Multiple Choice Questions (MCQ)

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Category: Prometric--->Pulmonology
Page: 1

Question 1# Print Question

A 27-year-old woman is reviewed in the asthma clinic. She currently uses salbutamol inhaler 100mcg prn combined with beclometasone dipropionate inhaler 400mcg bd. Despite this she is having frequent exacerbations of her asthma and recently required a course of prednisolone.

What is the most appropriate next step in management?

A. Add a leukotriene receptor antagonist
B. Add tiotropium
C. Add salmeterol
D. Start to take the salbutamol regularly, 2 puffs qds
E. Switch beclometasone to fluticasone

Question 2# Print Question

Which one of the following would cause a rise in the carbon monoxide transfer factor (TLCO)?

A. Emphysema
B. Pulmonary embolism
C. Pulmonary haemorrhage
D. Pneumonia
E. Pulmonary fibrosis

Question 3# Print Question

Which one of the following is responsible for farmer's lung?

A. Aspergillus clavatus
B. Saccharopolyspora rectivirgula
C. Candida albicans
D. Mycobacterium avium
E. Avian proteins

Question 4# Print Question

Which of the following factors is least useful in assessing patients with a poor prognosis in community-acquired pneumonia?

A. Mini-mental score of 6/10
B. Urea of 11.4 mmol/l
C. C-reactive protein of 154
D. Respiratory rate of 30
E. Aged 75 years old

Question 5# Print Question

A 24-year-old female presents with episodic wheezing and shortness of breath for the past 4 months. She has smoked for the past 8 years and has a history of eczema. Examination of her chest is unremarkable. Spirometry is arranged and is reported as normal.

What is the most appropriate management of her symptoms?

A. Peak flow diary
B. Trial of lansoprazole
C. Baseline FEV1 repeated following inhaled corticosteroids
D. Arrange a chest x-ray
E. Trial of salbutamol inhaler

Category: Prometric--->Pulmonology
Page: 1 of 5