PGH review 1

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PGH review 1

  1. 1. 29. Pulmonary feature most commonly seen in patients with Goodpasture’s syndrome? (HPIM p. 2169) a. Pneumonia b. Pulmonary hemorrhage c. Plurds d. Pleural effusion 31. One cause of acute cor pulmonale? (HPIM p. 1914) a. Obstructive sleep anea (OSAHS) b. Large left-to-right shunt c. Atrial arrhythmia d. Massive pulmonary embolism 32. Pulmonary vasoconstriction leading to pulmonary hypertension can be due to? (HPIM p. 1914) a. Hypercabia- induced respiratory acidosis b. Respiratory alkalosis due to low CO₂ c. Metabolic alkalosis due to decreased HCO₃ d. Metabolic acidosis due to increased CO₂
  2. 2. 34. In giving diuretics to patients with PV failure, which of the following must be avoided? (HPIM p. 1915) a. Metabolic acidosis b. Contraction alkalosis c. Hyperkalemia d. Respiratory alkalosis 35. OSAHS is defined as the coexistence of unexplained excessive daytime sleepiness with at least how many obstructed breathing events (apnea or hypopnea) per hour of sleep? HPIM p. 2186 a. 2 b. 5 c. 10 d. 15 36. Clinical effects of OSAHS? (HPIM p. 2187) a. Hypertension b. Hypoglycemia c. Hepatitis d. Increased libido
  3. 3. 37. Best evidence-based therapy for OSAHS? (HPIM p. 2188) a. Oxygen b. Tracheostomy c. Modafinal d. Mandibular repositioning splint 38. Most common cancer associated with asbestos exposure? (HPIM p. 2123) a. Mesothelioma b. Lung cancer c. Nasopharyngeal carcinoma d. Thymoma 39. “Crazy paving” HRCT pattern is seen in? (HPIM p. 2124) a. Asbetosis b. Silicosis c. Drug induced fibrosis d. Coal worker’s pneumonconiosis
  4. 4. 40. Patients with silicosis are at a greater risk of acquiring with lung infection? (HPIM p. 2125) a. Streptecoccus pneumoniae b. Legionella sp. c. Pneumocystis carinii d. Mycobacterium tuberculosis 41. a. b. c. d. 42. The principal imaging test for the diagnosis of pulmonary embolism ? (HPIM p. 2173) a. Lung nucleur scanning b. Computed tomography of the chest c. Chest X-ray d. MRI
  5. 5. 43. Best known indirect sign of PE on transthoracic echocardiography ? (HPIM p. 2174) a. Pallas sign b. RV heav sign c. McConell’s sign d. Eggshell sign 44. The major advantage of unfractionated heparin is? (HPIM p. 2175) a. Predictable PTT response b. PT PA can be measured instead of PTT c. Greater bioavailability d. Short half-life 45. Highest risk factor for active TB among persons who have been infected with TB bacili? (HPIM p. 1342) a. Recent infection b. Diabetus melitus c. Tobacco smoking d. Jejunoileal bypass
  6. 6. 46. Which among these TB patients are most infectious? (HPIM p. 1342) a. Those who have reactivation of TB b. Those with cavitary pulmonary disease c. Those with co-existing extrapulmonary TB d. Those with co-existing COPD 47. The greatest limitation of PPD is? (HPIM p. 1351) a. Deterioration of the product b. Variation of response due to race c. Lack of mycobacterial species specificity d. Batch to batch variation 48. Which of the following is recommended for latent TB infections (LTBI)? (HPIM p. 1357) a. INH for 9 months b. Rifampicin and Pyrazinamide for 2 months c. INH and ethambutol for 6 months d. Rifampicin for 6 months
  7. 7. 1. A 65-year-old COPD patient with exacerbation was admitted at the ICU for ventilator support. The patient was stable but suddenly developed difficulty of breathing despite respirator support. Breath sounds on the right were absent. Peak airway pressure was elevated. Management of this patient is (HPIM p. 2181) a. Reintubation b. Ambubagging c. Insert needle at 2nd intercostal space d. Decrease tidal volume 2. A 45-year old office worker consulted because of low grade afternoon fever and weight loss. Her chest X-ray showed densities at the apical posterior area of the right lung . Her past history was unremarkable. Her white cell count was normal. PPD test measured 18mm. Recommended treatment for this patient to be given for two months pending sputum studies is? (HPIM p. 1352): a. HRE b. HR c. HRZ d. HRZES
  8. 8. 3. A 67-year-old female diabetic patient was admitted to the hospital because of 3 days duration of fever, cough and difficulty of breathing. On PE she was awake and conscious, BP 130/80, HR 104, RR 30, T 38.0. Fine rales were noted at the right base. Lab exam showed WBC at 15,000 with 0.92 segmenters. BUN was 6 mmol/L . Creatinine was normal and RBS was 185 mmol/L. Your initial antibiotic treatment is (HPIM p. 2135) a. IV azithromycin + cefepime

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