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Respiratory System- Internal Medicne 3rd Year- PMU

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Respiratory system
Med Student
Quiz by Med Student , updated more than 1 year ago
Med Student
Created by Med Student over 6 years ago
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Resource summary

Question 1

Question
Pectus carinatum (pigeon's chest) is met in
Answer
  • Pulmonary emphysema
  • Rickets
  • pneumonia

Question 2

Question
The features of emphysema (barrel chest) are
Answer
  • Sagittal dimensions arc larger than transversal ones, the course of the ribs is horizontal, epigastric angle is larger than 90 degrees, smooth
  • Sagittal dimensions are smaller than transversal ones, the course of the ribs is steep, epigastric angle is smaller than 90 degrees
  • The upper part of the chest (above IV rib) is larger, while the lower part is flat and narrow

Question 3

Question
Sputum as a "raspberry jelly" is a typical symptom in
Answer
  • Bronchial asthma
  • Pulmonary carcinoma
  • Bronchiectasis

Question 4

Question
Haemoptoe is found in
Answer
  • Pulmonary abscesses
  • Bronchiectasis
  • Pulmonary tuberculosis

Question 5

Question
Dyspnea in bronchial asthma is
Answer
  • Inspiratory
  • Expiratory
  • None of both is correct

Question 6

Question
When tumors, foreign bodies or stenosis obstruct the upper airways we have
Answer
  • Inspiratory dyspnea
  • Expiratory dyspnea
  • Mixed dyspnea

Question 7

Question
The normal respiratory rate in adults is
Answer
  • 20-25/min
  • 20-30/min
  • 16-20/min

Question 8

Question
In a newborn baby the respiratory rate is
Answer
  • Smaller than in adults
  • Greater than in adults
  • There is no difference

Question 9

Question
Temporary stop of breathing is called
Answer
  • Apnoea
  • Bradypnoea
  • Dyspnoea

Question 10

Question
Deep, noisy Kussmal breathing is met in
Answer
  • Diabetic ketoacidosis
  • Flare of bronchial asthma
  • Uraemic coma

Question 11

Question
"Barking"cough is typical for
Answer
  • Pneumonia crouposa (Lobar pneumonia)
  • Pulmonary tuberculosis
  • Laryngitis

Question 12

Question
Vocal fremitus in pulmonary infarction is
Answer
  • Weaker
  • Stronger
  • Normal

Question 13

Question
Which disease is presented by a stronger vocal fremitus
Answer
  • Chronic bronchitis
  • Exudative pleuritis
  • Lobar pneumonia

Question 14

Question
Weaker vocal fremitus is detected in
Answer
  • Hydrothorax
  • Lobar pneumonia
  • Pneumothorax

Question 15

Question
The lower border of the right lung along the midclavicular line is located on
Answer
  • V rib
  • VI rib
  • VII rib

Question 16

Question
Respiratory expansion along the midclavicular line is
Answer
  • 2 cm
  • 5 cm
  • 7 cm

Question 17

Question
The normal Kroenig spaces is
Answer
  • 3 cm
  • 4 cm
  • 5-7 cm

Question 18

Question
Which disease is presented by a narrow Kroenig's space
Answer
  • Tuberculosis
  • Bilateral basal bronchopneumonia
  • Carcinoma of Pancoast-Tobias

Question 19

Question
Hyperresonant sound is typical for
Answer
  • Bronchopneumonia
  • Pulmonary emphysema
  • Lobar pneumonia

Question 20

Question
Dull sound is found in
Answer
  • Exudative pleuritis
  • Acute bronchitis
  • Chronic obstructive pulmonary disease (COPD)

Question 21

Question
Tympanic sound is detected in
Answer
  • Drained (empty) abscesses
  • Pulmonary carcinoma
  • Tuberculose caverna

Question 22

Question
Which statement, concerning moist ronchi is correct
Answer
  • Formed in alveoli
  • Formed in alveoli, when a liquid secretion is present, heard during expiration
  • Formed in bronchi, when liquid secretion is present, heard during inspiration

Question 23

Question
Which pathologic processes are the background for the formation of dry ronchi
Answer
  • Presence of liquid in alveoli
  • Bronchospasm
  • Tenacious exudates (secretion) in bronchi

Question 24

Question
Dry wheezing ronchi are met in
Answer
  • COPD
  • Bronchial asthma
  • Exudative pleuritis

Question 25

Question
Typical features of rales (crepitations)
Answer
  • Formed when liquids are present in bronchi; heard during inspiration
  • Formed in alveoli, auscultated at the peak of inspiration
  • Formed in the presence of a tenacious secretion in bronchi, heard in both phases of respiration and more prominent during expiration

Question 26

Question
Differential diagnosis between moist ronchi and crepitations
Answer
  • Moist ronchi are formed in bronchi, crepitations are formed in alveoli
  • Crepitations are changed by the cough
  • Moist ronchi are auscultated during inspiration, crepitations are heard at the peak of inspiration

Question 27

Question
Pleural friction rub is heard
Answer
  • Only during expiration
  • During both phases: inspiration and expiration
  • Only during inspiration

Question 28

Question
Differential diagnosis between dry ronchi and pleural friction rub
Answer
  • Dry ronchi are heard only during inspiration, pleurai friction rub is heardi n expitation
  • Pleural friction rub is auscultated only during inspiration; dry ronchi are heard close to the ear and are getting louder under the pressure off the stethoscope
  • Dry ronchi are heard in both phases: inspiration and expiration, more prominent during expiration; pleural friction rub is heard in both phases and is getting louder under the pressure of the stethoscope

Question 29

Question
Over a drained (empty) abscesses are detected
Answer
  • Weaker vocal fremitus, dull sound, crepitations (crackles)
  • Stronger vocal fremitus, tympanic sound, bronchial breathing
  • Stronger vocal fremitus, clear sound, dry wheezes

Question 30

Question
Crackles are heard in
Answer
  • Exacerbated chronic bronchitis
  • Lobar pneumonia
  • Pulmonary oedema

Question 31

Question
Chronic bronchitis is presented by
Answer
  • During exacerbation crackles are heard
  • During exacerbation bronchial breathing and pleural friction rub are heard
  • During exacerbation dry, Medium and small moist ronchi are heard

Question 32

Question
Basic diagnostic criteria of acute bronchitis and pneumonias are
Answer
  • Acute bronchitis is a clinical diagnosis, radiographic changes are absent. Chest radiography is obligatory for the precise diagnosis of pneumonias
  • In acute bronchitis typical radiographic changes are present. For the diagnosis of pneumonias besides chest radiography, functional exam of respiration is obligatory
  • For the diagnosis of acute bronchitis and pneumonias are needed, clinical exam, chest radiography and functional exam of respiration

Question 33

Question
Lobar pneumonia is presented by
Answer
  • Lobar pneumonia affects interstitum of lungs
  • In the stages of grey and red hepatization crackles are auscultated
  • In the stages of grey and red hepatization bronchial breathing is heard

Question 34

Question
Lobar pneumonia is presented by
Answer
  • Febris continua
  • Crepiatio indux
  • Purpura simplex

Question 35

Question
In which stage of lobar pneumonia crepitatio indux is heard
Answer
  • In the stage of red hepatization
  • In the stage of hyperemia
  • In the stage of resolution

Question 36

Question
Physical findings in exudative pleuritis in the region of effusion
Answer
  • Weaker vocal fremitus, dull sound, weak or missing vesicular breathing
  • Stronger vocal fremitus, tympanic sound, dry ronchi
  • Weaker fremitus. Bronchovesicular breathing, dry ronchi

Question 37

Question
Physical findings in pulmonary emphysema
Answer
  • Hyper resonant sound
  • Weaker vocal fremitus
  • Weak vesicular breathing with prolonged expiration

Question 38

Question
In which diseases pathologic bronchial breathing is heard
Answer
  • Lobar pneumonia in the stage of hepatization
  • Over an empty cavity
  • Acute bronchitis

Question 39

Question
The highest point of the line of Damoiseau in a patient with exudative pleuritis is on
Answer
  • Scapular line
  • Midaxilar line
  • Posterior axilar line

Question 40

Question
On the line of Damoiseau breathing is
Answer
  • Vesicular
  • Gentle bronchiaI
  • Weak vesicular

Question 41

Question
Percutory sound in Garland's triangle is
Answer
  • Clear
  • Dull
  • Tympanic

Question 42

Question
The percutory sound in Grocco-Rauchfuss' triangle is
Answer
  • Tympanic
  • Dull
  • Hypereresonant

Question 43

Question
Vomique is a typical symptom for
Answer
  • Lung abscessus
  • Bronchopneumonia
  • Pulmonary carcinoma

Question 44

Question
Which instrumental techniques are used in the diagnostics of bronchiectasis
Answer
  • Bronchography
  • CT with a high resolution
  • Bronchoscopy

Question 45

Question
Increased levels of serum IgE are detected in
Answer
  • Allergic bronchial asthma
  • Non-allergic bronchial asthma
  • Cardiac asthma

Question 46

Question
Charcot-Leyden crystals are detected in
Answer
  • Chronic bronchitis
  • Bronchial asthma
  • Lung carcinoma

Question 47

Question
Higher eosinophil count is found in
Answer
  • Lung abscesses
  • Allergic bronchial asthma
  • Allergies

Question 48

Question
Which techniques can detect pathognomonic for bronchial asthma features
Answer
  • Functional assessment of respiration
  • Chest radiography
  • Bronchodilation test

Question 49

Question
In bronchial asthma Tiffeneau index (FEV1/VC) is
Answer
  • Increased
  • Decreased
  • Unchanged

Question 50

Question
Blood for gas analysis is taken from
Answer
  • Radial artery
  • Femoral artery
  • Cubital vein

Question 51

Question
Normal Pa02 is
Answer
  • 100 mmHg
  • 80-96 mmHg
  • 75-95 mmHg

Question 52

Question
The presence of a pleural effusion can be visualized by
Answer
  • Chest radiography
  • Echography
  • CT
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