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McqMate
Chapters
1. |
Which is the most common organism causing community acquired pneumonia? |
A. | pneumococcus |
B. | hemophilus influenzi |
C. | viral |
D. | gm negatives |
E. | mycoplasma |
Answer» A. pneumococcus |
2. |
which organism causing pneumonia has an increased association with COPD |
A. | pneumococcus |
B. | hemophilus influenzi |
C. | viral |
D. | gm negatives |
E. | mycoplasma |
Answer» B. hemophilus influenzi |
3. |
Which organism causing pneumonia has an increased incidence in IV drug users and those post-influenza? |
A. | pneumococcus |
B. | staph aureus |
C. | viral |
D. | gm negatives |
E. | mycoplasma |
Answer» B. staph aureus |
4. |
Which drug/s should be used in adult mild-mod. Community acquired pneumonia? |
A. | amoxycillin |
B. | doxycycline |
C. | rulide |
D. | any of the above as a single drug |
E. | amoxycillin and rulide |
Answer» D. any of the above as a single drug |
5. |
Which drug regimen is suggested for severe community acquired pneumonia initially? |
A. | benzyl penicillin and gentamicin and erythromycin |
B. | benzyl penicillin and gentamicin |
C. | ceftriaxone and gentamicin |
D. | gentamicin and erythromycin |
E. | flucloxacillin and gentamicin |
Answer» A. benzyl penicillin and gentamicin and erythromycin |
6. |
Which bug makes up 50% of hospital acquired pneumonia? |
A. | pneumococcus |
B. | staph aureus |
C. | gm –ve bacilli |
D. | legionella |
E. | chlamydia psittici |
Answer» C. gm –ve bacilli |
7. |
What is the largest size spontaneous primary pneumothorax that can be managaed without aspiration or thoracostomy? |
A. | 10% |
B. | 15% |
C. | 20% |
D. | 30% |
E. | 35% |
Answer» C. 20% |
8. |
In which sort of pneumoathorax is aspiration likely to be most successful? |
A. | traumatic |
B. | secondary |
C. | primary |
D. | iatrogenic |
E. | equally effective in all of the above |
Answer» C. primary |
9. |
What if the role of aspiration in traumatic pneumothoraces? |
A. | there is no role |
B. | first line management in small pneumathoraces only |
C. | it should be tried in all pneumathoraces as long as there is no respiratory compromise |
D. | it can be repeated twice before thoracostomy tube is considered |
E. | none of the above |
Answer» A. there is no role |
10. |
Whatis the recurrence rate of primary spontaneous pneumathoraces? |
A. | 10% |
B. | 20% |
C. | 30% |
D. | 40% |
E. | 50% |
Answer» E. 50% |
11. |
Which is not a biochemical feature of transudative pleural effusions? |
A. | protein<30g/l |
B. | pleural protein:serum protein <0.5 |
C. | pleural LDH : seurm LDH < 0.6 |
D. | pleural glucose< serum glucose |
E. | none of the above are biochemical features |
Answer» D. pleural glucose< serum glucose |
12. |
Which of the list below is not the cause of an exudative pleural effusion? |
A. | viral pneumonia |
B. | pancreatitis |
C. | TB |
D. | Malignancy |
E. | Nephrotic syndrome |
Answer» E. Nephrotic syndrome |
13. |
Which of the list below is not a cause of a transudative pleural effusion? |
A. | CCF |
B. | PE |
C. | SLE/RA |
D. | Cirrhosis |
E. | Nephritic syndrome |
Answer» C. SLE/RA |
14. |
Which is not a possible cause of haemoptysis? |
A. | PE |
B. | Mitral stenosis |
C. | Pneumonia |
D. | Aortic stenosis |
E. | Neoplasm |
Answer» D. Aortic stenosis |
15. |
Which statement is false about haemoptysis? |
A. | massive haemoptysis is greater than 600ml in 24 hours |
B. | a CXR is normal in about 25 % of cases |
C. | in any four cases, one is likely to be due to nonteuberculous infection, one due to neoplasia, one due to rarer causes and one idiopathic |
D. | in massive hemoptysis the pt should be nursed bleeding lung up |
E. | if possible a double lumen tube should be reserved for post brochoscopy as a rigid bronchoscope cannot be passed down it |
Answer» D. in massive hemoptysis the pt should be nursed bleeding lung up |
16. |
Which drug/intervention is of no proven benefit in management of acute severe asthma in adults? |
A. | steroids |
B. | magnesium |
C. | steroids |
D. | CPAP |
E. | Aminophylline |
Answer» E. Aminophylline |
17. |
As a generalization, at what PEFR should someone be admitted? |
A. | PEFR<25% pretreatment and <40% posttreatment |
B. | PEFR<10% pretreatment and <20% posttreatment |
C. | PEFR<40% pretreatment and <60% posttreatment |
D. | PEFR<50% pretreatment and <70% posttreatment |
E. | PEFR is of no value in this decision |
Answer» A. PEFR<25% pretreatment and <40% posttreatment |
18. |
Which statement is false? |
A. | Ipratropium is of definite proven benefit in asthma when used with B agonists |
B. | Ketamine is the intubation agent of choise but in ongoing therapy in acute asthma no benefit has yet been proven in the few studies done |
C. | Oral steroids are as effective as parenteral steroids |
D. | Aminophylline may have a role in acute treatment in children but not in adults |
E. | No studies have been done to see whether adrenaine is better than parenteral salbutamol |
Answer» A. Ipratropium is of definite proven benefit in asthma when used with B agonists |
19. |
Which is FALSE regarding CPAP in acute asthma? |
A. | it decreases the work of breathing |
B. | it causes bronchodilation and decreases airway resistance |
C. | it improves gas exchange if used alone in severe asthma |
D. | it may be an effective alternative to ETT when maximal pharmacotherapy is used |
E. | it reduces the cardiovascular impact of changes in pressures caused by asthma |
Answer» C. it improves gas exchange if used alone in severe asthma |
20. |
Which drug/intervention is rarely used acutely in the acute setting of exacerbation of COAD? |
A. | salbutamol |
B. | CPAP |
C. | Aminophylline |
D. | Steroids |
E. | Ipratropium |
Answer» C. Aminophylline |
21. |
Which statement is incorrect regarding the acute management of exacerbation of COAD? |
A. | support for the widespread use of steroids is limited |
B. | support for the use of salbutamol combined with ipratropium is limited |
C. | B agonists are widely used assuming the possiblility of a small reversible component to the airflow obstruction |
D. | Support for the widespread use of CPAP and BiPAP is minimal |
E. | Theophylline is rarely used acutely |
Answer» D. Support for the widespread use of CPAP and BiPAP is minimal |
22. |
Regarding pulmonary emboli, which statement is correct? |
A. | a normal Aa gradient excludes a PE |
B. | a paO2>80 excludes a PE |
C. | a normal CXR excludes a PE |
D. | anticoagulation reduces mortality from PE from 30% to 10% |
E. | all of the above are correct |
Answer» D. anticoagulation reduces mortality from PE from 30% to 10% |
23. |
With regards to PE which statement is CORRECT? |
A. | embolectomy has a better outcome than thrombolysis in massive PE |
B. | streptokinase is more effective with lower side effects than tPA in massive PE |
C. | LMWH is probably as effective as unfractionated heparin |
D. | TOE is sensitive for peripheral emboli |
E. | Spiral CT angiography is better at detecting peripheral clots than central |
Answer» C. LMWH is probably as effective as unfractionated heparin |
Done Reading?