboembolism?

A. Acetylsalicylic acid
B. Low-molecular-weight heparin or unfractionated heparin
C. Inhaled drugs: beta 2 mimetics and steroids
D. Vitamin K i.V.
E. all of them

Answer 2

B. Low-molecular-weight heparin or unfractionated heparin

Question 3

Thrombolysis is absolutely contraindicate patient with:

A. Hemorrhagic stroke
B. Pneumonia
C. Cerebral ischemic stroke in anamne
D. Hypotension
E. correct A and B

Answer 3

A. Hemorrhagic stroke

Question 4

Cough - indicate correct answer:

A. ACEIs very rarely cause a dry cough
B. can be caused by cold air or physical exertion, especially in people after respiratory tract infection
C) metoclopramide is an antitussive drug
D) gastro-esophageal reflux cannot cause a dry cough
E) cough lasting over 2 weeks is a chronic cough

Answer 4

B. can be caused by cold air or physical exertion, especially in people after respiratory tract infection

Question 5

The target oxygen saturation for nasal cavity oxygen therapy in a patient with COPD exacel is:

A. <80%
B. approx. 85%
C. 88-92%
D. > 94%
E. the highest possible saturation should

Answer 5

C. 88-92%

Question 6

Which diagnostic test is indicated to exclude low-risk pulmonary embolism:

A. only pulmonary ventilation and perfusion scintigraphy can exclude PE
B. a correct image of pulmonary vessels in chest angio-CT of ventilation-perfusion scintigraphy is needed
C. there is no validated method to exclude pulmonary embolism
D. a correct result of the D-dimer concentration exclude the diagnosis
E. a correct chest x-ray image

Answer 6

B. a correct image of pulmonary vessels in chest angio-CT of ventilation-perfusion scintigraphy is needed

Question 7

Which antimicrobial drug should be considered in
chronic treatment (one year) in patients with frequent exacerbations of COPD despite the use of 3 inhaled
drugs?

A. Amoxicillin
B. Azithromycin
C. Amoxicillin with clavulanic acid
D. Doxycycline
E. Ciprofloxacin

Answer 7

B. Azithromycin

Question 8

The most important finding on the Chest x-ray presented below is:

A. pleural effusion
B. pneumothorax
C. pneumonia
D. metastatic malignancy
E. enlargement of right ventricle

Answer 8

C. pneumonia

Question 9

The target organ damage changes in arterial
hypertension do not include:

A. Vascular changes in the fundus of the eye
examination
B. Prostatic hypertrophy
C. Myocardial hypertrophy
D. Proteinuria
E. the intima-media complex thickness

Answer 9

B. Prostatic hypertrophy

(aging and testosterone levels)

Question 10

The possible cause of secondary arterial
hypertension is not:

A. Cushing’s disease
B. Conn’s disease
C. Addison’s disease
D. Fibromuscular dysplasia
E. All above are correct

Answer 10

C. Addison’s disease

Question 11

In the ICU, a patient suddenly becomes unresponsive, pulseless, and hypotensive, with cardiac monitor indicating ventricular tachycardia. The crash cart is immediately available. The first therapeutic step among the following should be:

A. Amiodarone 300 mg I.V. push
B. Lidocaine 1.5 mg/kg I.V. push
C. Epinephrine 1 mg I.V. push
D. Defibrillation
E. Cardioversion

Answer 11

D. Defibrillation

Question 12

Which of the following is NOT a classic risk factor for pulmonary embolism (PE)?

A. Hypertension
B. Recent surgery
C. Pregnancy
D. Oral contraceptives
E. Malignancy

Answer 12

E. Malignancy

Question 13

Risk factors for developing obstructive sleep
apnea include:

A. Obesity
B. Alcohol consumption
C. Large neck circumference
D. Anatomical changes of the upper respirator (e.g. tonsil hypertrophy)
E. All listed

Answer 13

E. All listed

Question 14

Key indicators for diagnosis of COPD are:

A. Chronic cough
B. Persistent dyspnea
C. Chronic sputum production
D. Tobacco smoke
E. All the above

Answer 14

E. All the above

Question 15

Which of the non-dihydropiridine calcium channel blockers would you recommend in patient with congestive heart failure with LVEF=25%, after myocardial infarction?

A. werapamil
B. lercanidipine
C. diltiazem
D. amlodipine
E. none of the listed

Answer 15

E. none of the listed

Question 16

Which of drugs for diabetes would you recommend in patient with congestive heart failure?

A. glimepirid
B. empagliflozin
C. metformin
D. insulin
E. white mulberry extract

Answer 16

B. empagliflozin

Question 17

A 89-year-old cachectic female is admitted to the hospital with a hip fracture after a fall. Which of the following regimens constitutes appropriate venous thromboembolism prophylaxis for this patient?

A. Intermittent pneumatic compression devices
B. Subcutaneous unfractionated heparin
C. Subcutaneous low-molecular-weight heparin
D. Warfarin, with a target international normalized (INR) of 1.5 to 2.0
E. A and B

Answer 17

C. Subcutaneous low-molecular-weightheparin

Question 18

In differential diagnosis of COPD exacerbation we should take into account:

A. Pneumonia
B. Pulmonary embolism
C. Pneumothorax
D. Pulmonary edema
E. All the above

Answer 18

E. All the above

Question 19

In Wells scale of pulmonary embolism probability we do not take into account:

A. Platelets blood count
B. Heart rate>100/min
C. Hemoptysis
D. Malignancy
E. Immobilisation OR surgery in the following weeks

Answer 19

A. Platelets blood count