Multiple Choice Questions (MCQ)

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Category: Medicine--->Pulmonary Disease
Page: 5

Question 21# Print Question

A 60-year-old obese man complains of excessive daytime sleepiness. He has been in good health except for mild hypertension. He drinks alcohol in moderation. The patient’s wife states that he snores at night and awakens frequently. Examination of the oropharynx is normal. Which of the following studies is most appropriate?

A. EEG to assess sleep patterns
B. Ventilation pattern to detect apnea
C. Arterial O2 saturation
D. Study of muscles of respiration during sleep
E. Polysomnography

Question 22# Print Question

A 60-year-old man develops acute shortness of breath, tachypnea, and tachycardia while hospitalized for congestive heart failure. On physical examination the patient is tachypneic and anxious; there is no jugular venous distention and the lungs are clear to auscultation and percussion. There is a loud P2 sound. Examination of the lower extremities shows no edema or tenderness. Which of the following is the most important diagnostic step?

A. Catheter pulmonary angiogram
B. Thin-cut chest CT pulmonary angiogram with contrast
C. D-dimer assay
D. Venous ultrasound
E. High-resolution chest CT without contrast

Question 23# Print Question

A 60-year-old man complains of shortness of breath 2 days after a cholecystectomy. He denies fever, chills, sputum production, and pleuritic chest pain. On physical examination, temperature is 37.2°C (99°F), pulse is 75, respiratory rate is 20, and blood pressure is 120/70. There are diminished breath sounds and dullness over the left base. Trachea is shifted to the left side. A chest x-ray shows a retrocardiac opacity that silhouettes the left diaphragm. Which of the following is the most likely anatomical problem in this patient?

A. Postoperative pneumonia
B. Left lower lobe mass
C. Postoperative atelectasis
D. Acute bronchospasm
E. Tension pneumothorax

Question 24# Print Question

A 55-year-old woman with long-standing chronic lung disease and episodes of acute bronchitis complains of increasing sputum production, which now occurs on a daily basis. Sputum is thick, and daily sputum production has dramatically increased over several months. There are flecks of blood in the sputum. The patient has lost 8 lb. Fever and chills are absent, and sputum cultures have not revealed specific pathogens. Chest x-ray and CT chest are shown below. Which of the following is the most likely cause of the patient’s symptoms?

A. Pulmonary tuberculosis
B. Exacerbation of chronic bronchitis
C. Bronchiectasis
D. Anaerobic lung abscess
E. Carcinoma of the lung

Question 25# Print Question

A 20-year-old fireman comes to the emergency room complaining of headache and dizziness after putting out a garage fire. He does not complain of shortness of breath, and the arterial blood gas shows a normal partial pressure of oxygen. There is no cyanosis. Which of the following is the best first step in the management of this patient?

A. Assess for methemoglobinemia
B. Obtain EKG
C. Obtain carboxyhemoglobin level
D. Obtain CT scan of head
E. Evaluate for anemia

Category: Medicine--->Pulmonary Disease
Page: 5 of 7