Davidson_10, Exam 04

1.Which of the following is not true for COPD?

Usually occurs after age 40

Smokers are at more risk

Post bronchodilator FEV1/FVC<0.7

Bronchodilators shouldn’t be used in its treatment

3. Most common cause of bronchiectasis-

Suppurative pneumonia

Inhaled FB

Kartagener's syndrome

Pulmonary TB

4. Not a predisposing factor for pneumonia-

Old age

Alcohol

Cigarette smoking

Recent herpes zoster infection

5. Following is not a D/D for pneumonia -

Pulmonary infarction

Pulmonary TB

Pulmonary eosinophilia

Pulmonary abscess

6. Which of the following is not considered an indication for ICU referral for a pneumonia patient?

CURB score 5

Persisting hypoxia

Alkalosis

Circulatory shock

8.Strep. Pneumoniae infection usually causes-

Blood stained sputum

Yellow sputum

Pink frothy sputum

Rust coloured sputum

9. Not true -

COPD exacerbations may be accompanied by the development of peripheral oedema

Acute coryza is the most common URTI and is usually the result of influenza infection

Arthropathy may be a complication of cystic fibrosis

The bronchiectatic cavities may be lined by granulation tissue or normal ciliated epithelium.

10. One of your 65 yrs old relative presented to you with high grade fever, malaise and cough with rust-coloured sputum. His X-ray shows consolidation in the lower lobe of rt lung. You examined him and found that he is fully oriented, RR 32 b/min, BP 100/70 mmHg. Blood report shows urea 7.6 mmol/L. Which of the following will be your recommendation regarding his treatment?

Suitable for home treatment

Short-stay inpatient in hospital

Urgent admission and manage in hospital as a severe case

Refer to ICU

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Davidson_10, Exam 04

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