5189202
Description
Quiz by Chris Mulryan, updated more than 1 year ago
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Created by Chris Mulryan
over 8 years ago
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Question 1
Question
A 74 year old lady suddenly develops shortness of breath, chest pain and haemoptysis. She has a pulse of 118 which is irregular. Which one of the following is an important diagnosis to consider in this patient?
Answer
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Pulmonary fibrous
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Allergic alviolitis
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Pulmonary Embolus
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Fungal Pneumonia
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Squamous cell carcinoma of the lung
Question 2
Question
Dullness to percussion on the chest wall can indicate which one of the following pathologies?
Answer
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Pneumothorax
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Consolidation
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Chronic obstructive pulmonary disease
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Asthma
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Normal lung
Question 3
Question
Hyper inflation of the chest can be signalled by which one of the following findings?
Answer
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A lengthened Crico-Sternal distance
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A Shortened Crico-Sternal distance
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An enlarged liver
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A Pulseitile liver
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An impalpable liver
Question 4
Question
In a person with a tension pneumothorax how is the Jugular venous pressure most likely to change?
Answer
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Become raised
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Become reduced
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Stay the same
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Become un detectable
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Become impalpable
Question 5
Question
In a person with hard fixed lymph nodes in the neck what is the most appropriate course of action?
Answer
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Advise them to have them reassessed in two weeks time
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Advise them that no further care is needed and they will resolve spontaneously
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Refer urgently under a two week suspected cancer rule
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Treat with broad spectrum antibiotics
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Arrange investigation for assess the competence of the immune system
Question 6
Question
In patients with an area of consolidated lung you can expect to find which change to breath sounds?
Answer
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A total absence of breath sounds
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Vesicular sounds
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Reduced breath sounds
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Louder tubular breath sounds (Bronchial Sounds)
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An added clicking sound that occurs in tune with the pulse
Question 7
Question
Look at the image shown. Which one of the following best describes this phenomenon?
Answer
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Pectus Carinatum
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Pectus Excavitum
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Hyper inflation
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Kyphoscoliosis
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Chest wall tumour
Question 8
Question
The added sound of crackles can be heard in patients with which one of the following diagnosis?
Answer
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Plural plaques
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Pneumothorax
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Plural effusion
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Pulmonary oedema
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Pulmonary embolism
Question 9
Question
Which one of the following clinical signs can indicate that a person is retaining carbon dioxide?
Answer
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Increased capillary refill time
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Cold extremities
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A flap in the hands
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A week pulse
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Rusty colour sputum
Question 10
Question
Which one of the following is most likely to cause deviation of the tracheca TOWARDS the side of the diseased lung?
Answer
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Asthma
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A tension pneumothorax
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A simple pneumothorax
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A large plural effusion
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Consolidation
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