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Quiz am Respiratory System I, erstellt von mano li am 26/01/2022.

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Respiratory System I

Frage 1 von 100

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Tiščoča (Squeezing) chest pain is characterized by

Wähle eine oder mehr der folgenden:

  • a. ischemic heart disease

  • b. pneumonia

  • c. inflammation of the lining of thin

  • d. asthma

  • e. acute tracheitis

  • f. rib fractures

  • g. thoracic spine spondylosis

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Frage 2 von 100

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Fülle die Lücken, um den Text zu vervollständigen.

a. pleurisy a.) stabbing
b. impairment of the diaphragm b.) radiates in the shoulder
c. spondylosis c.) depends on the movement of
d. tracheitis d.) Opressive
e. fracture of the rib e.) depends on the pressure

La combinación correcta es 1, 2, 3, 4, 5

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Frage 3 von 100

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3. What is characteristic of pain in diaphragmatic pleuritis skirt?

Wähle eine der folgenden:

  • a. radiates into the shoulder

  • b. depends on the movement of the

  • c. depends on the pressure

  • Opressive

  • e. stabbing

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Frage 4 von 100

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4. What is characteristic of pain in tracheitis?

Wähle eine der folgenden:

  • a. radiates into the shoulder

  • b. depends on the movement of the

  • c. depends on the pressure

  • d. opressive

  • e. stabbing

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Frage 5 von 100

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5. Cough is the most common symptom of lung disease. Connect timeline cough with the most likely diagnosis:

Wähle eine der folgenden:

  • a. asthma: night cough; smoking bronchitis: morning cough; respiratory infection: coughing throughout the day;

  • b. asthma: night cough; smoker's bronchitis: cough throughout the day; respiratory infection: a morning cough;

  • c. asthma: morning cough; smoker's bronchitis: night cough; respiratory infection: coughing throughout the day;

  • d. asthma: morning cough; smoker's bronchitis: respiratory infection: coughing throughout the day; night cough;

  • e. asthma: coughing throughout the day; smoking bronchitis: morning cough; respiratory infection: night cough;

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Frage 6 von 100

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6. Common causes of chronic cough are:

Wähle eine der folgenden:

  • a. chronic rhinitis, swelling of mucus in the throat, asthma, gastro-oesophageal reflux and smoking bronchitis

  • b. lung cancer, asbestosis, extrinsic allergic bonhiolitis, ARDS

  • c. silicosis, lung amiodaronska, foreign body aspiration,

  • d. pulmonary vasculitis, cystic fibrosis, acute myocardial infarction

  • e. obstructive apnea during sleep, hiperventilacijski syndrome kifoskolioza

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Frage 7 von 100

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7. Which the product may have the side effect of chronic non-productive cough:

Wähle eine der folgenden:

  • a. converting inhibitors of angiotensin

  • b. inhibitors of angiotensin (sartans)

  • c. renin inhibitors

  • d. COX-2

  • e. agonists, beta-blockers

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Frage 8 von 100

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8. When a patient sputum noticed a trail of blood:

Wähle eine oder mehr der folgenden:

  • a. We are talking about hemoptoi

  • b. We are talking about hemoptysis

  • c. We are talking about haematochezia

  • d. in the first instance we think of the lung, pulmonary infarction or tuberculosis

  • e. first and foremost think of Goodpasture's syndrome or hemophilia

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Frage 9 von 100

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9. Where diseases would expect haemoptysis?

Wähle eine oder mehr der folgenden:

  • a. bronchiectasis

  • b. lung cancer

  • c. pulmonary infarction

  • d. kifoskolioza

  • e. obstructive apnea during sleep

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Frage 10 von 100

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10. Where diseases would expect haemoptysis?

Wähle eine oder mehr der folgenden:

  • a. pneumonia

  • b. lung cancer

  • c. pulmonary vasculitis

  • d. kifoskolioza

  • e. hiperventilacijski syndrome

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Frage 11 von 100

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Where diseases would expect haemoptysis?

Wähle eine oder mehr der folgenden:

  • a. cardiogenic pulmonary edema

  • b. Goodpasture syndrome

  • c. lung cancer

  • d. asthma

  • e. sarcoidosis

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Frage 12 von 100

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12. The patient has haemoptysis. Let's do a chest X-ray, which does not look convincing pathological changes. Who should be the next test?

Wähle eine der folgenden:

  • a. hemogram

  • b. bronchoscopy

  • c. CT HD

  • d. bronchial artery angiography

  • e. lung imaging with magnetic resonance imaging

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Frage 13 von 100

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How to treat a patient with lung abscess, which is suddenly coughed 250 ml of blood, and the patient was hemodynamically managed to temporarily stabilize?

Wähle eine der folgenden:

  • a. do angiography bronchial arteries and emboliziramo bleeding artery

  • b. the patient begins treatment with antitussives, so as not to cough, because if the patient will not be coughed hemoptoa will not be repeated

  • c. the patient treated by the epsilon-amino acid kaproično

  • d. increasing the dose of antibiotics

  • e. administered ACE inhibitor in order to reduce the pressure in the bronchial arteries

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Frage 14 von 100

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Wheezing, which is pronounced expiratory, probably due to obstruction:

Wähle eine der folgenden:

  • a. nose

  • b. throat

  • c. in the trachea

  • d. the bronchus

  • e. the bronchioles

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Frage 15 von 100

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15. Wheezing, which is more pronounced during inhalation, probably due to obstruction:

Wähle eine oder mehr der folgenden:

  • a. throat

  • b. in the trachea

  • c. the bronchus

  • d. the bronchioles

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Frage 16 von 100

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16. Dyspnea is a description of:

Wähle eine der folgenden:

  • a. faster and deeper breathing

  • b. breathing using the auxiliary breathing muscles

  • c. a feeling of lack of air

  • d. tightness in the chest

  • e. snoring

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Frage 17 von 100

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The reasons for dyspnea may include

Wähle eine oder mehr der folgenden:

  • a. lung disease

  • b. heart disease

  • c. anemia

  • d. psyche

  • e. high blood sugar

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Frage 18 von 100

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18. The diagnosis of dyspnea set if:

Wähle eine der folgenden:

  • a. the patient said that heavy breathing

  • b. measuring the respiratory rate over 20 per minute

  • c. we see that the patient has a barrel shaped chest

  • d. ECG figure denivelacijo ST segment

  • e. in gas analysis of arterial blood figure decreased partial pressure of oxygen, and reduced saturation of the blood with oxygen

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Frage 19 von 100

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19. For dyspnea in lung disease is characterized by:

Wähle eine der folgenden:

  • a. pronounced is stationary, the physical activity disappears

  • b. more marked in the sitting and in the prone position

  • c. patient describes to him to breath air not come far enough into the lungs

  • d. respiratory rate is small (less than 12 ppm), because in this way the patient easier and breathed his last air in the lungs

  • e. It intensifies when physical exertion

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Frage 20 von 100

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20. Where the disease is dyspnea begins suddenly, in minutes?

Wähle eine oder mehr der folgenden:

  • a. spontaneous pneumothorax

  • b. hyperventilating syndrome

  • c. lung cancer

  • d. COPD

  • e. sarcoidosis

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Frage 21 von 100

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Where the disease is dyspnea begins gradually intensifies in the weeks or months?

Wähle eine oder mehr der folgenden:

  • a. spontaneous pneumothorax

  • b. hiperventilating syndrome

  • c. lung cancer

  • d. COPD

  • e. sarcoidosis

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Frage 22 von 100

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With any of these investigations it is most useful to begin the diagnostic process in redistribution (predeljavanju) cause dyspnea, which lasts a few months?

Wähle eine der folgenden:

  • a. spirometry

  • b. ECG

  • c. bronchoscopy

  • d. Arterial blood gas measurements

  • e. Measurements of blood pressure

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Frage 23 von 100

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The most common among respiratory diseases are:

Wähle eine der folgenden:

  • a. lung cancer

  • b. viral and bacterial infections

  • c. asthma

  • d. congenital anomalies mucociliary apparatus

  • e. pulmonary fibrosis

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Frage 24 von 100

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24. Three common causes of death due to lung disease in the population are:

Wähle eine der folgenden:

  • a. tuberculosis, asthma, pneumoconiosis

  • b. lung cancer, pneumonia, chronic obstructive pulmonary disease

  • c. sarcoidosis, allergic bronchopulmonary aspergillosis, idiopathic pulmonary fibrosis

  • d. pneumothorax, asbestosis, pulmonary embolism

  • e. pneumoconiosis, asbestosis, sarcoidosis

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Frage 25 von 100

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What data history is important to define harmful effects of smoking?

Wähle eine oder mehr der folgenden:

  • a. or smokes a filter cigarette without the filter, a cigar, a pipe

  • b. how many cigarettes smoked per day

  • c. many years trough (the smoke)

  • d. How many years ago it was to stop smoking

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Frage 26 von 100

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26. What diseases have an important genetic basis?

Wähle eine oder mehr der folgenden:

  • a. asthma

  • b. asbestosis

  • c. cystic fibrosis (mucoviscidosis)

  • d. COPD

  • e. pneumonia

  • f. alpha1-antitrypsin deficiency

  • g. tuberculosis

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Frage 27 von 100

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For spirometry applies:

Wähle eine oder mehr der folgenden:

  • a. Spirometry specimen at a maximum and then breathed all the air breathed his last in a spirometer

  • b. most healthy people with a force exhale and breathed his last at least 70% of vital capacity in the first second

  • c. Spirometry is conveniently carried out when the two best curve FVC does not differ by more than 3%

  • d. by spirometry can determine if lung function is normal and whether the patient has obstructive ventilation disorder, we can not reliably confirm restrictive ventilator disorders

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Frage 28 von 100

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28. Bronchodilator test:

Wähle eine oder mehr der folgenden:

  • a. do it, when, in spirometry determine that a patient has obstructive disorder ventilation

  • b. the patient breathes bronchodilator, the standard is 400 micrograms salbutamol

  • c. spirometry repeated over 20 minutes

  • d. the test is positive, when normalized FEV1

  • e. the test is positive when the FEV1 had increased by at least 12% and at the same time for at least 200 ml

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Frage 29 von 100

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29. Bronhodilatator test done when the spirometry determine that a patient has obstructive disorder ventilation.

Wähle eine der folgenden:

  • a. The patient breathes bronchodilator, the standard is 400 micrograms salbutamol. Spirometry repeated over 20 minutes.

  • b. The patient breathes 2 milligrams of methacholine. Spirometry repeated over 20 minutes.

  • c. Patient 2 weeks of receipt of 32 mg methylprednisolone is then repeated spirometry

  • d. Patient 1 month of receipt of the inhaled glucocorticoid, then repeat spirometry

  • e. Patient charge on cycloergometer then repeating spirometry

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Frage 30 von 100

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Bronhodilatator test done when a patient is in spirometry:

Wähle eine der folgenden:

  • a. reduced vital capacity

  • b. reduced FEV1

  • c. reduced Tiffeneau index

  • d. poorly reproducible curves

  • e. so severe cough that spirometry without bronchodilator inhalations can not do

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Frage 31 von 100

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Bronchial Challenge test with methacholine:

Wähle eine oder mehr der folgenden:

  • a. It measures bronchial responsiveness (sensibilidad)

  • b. do when it is suspected to asthma, the patient has a normal spirometry

  • c. do when it is suspected to asthma, the patient has a severe obstructive disorder ventilation and negative bronhodilatator test

  • d. if positive, the diagnosis of asthma is unlikely

  • e. if negative, the diagnosis of asthma is unlikely

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Frage 32 von 100

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The measurement of the maximum expiratory flow (PEF) were used:

Wähle eine der folgenden:

  • a. instead of spirometry, if we do not have spirometry

  • b. that with serial measurements of track activity of asthma

  • c. for the separation of obstructive and restrictive disorders ventilation

  • d. to distinguish between an obstruction in the large and small airways

  • e. for determining the saturation of the arterial blood oxygen

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Frage 33 von 100

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33. Body plethysmography is essential if we are to make a diagnosis:

Wähle eine der folgenden:

  • a. obstructive disorders of ventilation

  • b. restrictive disorders ventilation

  • c. reversible disturbance ventilation

  • d. hyperventilation syndrome

  • e. disorders of diffusion of gases through the membrane alveolocapillary

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Frage 34 von 100

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The body plethysmography can be measured:

Wähle eine oder mehr der folgenden:

  • a. full lung capacity

  • b. residual volume

  • c. airway resistance

  • d. maximum airflow during forced exhalation

  • e. surface alveolocapilar menbrane

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Frage 35 von 100

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35. The transthoracic lung ultrasound examination can determine:

Wähle eine der folgenden:

  • a. embolism in the pulmonary artery

  • b. lying central tumor

  • c. pleural effusion

  • d. bronchial obstruction

  • e. foreign body in bronhu

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Frage 36 von 100

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36. The value of the nitric oxide in exhaled air (one):

Wähle eine oder mehr der folgenden:

  • a. It indicates the degree of inflammation in the airways.

  • b. It indicates the degree of airway obstruction.

  • c. if higher than 30 ppb, the diagnosis of asthma reliable.

  • d. inhaled glucocorticoids decreases the value of one.

  • e. values one less than 30 ppb reliably exclude the diagnosis of asthma.

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Frage 37 von 100

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How should the patient inhaled bronchodilator spray from the pressurized gas?

Wähle eine oder mehr der folgenden:

  • a. before using the spray to open the cover spray

  • b. spray to launch 1-2 seconds before the breath

  • c. breath should be slow (it takes seconds to 5)

  • d. after a deep breath, the patient should retain your breath for 10 seconds

  • e. by inhalation to the patient as quickly as possible and breathed his last

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Frage 38 von 100

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38. Foreign bodies in the airway:

Wähle eine oder mehr der folgenden:

  • a. They tend to fall into the bronchus of the left upper lobe

  • b. more common in children and people who have swallowing problems

  • c. Diagnosis is simple, because the foreign body well seen on chest x-ray

  • d. They can cause chronic pneumonia

  • e. usually have to be removed by surgery (lobectomy or even pulmectomy)

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Frage 39 von 100

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39. The diagnosis of "chronic bronchitis" set:

Wähle eine der folgenden:

  • a. when the patient coughs and coughs up most days for at least three months a year for 2 years in a row

  • b. if the spirometry figure obstructive disorder ventilation

  • c. only smoker of cigarettes

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Frage 40 von 100

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40. What are the arguments of chronic obstructive pulmonary disease (COPD) are correct?

Wähle eine oder mehr der folgenden:

  • a. COPD is the common cause of morbidity and mortality in developed countries.

  • b. COPD is never develops in nekadilcu.

  • c. For COPD is suffering from at least 50% of smokers.

  • d. The best known genetic risk factor for COPD is a hereditary deficiency of alpha-1-antitrypsin.

  • e. Passive smoking is a risk factor for development of COPD.

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Frage 41 von 100

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41. Chronic obstructive pulmonary disease (COPD) applies:

Wähle eine oder mehr der folgenden:

  • a. In lung function to detect respiratory obstruction, which may be partially reversible, diffusion lung capacity is normal or reduced.

  • b. On rtg p / c are significantly narrowed intercostal spaces, flattened diaphragm and gentle retikulonodularne crowding.

  • c. Very important is the history of smoking.

  • d. It is a great help in the diagnosis we methacholine test.

  • e. Auscultatory is characterized by impaired breathing prolonged exhalation.

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Frage 42 von 100

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42. In physical examination, patients with chronic obstructive pulmonary disease (COPD), we find:

Wähle eine der folgenden:

  • a. sunken chest

  • b. rapid breathing part exhale

  • c. reduced sound perkutorni

  • d. low frequency poke in early inhaling

  • e. beeps that are pronounced during inhalation

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Frage 43 von 100

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43. In physical examination, patients with chronic obstructive pulmonary disease (COPD), we find:

Wähle eine oder mehr der folgenden:

  • a. Barrel chest

  • b. breathing with lip recommend

  • c. hypersonorous percutaneous sound

  • d. low frequency poke in early inhaling

  • e. beeps that are pronounced expiratory

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Frage 44 von 100

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44. In physical examination, patients with chronic obstructive pulmonary disease (COPD), we find:

Wähle eine oder mehr der folgenden:

  • a. Barrel chest

  • b. low deposited diaphragm

  • c. breathing prolonged expiratory

  • d. hypersonorous percutaneous sound

  • e. beeps that are pronounced during inhalation

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Frage 45 von 100

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45. What is the essential functional test for the diagnosis of COPD?

Wähle eine der folgenden:

  • a. X-ray chest

  • b. ECG

  • c. Ultrasound examination of heart and lungs

  • d. spirometry

  • e. bronchoscopy

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Frage 46 von 100

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46. What are the significant changes in lung function of COPD patients?

Wähle eine oder mehr der folgenden:

  • a. vital capacity (VC) is a normal or reduced

  • b. the flow in the first second (FEV1), and the ratio of FEV1 / VC were reduced

  • c. lung function returns to normal after inhalation of a bronchodilator

  • d. reduced both the diffusing capacity for CO as well as the residual volume

  • e. increased the total lung capacity

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Frage 47 von 100

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47. In the treatment of COPD subject:

Wähle eine oder mehr der folgenden:

  • a. recommend smoking cessation

  • b. basic drug is a glucocorticoid and the inhalation by the patient receives regularly, the problem could be added bronchodilator "the occasion should arise"

  • c. among the most effective bronchodilators parasympatholytic

  • d. at doses of methylxanthines (theophylline) save the optimum plasma drug concentration

  • e. winter patients receiving prophylactic antibiotic to prevent worsening of the disease due to possible infection

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Frage 48 von 100

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For the treatment of COPD subject:

Wähle eine oder mehr der folgenden:

  • a. Inhaled glucocorticoids are the drug of choice in all stages of COPD.

  • b. The combination of sympathomimetics and anticholinergics effectively improves FEV1 than either medicine alone.

  • c. In women dominated emphysema, and women with COPD should not be prescribed bronchodilators.

  • d. Frequent exacerbations of COPD needed continuous treatment with oral glucocorticoids.

  • e. In any deterioration of COPD is necessary antibiotic treatment.

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Frage 49 von 100

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Common causes of deterioration of dyspnoea in patients with COPD have all except:

Wähle eine der folgenden:

  • a. viral respiratory infection

  • b. pulmonary embolism

  • c. smoking cessation

  • d. heart failure

  • e. bacterial respiratory infection

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Frage 50 von 100

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What are the common causes of exacerbations of chronic obstructive pulmonary disease because of purulent bronchitis?

Wähle eine der folgenden:

  • a. staphylococci

  • b. chlamydia and mycoplasma pneumonia

  • c. pseudomonal

  • d. Streptococcus pneumonia, Haemophilus influenza and branhamela catarrhalis

  • e. tuberculosis bacillus

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Frage 51 von 100

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51. Reasons for exacerbations of chronic obstructive pulmonary disease are:

Wähle eine der folgenden:

  • a. viral infection, bacterial infection or pollution of the air

  • b. infection with chlamydia or mycoplasma pneumonia

  • c. exposure to pollen or mite

  • d. lack of physical activity

  • e. tuberculosis bacillus

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Frage 52 von 100

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52. The degree of deterioration of COPD is defined on the basis of:

Wähle eine der folgenden:

  • a. degree of dyspnea, and fever

  • b. degree of dyspnea, nature and intensity of the cough, the amount and color of sputum

  • c. spirometry

  • d. X-ray changes

  • e. auscultatory findings of the lungs

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Frage 53 von 100

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53. Syndrome immobile chilli (primary ciliary dyskinesia) may be manifested by:

Wähle eine oder mehr der folgenden:

  • a. bronchiectasis

  • b. sinusitis

  • c. infertility

  • d. situs inversus viscerum

  • e. early pattern baldness

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Frage 54 von 100

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Asthma

Wähle eine der folgenden:

  • a. any disease in which the patient indicates periodic damping

  • b. disease, which is characterized by an increased resistance in the bronchioles

  • c. chronic inflammatory disease of the bronchial mucosa

  • d. bacterial infection of the lungs

  • e. the result of cigarette smoking

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Frage 55 von 100

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For asthma following applies:

Wähle eine oder mehr der folgenden:

  • a. When a diagnosis is in addition to the history and clinical examination of great help to the measurement of lung function.

  • b. The diagnosis can be set on the basis of X-ray images.

  • c. Nitric oxide in exhaled air is in a disordered asthma usually increased.

  • d. The most characteristic symptoms are gnojav scum and morning cough.

  • e. It is usually detected in patients older than 50 years.

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Frage 56 von 100

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56. For asthma following applies:

Wähle eine der folgenden:

  • a. It is a chronic inflammatory disease of the airways.

  • b. It is primarily a disease of the small airways (bronhiolov).

  • c. There is airway obstruction is irreversible.

  • d. The most important role in the pathogenesis of a Th1 lymphocytes, neutrophils and interleukin eighth

  • e. The most important medicine are agonists, beta-2 adrenergic receptor, which in most asthmatics achieve good regulation of the disease.

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Frage 57 von 100

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What are the characteristics of asthma?

Wähle eine oder mehr der folgenden:

  • a. shortness of breath

  • b. tightness in chest

  • c. cough

  • d. expectoration of purulent sputum

  • e. Fever

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Frage 58 von 100

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58. What are the symptoms of asthma?

Wähle eine der folgenden:

  • a. poki of the lungs, a baseline in the second half of exhalation

  • b. stridor

  • c. poki in začeku inspiratory and expiratory polyphonic beeps

  • d. Many monophonic high-frequency beeps expiratory

  • e. sinistroepigastrične pulsation

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Frage 59 von 100

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59. Symptomatology of asthma is more pronounced:

Wähle eine oder mehr der folgenden:

  • a. at night and in the early morning hours

  • b. after physical exertion

  • c. after inhalation of the allergen

  • d. before noon

  • e. immediately after meals

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Frage 60 von 100

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Airway remodeling in asthma:

Wähle eine oder mehr der folgenden:

  • a. It is the result of chronic asthmatic inflammation.

  • b. In particular, small bronchus and bronchioli narrowed due to hypertrophy and hyperplasia of smooth muscle.

  • c. Due to chronic inflammation, the thickening of the basal membrane of the lining of the trachea and large bronchi and therefore greatly increases the airway resistance.

  • d. In lung function continues to measure the complete reversibility after bronchodilator

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Frage 61 von 100

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61. What are the significant changes in lung function of patients with asthma (at a time when the symptoms)?

Wähle eine oder mehr der folgenden:

  • a. vital capacity (VC) is a normal or reduced

  • b. the flow in the first second (FEV1), and the ratio of FEV1 / VC were reduced

  • c. lung function significantly improved after inhalation of a bronchodilator

  • d. decreased diffusing capacity for CO

  • e. reduced total lung capacity

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Frage 62 von 100

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62. Methacholine test:

Wähle eine oder mehr der folgenden:

  • a. If it is positive, the diagnosis of asthma reliable.

  • b. If it is negative, with very high probability excludes asthma.

  • c. Is positive if the detected at least a 15% decrease in FEV 1 after inhalation of 8 mg methacholine.

  • d. It can be positive for allergic rhinitis, or respiratory infections.

  • e. With the introduction of the measurement of nitric oxide in exhaled air it has become unnecessary.

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Frage 63 von 100

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63. A feature of asthma has increased bronchial responsiveness. How it is measured?

Wähle eine der folgenden:

  • a. the ratio between the vital capacity and the flow rate in the first second (FEV 1 / VC)

  • b. by measuring the diffusion capacity of CO

  • c. by measuring the residual volume

  • d. with methacholine test

  • e. with a concentration of nitric oxide in exhaled air

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Frage 64 von 100

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64. In the case of suspected asthma do methacholine test:

Wähle eine der folgenden:

  • a. where the patient has severe obstruction (Tieffeneau index below 50%)

  • b. when the obstruction persists for inhaled bronchodilators

  • c. still, because without this test, the diagnosis of asthma can not lay

  • d. when the patient's history of suspected pulmonary function is normal

  • e. when the patient can not teach measurements of pulmonary flow to the PEF meter

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Frage 65 von 100

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65. In the treatment of asthma:

Wähle eine oder mehr der folgenden:

  • a. We recommend the removal of allergens from the living environment

  • b. basic medicine is inhaled glucocorticoid in

  • c. among the most effective bronchodilators beta adrenergic agonist

  • d. bronchodilator as a rule used in the form of tablets

  • e. the majority of patients receiving theophylline

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Frage 66 von 100

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The most powerful bronchodilator, which is used in the treatment of asthma exacerbation, is:

Wähle eine der folgenden:

  • a. inhaled glucocorticoid

  • b. beta-adrenergic agonist

  • c. parasimpatikolitic

  • d. theophylline

  • e. cyclosporine

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Frage 67 von 100

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Characteristics of aspirin asthma are:

Wähle eine oder mehr der folgenden:

  • a. It occurs in more than half of asthmatics.

  • b. These patients easily tolerate NSAIDs.

  • c. Ingestion of acetylsalicylic acid, the patient can trigger a life-threatening asthma exacerbation.

  • d. Patients with aspirin intolerance often have nasal polyps.

  • e. Any patient with asthma, it must immediately upon diagnosis of asthma prohibit the use of acetylsalicylic acid (aspirin) and all NSAIDs.

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Frage 68 von 100

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What are the possible side effects of agonists, beta-2 adrenergic receptor when used from the spray at the recommended dosage?

Wähle eine oder mehr der folgenden:

  • a. tachycardia

  • b. bradycardia

  • c. hypotension

  • d. hypertension

  • e. hypokalemia

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Frage 69 von 100

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69. Which statement about theophylline is correct?

Wähle eine der folgenden:

  • a. It has a powerful effect bronhodilatatorni.

  • b. It is optional bronchodilator / anti-inflammatory drug for asthma.

  • c. It can cause dangerous heart rhythm disorder

  • d. No significant side effects.

  • e. The most appropriate serum levels are between 10 and 550 mol / l.

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Frage 70 von 100

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70. The medicine of the initial anti-inflammatory treatment of asthma:

Wähle eine der folgenden:

  • a. inhaled glucocorticoid

  • a. short-acting beta-2 adrenergic receptor agonist

  • c. aminophylline

  • d. an inhibitor of beta-blockers

  • e. combination antilevkotriena, inhaled glucocorticoid and long-acting beta-2 agonist-blockers

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Frage 71 von 100

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71. Among the reasons for the worsening of asthma does not belong:

Wähle eine der folgenden:

  • a. viral respiratory infection

  • b. exposure to an allergen

  • c. pneumothorax

  • d. exposure to cigarette smoke

  • e. insufficient doses of inhaled glucocorticoid

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Frage 72 von 100

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What are the clinical and laboratory signs of very severe exacerbations of asthma?

Wähle eine oder mehr der folgenden:

  • a. loud beeps of the lungs

  • b. silent chest

  • c. a reduced partial pressure of carbon dioxide in the blood

  • d. normal or increased partial pressure of carbon dioxide in the blood

  • e. flow (PEF or FEV1) below 30% of normal

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Frage 73 von 100

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73. In difficult exacerbation of asthma:

Wähle eine oder mehr der folgenden:

  • a. We should not give oxygen, because this would lead to brake respiratory center.

  • b. We must administer oxygen to 1 L / min through a nasal catheter.

  • c. Give oxygen through a mask at least 35%.

  • d. From acting bronchodilators is the strongest theophylline infusion.

  • e. Anticholinergic agents act synergistically with the beta adrenergic agonist in inhalation.

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Frage 74 von 100

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74. The difficult asthma exacerbation applies:

Wähle eine oder mehr der folgenden:

  • a. The basic medicament is a beta-2 adrenergic receptors (up to 1 breath / minute) of the spray through a large nozzle.

  • b. Oxygen can be added, if saturation is over 88%, because we are afraid to hypercapnia and respiratory acidosis.

  • c. Treated with systemic glucocorticoid, usually methylprednisolone, at a dose of 32-128 mg on the first day.

  • d. Aminophylline is used only in life-threatening deterioration.

  • e. Prior to initiation of therapy with bronchodilators have to be performed RTG p / c imaging.

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Frage 75 von 100

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75. To assess exacerbations of asthma are key:

Wähle eine der folgenden:

  • a. history, status and spirometry

  • b. X-ray of the lungs

  • c. history, status and blood counts

  • d. investigation of induced sputum

  • e. measuring diffusion capacity of the lungs

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Frage 76 von 100

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76. In the intensive care unit treated a patient with asthma if:

Wähle eine oder mehr der folgenden:

  • a. require relatives

  • b. It has signs of impending respiratory failure

  • c. confused

  • d. Hypoxemia is inferior, or. It is generated after the initial treatment of hypercapnia

  • e. the febrile

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Frage 77 von 100

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Allergic bronchopulmonary aspergillosis (mycosis):

Wähle eine oder mehr der folgenden:

  • a. as indicated by the clinical picture of severe pneumonia

  • b. It is indicated by the clinical picture of severe asthma

  • c. in the blood of these patients are found IgE and IgG aspergilusu (fungi)

  • d. for a disease characterized by central bronchiectasis

  • e. disease is cured with antifungal agents

  • f. rule, the patients in need of treatment with systemic glucocorticoids

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Frage 78 von 100

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What is true for lung cancer:

Wähle eine der folgenden:

  • a. In humans, smoking a 20 years after the pack of cigarettes a day, is the risk of developing lung cancer, at least 20 times increased.

  • b. At higher index pack-year reduces the frequency of mutation of the p53 protein, which is responsible for apoptosis in the defective cells.

  • c. Environmental factors that influence the development of lung cancer, asbestos, radon, arsenic, beryllium, nickel, chromium.

  • d. Exposure to asbestos and smoking at the same time increases the risk of developing lung cancer by 7 times.

  • e. Lung cancer never develops in nekadilcu.

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Frage 79 von 100

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79. Lung tumors are:

Wähle eine oder mehr der folgenden:

  • a. mostly benign

  • b. more common in women than in men

  • c. It is mainly a disease of smokers

  • d. common in people exposed to asbestos

  • e. very rare malignant disease

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Frage 80 von 100

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80. A typical presentation of lung cancer:

Wähle eine der folgenden:

  • a. recurrent pneumonia in the same place

  • b. recurrent pneumonia in different places

  • c. bilateral pneumonia

  • d. lung abscess

  • e. sepsis

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Frage 81 von 100

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For lung cancer, holds:

Wähle eine oder mehr der folgenden:

  • a. The most common early symptom is coughing up blood.

  • b. It appears exclusively in smokers.

  • c. If it is localized in the large airways may occur inspiratorni stridor.

  • d. Hoarseness can be a sign of pressure with lymph node metastases seized on the left return laryngeal nerve.

  • e. Horner's syndrome is the result of pressure of the tumor on the upper hollow vein.

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Frage 82 von 100

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Syndrome above the vein of coffee:

Wähle eine oder mehr der folgenden:

  • a. swelling of the neck, face and upper extremities due to pressure from swollen glands in the external jugular vein

  • b. are swollen veins in the neck and upper chest,

  • c. most often a sign of lung cancer

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Frage 83 von 100

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Individual symptoms Noting that lung cancer present in more than half of the patients:

Wähle eine oder mehr der folgenden:

  • a. dyspnoea

  • b. cough

  • c. haemoptysis

  • d. bone

  • e. Weight Loss

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Frage 84 von 100

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84. Which of the signs is not present in patients with lung cancer who have Horner syndrome:

Wähle eine oder mehr der folgenden:

  • a. miosis

  • b. Argyll-Robertson pupil

  • c. ptosis

  • d. enoftalmus

  • e. Anhidrosis

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Frage 85 von 100

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Which is the most important tests for the diagnosis of lung cancer:

Wähle eine der folgenden:

  • a. transthoracic needle biopsy

  • b. cytological examination of sputum

  • c. bronchoscopy

  • d. thoracoscopy

  • e. pleural puncture

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Frage 86 von 100

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86. Paraneoplastic syndrome in a patient with lung cancer can be caused by:

Wähle eine der folgenden:

  • a. pressure increased metastatic lymph nodes of the upper hollow vein

  • b. due to the pressure of increased metastatic lymph nodes on the left return laryngeal nerve

  • c. tumor metastases in distant organs

  • d. secretion of hormones or similar substances from the cancer cells

  • e. chemotherapy or radiotherapy of the tumor

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Frage 87 von 100

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What are the manifestations may be paraneoplastic syndrome in lung cancer?

Wähle eine oder mehr der folgenden:

  • a. betičasti fingers (acropaquia)

  • b. venous thrombosis

  • c. Weight Loss

  • d. Fever

  • e. hypercalcemia

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Frage 88 von 100

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88. Diagnostic procedure in suspected lung cancer takes place in the following order:

Wähle eine oder mehr der folgenden:

  • a. history and clinical examination

  • b. Chest X-ray in two projections

  • c. bronchoscopy with collection of material CITO / histological definition

  • d. CT of the chest, upper abdomen and the head

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Frage 89 von 100

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How to treat a patient with lung cancer?

Wähle eine oder mehr der folgenden:

  • a. small cell cancer are treated primarily by chemotherapy

  • b. squamous cancer are treated primarily by chemotherapy

  • c. glandular cancer are treated primarily by surgery

  • d. large cell treated primarily by surgery

  • e. small cell cancer are treated primarily by irradiation

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Frage 90 von 100

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For the radical operation squamous cancer apikoposteriornega segment of the left upper lobe of the lung, clinical stage T1N0M0:

Wähle eine oder mehr der folgenden:

  • a. it is necessary to remove the left lung

  • b. it is necessary to remove the left upper lung lobe

  • c. it has to be removed apikoposteriorni segment of the left upper lobe of the lung

  • d. it is necessary to remove the left-sided hilusne and mediastinal lymph nodes

  • e. there is no need to remove mediastinal lymph nodes

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Frage 91 von 100

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Brain metastases from small cell lung cancer treated:

Wähle eine der folgenden:

  • a. with cisplatin-based chemotherapy

  • b. cyclophosphamide, doxorubicin and vincristine

  • c. with preventive irradiation head

  • d. by irradiation of the head

  • e. biologics

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Frage 92 von 100

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The five-year survival of operated patients with lung cancer in stage IA:

Wähle eine der folgenden:

  • a. 3%

  • b. to 10%

  • c. to 20%

  • d. to 20%, but only if the operation is treated again with chemotherapy

  • e. 70-80%

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Frage 93 von 100

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At the prognosis of patients with lung cancer is NOT affected by:

Wähle eine der folgenden:

  • a. stage

  • b. histological type of cancer

  • c. neuroendocrine tumor differentiation

  • d. general condition of the patient

  • e. involvement of lymph nodes in the lungs and medistinum

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Frage 94 von 100

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94. The X-ray definition round changes in the lungs as anything except:

Wähle eine der folgenden:

  • a. size of up to 3 cm in diameter

  • b. touching the mediastinum

  • c. no enlarged lymph nodes

  • d. no atelectasis

  • e. no pleural effusion

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Frage 95 von 100

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Solitary round change (lesion):

Wähle eine oder mehr der folgenden:

  • a. the diameter is greater than 3 cm

  • b. It is clearly limited

  • c. It is not in contact with the structures of the chest wall, mediastinum, diaphragm

  • d. It may not have the thorny growths

  • e. We mostly discovered accidentally

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Frage 96 von 100

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96. What about the argument carcinoid lungs are correct:

Wähle eine oder mehr der folgenden:

  • a. The five-year survival of patients with lung typical karcinoidom is below 40%.

  • b. Half of the patients was detected lung carcinoid no symptoms.

  • c. Most patients with lung karcinoidom the carcinoid syndrome.

  • d. Dyspnoea and haemoptysis are the result of growth in carcinoid large airways.

  • e. Carcinoid when biopsy is often strong pain.

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Frage 97 von 100

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What is a "secondary pneumonia '?

Wähle eine der folgenden:

  • a. Other pneumonia in life

  • b. recurrence of pneumonia which occurs in a patient, which is also in the phase of convalescence after pneumonia

  • c. pneumonia, which occurs in a patient who has just got over an acute illness

  • d. pneumonia, which occurs in a patient with another disease, which facilitates the formation of pneumonia (bronchial tumor, bronchiectasis, foreign body, treatment with immunosuppressants, immune deficiency)

  • Pneumonia is less important than the other diseases the patient has

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Frage 98 von 100

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98. Conditions that promote colonization of the respiratory tract by Gram-negative bacteria:

Wähle eine oder mehr der folgenden:

  • a. diabetes

  • b. bronchiectasis

  • c. smoking

  • d. antibiotics

  • e. bronchodilator therapy

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Frage 99 von 100

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Typical clinical picture of bacterial pneumonia:

Wähle eine der folgenden:

  • a. start is slow, with few days subfebrilnostjo (temperature up to 38 degrees)

  • b. the patient has fever, bake the eyes

  • c. characterized by pain in skeletal muscle

  • d. It characterized the purulent sputum vermillion

  • e. like runs in the family Epidemic

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Frage 100 von 100

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100. In the physical examination of a patient with bacterial pneumonia reženjsko significant figure:

Wähle eine oder mehr der folgenden:

  • a. slow and deep breathing

  • b. shortened chat over ill Flap

  • c. impaired breathing above the diseased Flap

  • d. reinforced pectoral fremitus and bronchophonic over ill Flap

  • e. poke the breath of the ill Flap

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