This document contains 10 multiple choice questions about various pulmonary diseases and conditions:
1. A 65-year-old man who developed sudden dyspnea after prostate surgery most likely has a pulmonary embolism.
2. A 60-year-old man with a lung mass seen on chest imaging who has a history of smoking most likely has lung cancer.
3. A 66-year-old man with pleural plaques and interstitial lung disease who worked in construction was most likely exposed to asbestos.
4. Additional findings expected in the sputum of a 35-year-old man with cavitary lung lesions include branching, septated hyphae indicating histoplasmosis.
This document contains 10 multiple choice questions about various pulmonary diseases and conditions:
1. A 65-year-old man who developed sudden dyspnea after prostate surgery most likely has a pulmonary embolism.
2. A 60-year-old man with a lung mass seen on chest imaging who has a history of smoking most likely has lung cancer.
3. A 66-year-old man with pleural plaques and interstitial lung disease who worked in construction was most likely exposed to asbestos.
4. Additional findings expected in the sputum of a 35-year-old man with cavitary lung lesions include branching, septated hyphae indicating histoplasmosis.
This document contains 10 multiple choice questions about various pulmonary diseases and conditions:
1. A 65-year-old man who developed sudden dyspnea after prostate surgery most likely has a pulmonary embolism.
2. A 60-year-old man with a lung mass seen on chest imaging who has a history of smoking most likely has lung cancer.
3. A 66-year-old man with pleural plaques and interstitial lung disease who worked in construction was most likely exposed to asbestos.
4. Additional findings expected in the sputum of a 35-year-old man with cavitary lung lesions include branching, septated hyphae indicating histoplasmosis.
1-A 65 year old man on the 30th postoperative day after radical
prostatectomy for adenocarcinoma suddenly becomes
extremely dyspneic and diaphoretic, with chest pain, palpitations, and feeling of panic after being ambulatory. Which of the following post-operative pulmonary complications has he most likely developed? A Pulmonary edema B Pleural effusion C Atelectasis D Thromboembolus
2-60-year-old man developed non-productive cough worsening
over the past 2 months. He also noted the appearance of blood-streaked sputum. A chest radiograph reveals a 5 cm mass near the left lung hilum. Sputum cytology reveals the presence of small clusters of very hyperchromatic, pleomorphic cells with scant cytoplasm. Which of the following is the most likely predisposing factor to development of his pulmonary disease? A Silicosis B Radon gas exposure C Smoking D Asbestosis
3-66-year-old man with increasing dyspnea for the past one
year. He is retired from the construction business. There are rales auscultated in both lungs. A chest radiograph reveals bilateral diaphragmatic pleural plaques with calcification as well as diffuse interstitial lung disease. A sputum cytology shows no atypical cells, only ferruginous bodies. These findings are most likely to suggest prior exposure to which of the following environmental agents? A Beryllium B Silica dust C Fumes with iron particles D Asbestos crystals
4-35-year-old man has lost 6 kg in 5 months. He has cough
with hemoptysis along with pleuritic chest pain. his temperature is 37.5°C. A chest x-ray reveals a bilateral and predominantly upper lobe reticulonodular pattern of infiltrates with cavitation. Sputum on light microscopic examination shows epithelioid cells with necrotic debris. Laboratory studies show a WBC count of 5890/. Which of the following additional histologic findings is most likely to be present in his sputum? A Branching, septated hyphae B Pleomorphic cells with dark, angular nuclei C Clusters of small RBC-sized cysts staining with GMS D Acid fast bacilli
5-Following an accident with blood loss leading to prolonged,
severe hypotension, a 30-year-old man is intubated and placed on a mechanical ventilator. He has progressively decreasing oxygen saturations. He dies 3 days later. At autopsy, the distal lungs show pink hyaline membranes, thickened interstitium, and many macrophages but few neutrophils. Which of the following pulmonary diseases most likely complicated his course? A Bronchopneumonia B Chronic bronchitis C Viral pneumonia D Diffuse alveolar damage
6-What type of lung cancer fits this description? The tumour
cells originate from neuroendocrince (Kulchitsky) cells. It is associated with smoking and is centrally located along the bronchial airways. Tumours tend to be at a high stage at the time of diagnosis. It is treated with chemotherapy as it is usually not amenable to surgery. There is an association with paraneoplastic syndromes, for example Cushing’s, SIADH and Eaton- Lambert syndrome. A Adenocarcinoma In Situ B Carcinoid tumour C Small cell carcinoma D Adenocarcinoma
7-What is the main complication of primary Tuberclosis ?
A Formation of a Ghon complex
B Miliary pulmonary TB C Tuberculous bronchopneumonia D Lung Abcess
8-What is the correct order for the gross phases of lobar
pneumonia ?
A Congestion, Red hepatisation, Gray hepatisation,
Resolution B Gray hepatisation, Red hepatisation, Congestion, Resolution C Resolution, Gray hepatisation, Red hepatisation, Congestion D Red hepatisation, Gray hepatisation, Resolution Congestion
9-Which of the following is the most characteristic change
occuring in chronic bronchitis?
A Columnar metaplasia of the bronchial epithelium
B Decrease in goblet cell number C Increase in size of the mucous glands D Increase in smooth muscle thickness
10-Which of the following statements is CORRECT regarding
squamous cell carcinoma of the lung? A Is usually peripheral B Is commonly associated with cigarette smoking C Has a 5 year survival of 60% D Is more common in females