Respiratory System

Question 1

Nasal passages of neonates

Answer 1

Narrow

Question 2

Lobes of lung detected on the RHS

Answer 2

Superior and middle lobes

Question 3

Mucous and purulent sputum is seen in

Answer 3

Pneumonia

Question 4

Hacking cough

Answer 4

Enlarged paratracheal lymph nodes

Question 5

Increased whispering pectorilquy is seen in

Answer 5

Pneumonia

Question 6

Excursion of diaphragm is limited in

Answer 6

“All of the above”

Question 7

Dull sound on percussion

Answer 7

Pleural effusion

Question 8

Laryngitis is not manifested in

Answer 8

Expiratory dyspnea

Question 9

Respiratory failure is not characterized by

Answer 9

Cough

Question 10

Bronchoscopy recommended in

Answer 10

Recurrent cough

Question 11

Frontal sinuses are fully developed

Answer 11

13-15 yrs

Question 12

Bronchi of infants are characterized by

Answer 12

Perfect vascularization

Question 13

Hoarseness is seen in

Answer 13

Laryngitis

Question 14

Rhythmic changing of respiratory depth with regular recurring periods of apnea

Answer 14

Cheyne stokes Respiration

Question 15

Dull sound over affected area is noted in

Answer 15

“None of the above”

Question 16

Nasal quality of the voice is noted in

Answer 16

Adenoids

Question 17

Patient diseased with left side pleural effusion assumes the following positions

Answer 17

On the left side

Question 18

Hydrothorax is not seen in

Answer 18

Staph pneumonia

Question 19

Abnormal breathing (infant)
Cyanotic
Decreased breath sounds on the right
Decreased muscle tone in right arm

Answer 19

Order a chest ultrasound

Question 20

Poor weight gain
Persistent cough
History of pneumonitis
Foul smelling stool

Answer 20

Perform sweat cholride test

Question 21

Pneumonia (lower lobe)
Intermittent, recurrent episodes of fever and resp difficulty
Hemopytsis

Treatment?

Answer 21

Bronchoalveolar lavage

Question 22

Unilateral nasal obstruction
Foul smelling discharge

Cause?

Answer 22

Foreign body

Question 23

Sleepy during the day
Cant stay awake in class
Loud snoring at night

Management?

Answer 23

Arrange for polysomnograph

Question 24

Breathing difficulty 
History of eating dirt 
Wheezing 
Hepatomegaly 
Eosinophillia 

Test?

Answer 24

ELISA for Toxocara

Question 25

Pus in middle nasal meatus

Answer 25

Maxillary sinusitis

Question 26

Barking cough Flared nostrils Mild URI for past 2 days Treatment?

Answer 26

Inhaled epinephrine and a dose of steriods

Question 27

History of persistent asthma Uses inhaled steriods Presents with white patches on buccal mucosa Recommendation?

Answer 27

Rinse mouth after use of inhaled medications

Question 28

Sudden coughing (after being left alone in a room) Increased amounts of drooling Refusal to take foods orally Cause?

Answer 28

Foreign body in oesophagus

Question 29

Child with sickle cell anemia Tachypneoic, coughing and febrile Treatment?

Answer 29

Admit to hospital

Question 30

History of recurrent URI and PE tubes for ottis media Right sided heart Biopsy of nasal mucosa shows?

Answer 30

Random orientation of cilia

Question 31

``` Hemoglobin = 5g/dl Hematocrit = 16% Blood pH = 7.1 PO2 = 35 mmHg PaCO2 = 28 mmHg ``` Indicates?

Answer 31

Acidemia Metabolic acidosis Respiratory alkalosis Hypoxia

Question 32

PE: Rales and rhonchi History: eye discharge (treated with topical antibiotics) Cause?

Answer 32

Chlamydia trachomatis

Question 33

Asthmatic patient Uses albuterol daily (esp. when exercising) Coughing fits Treatment?

Answer 33

Medium dose, inhaled corticosteriods with short acting B agonists

Question 34

Percentage of CF patients with pancreatic exocrine dysfunction

Answer 34

85%

Question 35

Carrier rate of CF gene in white population

Answer 35

1 in 25

Question 36

Frequency of CF

Answer 36

Whites>Latinos>Blacks>Asians

Question 37

An abnormal sweat test is

Answer 37

Supportive of the diagnosis for CF

Question 38

Most common CF gene

Answer 38

Delta F508

Question 39

Percentage of CF patients with sinus opacification

Answer 39

95%

Question 40

Percentage of male CF patients with azoospermia

Answer 40

95%

Question 41

CTFR gene located on what chromosome

Answer 41

7

Question 42

Life expectancy of CF patient

Answer 42

30 years

Question 43

Organism not found in CF sputum

Answer 43

Streptococcus pneumonia

Question 44

Factor not included in chronic lung disease pathogenesis

Answer 44

Antenatal corticosteriods

Question 45

Chronic lung disease definition

Answer 45

"B and D"

Question 46

Effective prevention measures of BPD

Answer 46

"All of the above"

Question 47

Recommended caloric intake for chronic lung disease infants

Answer 47

140 kcals/kg/day