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Test sobre Respiratory System I, creado por mano li el 26/01/2022.

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Respiratory System I

Pregunta 1 de 100

1

Tiščoča (Squeezing) chest pain is characterized by

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 2 de 100

1

Rellena los espacios en blanco para completar el texto.

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

Explicación

Pregunta 3 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • a. radiates into the shoulder

  • b. depends on the movement of the

  • c. depends on the pressure

  • Opressive

  • e. stabbing

Explicación

Pregunta 4 de 100

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4. What is characteristic of pain in tracheitis?

Selecciona una de las siguientes respuestas posibles:

  • a. radiates into the shoulder

  • b. depends on the movement of the

  • c. depends on the pressure

  • d. opressive

  • e. stabbing

Explicación

Pregunta 5 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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;

Explicación

Pregunta 6 de 100

1

6. Common causes of chronic cough are:

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 7 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • a. converting inhibitors of angiotensin

  • b. inhibitors of angiotensin (sartans)

  • c. renin inhibitors

  • d. COX-2

  • e. agonists, beta-blockers

Explicación

Pregunta 8 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 9 de 100

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9. Where diseases would expect haemoptysis?

Selecciona una o más de las siguientes respuestas posibles:

  • a. bronchiectasis

  • b. lung cancer

  • c. pulmonary infarction

  • d. kifoskolioza

  • e. obstructive apnea during sleep

Explicación

Pregunta 10 de 100

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10. Where diseases would expect haemoptysis?

Selecciona una o más de las siguientes respuestas posibles:

  • a. pneumonia

  • b. lung cancer

  • c. pulmonary vasculitis

  • d. kifoskolioza

  • e. hiperventilacijski syndrome

Explicación

Pregunta 11 de 100

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Where diseases would expect haemoptysis?

Selecciona una o más de las siguientes respuestas posibles:

  • a. cardiogenic pulmonary edema

  • b. Goodpasture syndrome

  • c. lung cancer

  • d. asthma

  • e. sarcoidosis

Explicación

Pregunta 12 de 100

1

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?

Selecciona una de las siguientes respuestas posibles:

  • a. hemogram

  • b. bronchoscopy

  • c. CT HD

  • d. bronchial artery angiography

  • e. lung imaging with magnetic resonance imaging

Explicación

Pregunta 13 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 14 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • a. nose

  • b. throat

  • c. in the trachea

  • d. the bronchus

  • e. the bronchioles

Explicación

Pregunta 15 de 100

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

Selecciona una o más de las siguientes respuestas posibles:

  • a. throat

  • b. in the trachea

  • c. the bronchus

  • d. the bronchioles

Explicación

Pregunta 16 de 100

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16. Dyspnea is a description of:

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 17 de 100

1

The reasons for dyspnea may include

Selecciona una o más de las siguientes respuestas posibles:

  • a. lung disease

  • b. heart disease

  • c. anemia

  • d. psyche

  • e. high blood sugar

Explicación

Pregunta 18 de 100

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18. The diagnosis of dyspnea set if:

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 19 de 100

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19. For dyspnea in lung disease is characterized by:

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 20 de 100

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

Selecciona una o más de las siguientes respuestas posibles:

  • a. spontaneous pneumothorax

  • b. hyperventilating syndrome

  • c. lung cancer

  • d. COPD

  • e. sarcoidosis

Explicación

Pregunta 21 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • a. spontaneous pneumothorax

  • b. hiperventilating syndrome

  • c. lung cancer

  • d. COPD

  • e. sarcoidosis

Explicación

Pregunta 22 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • a. spirometry

  • b. ECG

  • c. bronchoscopy

  • d. Arterial blood gas measurements

  • e. Measurements of blood pressure

Explicación

Pregunta 23 de 100

1

The most common among respiratory diseases are:

Selecciona una de las siguientes respuestas posibles:

  • a. lung cancer

  • b. viral and bacterial infections

  • c. asthma

  • d. congenital anomalies mucociliary apparatus

  • e. pulmonary fibrosis

Explicación

Pregunta 24 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 25 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 26 de 100

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26. What diseases have an important genetic basis?

Selecciona una o más de las siguientes respuestas posibles:

  • a. asthma

  • b. asbestosis

  • c. cystic fibrosis (mucoviscidosis)

  • d. COPD

  • e. pneumonia

  • f. alpha1-antitrypsin deficiency

  • g. tuberculosis

Explicación

Pregunta 27 de 100

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For spirometry applies:

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 28 de 100

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28. Bronchodilator test:

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 29 de 100

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 30 de 100

1

Bronhodilatator test done when a patient is in spirometry:

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 31 de 100

1

Bronchial Challenge test with methacholine:

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 32 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 33 de 100

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 34 de 100

1

The body plethysmography can be measured:

Selecciona una o más de las siguientes respuestas posibles:

  • a. full lung capacity

  • b. residual volume

  • c. airway resistance

  • d. maximum airflow during forced exhalation

  • e. surface alveolocapilar menbrane

Explicación

Pregunta 35 de 100

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35. The transthoracic lung ultrasound examination can determine:

Selecciona una de las siguientes respuestas posibles:

  • a. embolism in the pulmonary artery

  • b. lying central tumor

  • c. pleural effusion

  • d. bronchial obstruction

  • e. foreign body in bronhu

Explicación

Pregunta 36 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 37 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 38 de 100

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38. Foreign bodies in the airway:

Selecciona una o más de las siguientes respuestas posibles:

  • 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)

Explicación

Pregunta 39 de 100

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39. The diagnosis of "chronic bronchitis" set:

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 40 de 100

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 41 de 100

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41. Chronic obstructive pulmonary disease (COPD) applies:

Selecciona una o más de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 42 de 100

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 43 de 100

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 44 de 100

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

Selecciona una o más de las siguientes respuestas posibles:

  • a. Barrel chest

  • b. low deposited diaphragm

  • c. breathing prolonged expiratory

  • d. hypersonorous percutaneous sound

  • e. beeps that are pronounced during inhalation

Explicación

Pregunta 45 de 100

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

Selecciona una de las siguientes respuestas posibles:

  • a. X-ray chest

  • b. ECG

  • c. Ultrasound examination of heart and lungs

  • d. spirometry

  • e. bronchoscopy

Explicación

Pregunta 46 de 100

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 47 de 100

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47. In the treatment of COPD subject:

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 48 de 100

1

For the treatment of COPD subject:

Selecciona una o más de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 49 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • a. viral respiratory infection

  • b. pulmonary embolism

  • c. smoking cessation

  • d. heart failure

  • e. bacterial respiratory infection

Explicación

Pregunta 50 de 100

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

Selecciona una de las siguientes respuestas posibles:

  • a. staphylococci

  • b. chlamydia and mycoplasma pneumonia

  • c. pseudomonal

  • d. Streptococcus pneumonia, Haemophilus influenza and branhamela catarrhalis

  • e. tuberculosis bacillus

Explicación

Pregunta 51 de 100

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 52 de 100

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 53 de 100

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

Selecciona una o más de las siguientes respuestas posibles:

  • a. bronchiectasis

  • b. sinusitis

  • c. infertility

  • d. situs inversus viscerum

  • e. early pattern baldness

Explicación

Pregunta 54 de 100

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Asthma

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 55 de 100

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For asthma following applies:

Selecciona una o más de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 56 de 100

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56. For asthma following applies:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 57 de 100

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What are the characteristics of asthma?

Selecciona una o más de las siguientes respuestas posibles:

  • a. shortness of breath

  • b. tightness in chest

  • c. cough

  • d. expectoration of purulent sputum

  • e. Fever

Explicación

Pregunta 58 de 100

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58. What are the symptoms of asthma?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 59 de 100

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59. Symptomatology of asthma is more pronounced:

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 60 de 100

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Airway remodeling in asthma:

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 61 de 100

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 62 de 100

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62. Methacholine test:

Selecciona una o más de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 63 de 100

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 64 de 100

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 65 de 100

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65. In the treatment of asthma:

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 66 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • a. inhaled glucocorticoid

  • b. beta-adrenergic agonist

  • c. parasimpatikolitic

  • d. theophylline

  • e. cyclosporine

Explicación

Pregunta 67 de 100

1

Characteristics of aspirin asthma are:

Selecciona una o más de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 68 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • a. tachycardia

  • b. bradycardia

  • c. hypotension

  • d. hypertension

  • e. hypokalemia

Explicación

Pregunta 69 de 100

1

69. Which statement about theophylline is correct?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 70 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 71 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • a. viral respiratory infection

  • b. exposure to an allergen

  • c. pneumothorax

  • d. exposure to cigarette smoke

  • e. insufficient doses of inhaled glucocorticoid

Explicación

Pregunta 72 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 73 de 100

1

73. In difficult exacerbation of asthma:

Selecciona una o más de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 74 de 100

1

74. The difficult asthma exacerbation applies:

Selecciona una o más de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 75 de 100

1

75. To assess exacerbations of asthma are key:

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 76 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 77 de 100

1

Allergic bronchopulmonary aspergillosis (mycosis):

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 78 de 100

1

What is true for lung cancer:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 79 de 100

1

79. Lung tumors are:

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 80 de 100

1

80. A typical presentation of lung cancer:

Selecciona una de las siguientes respuestas posibles:

  • a. recurrent pneumonia in the same place

  • b. recurrent pneumonia in different places

  • c. bilateral pneumonia

  • d. lung abscess

  • e. sepsis

Explicación

Pregunta 81 de 100

1

For lung cancer, holds:

Selecciona una o más de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 82 de 100

1

Syndrome above the vein of coffee:

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 83 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • a. dyspnoea

  • b. cough

  • c. haemoptysis

  • d. bone

  • e. Weight Loss

Explicación

Pregunta 84 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • a. miosis

  • b. Argyll-Robertson pupil

  • c. ptosis

  • d. enoftalmus

  • e. Anhidrosis

Explicación

Pregunta 85 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • a. transthoracic needle biopsy

  • b. cytological examination of sputum

  • c. bronchoscopy

  • d. thoracoscopy

  • e. pleural puncture

Explicación

Pregunta 86 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 87 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • a. betičasti fingers (acropaquia)

  • b. venous thrombosis

  • c. Weight Loss

  • d. Fever

  • e. hypercalcemia

Explicación

Pregunta 88 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 89 de 100

1

How to treat a patient with lung cancer?

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 90 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 91 de 100

1

Brain metastases from small cell lung cancer treated:

Selecciona una de las siguientes respuestas posibles:

  • a. with cisplatin-based chemotherapy

  • b. cyclophosphamide, doxorubicin and vincristine

  • c. with preventive irradiation head

  • d. by irradiation of the head

  • e. biologics

Explicación

Pregunta 92 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • a. 3%

  • b. to 10%

  • c. to 20%

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

  • e. 70-80%

Explicación

Pregunta 93 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 94 de 100

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 95 de 100

1

Solitary round change (lesion):

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 96 de 100

1

96. What about the argument carcinoid lungs are correct:

Selecciona una o más de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 97 de 100

1

What is a "secondary pneumonia '?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 98 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • a. diabetes

  • b. bronchiectasis

  • c. smoking

  • d. antibiotics

  • e. bronchodilator therapy

Explicación

Pregunta 99 de 100

1

Typical clinical picture of bacterial pneumonia:

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 100 de 100

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación