RS

Question 1

Erythema nodosum

Answer 1

Extraintestinal manifestation of Crohns,UC

sarcoidosis

Question 2

Asteroid body

Answer 2

sarcoidosis

Question 3

Barrel shaped chest

Answer 3

emphysema

Question 4

Honey comb lung

Answer 4

Idiopathic pulmonary fibrosis

Question 5

Boot shaped heart

Answer 5

TOF

Question 6

bronchiectasis
infertility
sinusitis
situs inversus

Answer 6

Kartegner syndrome-primary ciliary dyskinesia

Defect in dynein arm

Question 7

whiteout lung

Answer 7

Adult RDS

Question 8

ground glass lung

Answer 8

Neonatal RDS

Question 9

screening for lung ca

Answer 9

EGFR mutation
ALK translocation- both for Aden ca
PD-L1 expression for non small cell ca

Question 10

Marker for Lung ca -adeno ca

Answer 10

TTF 1 positive

Question 11

Marker for Lung Ca Sq cell ca

Answer 11

Keratin pearls,intercellular bridge

P40 expression

Question 12

croup

Answer 12

Parainflenza

Question 13

currant jelly sputum

Answer 13

kleibsiella pneumomia

Question 14

PAS positive

Answer 14

WHipples disease(GIT)-steatorrhoes,arthritis,cardiac valve,lymoh node,cns
Alpha 1 antitrypsin defn-pan acinar lower lobe emphysema and cirrhosis
extramammary pagets disease of vulva

Question 15

Chromogranin positive

Answer 15

Small cell ca

carcinoid tumour

Question 16

PTHrelated peptide

Answer 16

Squamous cell ca lung

Question 17

Paraneoplastic syndrome[ADH ,ACTH,Lambert eaton]

Answer 17

Small cell ca of lung

Question 18

Aspirin induced triad

Answer 18

triad of asthma
aspirin induced bronchospasm
nasal polyp

Question 19

Lobar pneumonia

Answer 19

congestion-congested vessels,edema
red hepatization-exudate,neutrophils
gray hepatization-degradation of red cells
Resolution

Question 20

organism causing lobar pnemonia

Answer 20

Streptococcus pneumonia-community acquired

kleibsilla pneumonia-malnourished debilitated patients currant jelly sputum

Question 21

organism causing bronchopnemonia

Answer 21

staph.aurues -secondary pneumonia 2nd m/c

Hemophilus influenza -secondary pneumonia m/c

Pseudomonas aeruginosa - pneumonia in cystic fibrosis

Moraxella catarrhalis - community acquired pneumonia

Legionella pneumophila - community acquired pneumonia and In COPD,immunocompramised
intracellular organism-silver stain

Question 22

organism causing Atypical pnemonia

Answer 22

Mycoplasma pneumonia-military,college students
not visible in gram stain[no cell wall],IgM hemolytic anemia, erythema multiforme

Chlamydia pneumonia

Resp syncitial virus- infant

CMV- post transplant immunosuppression

Influenza - elderly, risk for superinfection by strep pneumonia,H influenza
Coxiella burniti- high fever Q fever in farmer,veterinarian Bec of coxiella spores in cattle
no skin rash

Question 23

TB primary

Answer 23

lower lobe

Ghon complex-with hilarious nodes

Question 24

TB secondary

Answer 24

Apex of lung[high oxygen tension]

Question 25

Reid index

Answer 25

hypertrophy of bronchial mucus gland
reid index >50 %- chronic bronchitis
Blue bloaters-cyanosis

Question 26

Decreased Ratio FEV1/FVC

Answer 26

obstructive lung disease

Question 27

emphysema causes

Answer 27

Smoking-centriacinar, apex
Alpha 1 antitrypsin defn-Panacinar,lower lobe, liver cirrhosis
PAS positive globules

Pink puffier-pursed lips

Question 28

Curshman spirals

Answer 28

Asthma

charcot leiden crystals-eosinophilic derived crystals

Question 29

hypersensitivity to aspergillus

Answer 29

Bronchiectasis
other causes
cystic fibrosis
ciliary dyskinesia
tumors

comp
sec amyloidosis

Question 30

Non casseting granuloma

Answer 30

Berylliosis
Sarcoidosis
etiology - unknown,CD4 T helper cells response- Granuloma-Stellate inclusion(asteroid bodies)
other tissue involved- uveitis, skin-erythema nodosum,salivary gland[mimic sjogren]

Question 31

cause of lung ca

Answer 31

Smoking 80%
radon-living in closed spaces, basement
Superior vena cava syndrome
rec laryngeal n, phrenic n involvement
Horner syndrome and brachial plexus involvement (pancoast tumor- tumor in superior sulcus)

Question 32

Mesothlioma

Answer 32

Asbestosis(asbestos body-lesion with golden brown fibers with iron)
recurrent pleural effusion