PULMOQUIZ 2011 Dept of Respiratory medicine, GMC Nagpur Preliminary round Date: 23/08/2011 Time : 1 hour

1. Most common complication after thoracoscopy.

A] Intrapleural bleed C] Pleural effusion

B] Prolonged air leak D] None of the above

2. Highly viscous pleural effusion in malignant mesothelioma is due to the presence of A] Hyaluronic acid C] Mucin b] Fibrinogen d] None of the above

3. Which of the following is false A] LAM almost exclusively affects women of child bearing age B] Almost all patients of LCH are smpkers C] Spontaneous neonatal pneumothorax is twice as common in girls as compared to boys D] High frequency jet ventilators are used to mechanically ventilate patients with large airleaks.

4. In a case of secondary spontaneous pneumothorax, treatment of choice is A] Supplemental oxygen B] Aspiration C] Observation D] Tube thoracostomy

5. Elevated brain natriuretic peptide (BNP) in pleural fluid is helpful in establishing the diagnosis of A] CCF C] Malignanacy B] CRF D] Cirrhosis of liver

6. In all of the following empyema caused by different organisms there will be acidic PH except A] Staphylococci C] E.coli B] Streptococci D] Proteus

7. Meigs syndrome is associated with A] Benign ovarian tumor C] Endometrial carcinoma B] Malignant ovarian tumor D] Chocolate cyst of ovary

8. Largest fraction of CO2 is present in blood as A] Attached to RBC B] Dissolved in blood C] With Hemoglobin as carbinohemoglobin D] Bicarbonate

9. For each 1 degree Celsius rise in body temperature, CO2 production rises by A] 24% C] 5% B] 13% D] 50%

10. Pulmonary artery develops from A] 5th aortic arch C] 4th aortic arch B] 6th aortic arch D]Third aortic arch

11] All of the following structure pass through diaphragmatic opening except ; A] Oesophagus C] Vagus nerve B] Gastric artery D] Thoracic duct

12] Bochdalek hernia occur through A] Posterolateral part of diaphgram B} Anterolateral part of diaphgram C] Retrosternal part D] Posterior to the diaphgram

13. While doing thoracocentesis, it is advisable to introduce needle along A] Along upper border of Lower rib B] Along lower border of upper rib C] In the centre of the Intercostal space D] Anterior part of the intercostals space

14. The structure found in cross section of the Thorax at T4 vertebra A] Azygous vein B] Brachiocephalic vein C] Arch of aorta

D] Left subclavian artery 15. Alveolar interstitium contains all of the following except A] Myofibroblast C] Mast cell B] Lymphoreticular cell D] Clara cell

16. During removal of pulmonary segment, surgeon works along A] Pulmonary artery C] Bronchial vein B] Bronchial artery D] Pulmonary vein

17. The adult lung alveoli number is reached by A] Canalicular stage C] Alveolar stage B] Terminal sac stage D] 8 yr of age

18. Lung bud mesenchyme give rise to A] Pseudostratified columnar epithelium B] Epithelial lining of alveolar tract C] Smooth muscle D] Type 2 cell

19. Surfactant production is enhanced by all the following except A] Glucocorticoid C] cAMP B] EPGF D] TNF-alpha

20. Surfactant protein C is on which chromosome

A] 8 C] 7

B] 9 D] 1

21. Name any two parameters which cannot be measured by simple spirometer.

22. Name the Gold standard test for diagnosis in all stages of HIV.

23. Name the Test which is used to screen individuals for HIV in window period.

24. Most virulent strain of pneumococci A] type 1 C] type 2 B] type 3 D] type 6

25. Kochs weeks bacillus refers to which organism

26. Name two organisms who require Factor X for growth. 1. 2.

27. Most common ECG finding in Pulmonary thromboembolism A] ST segment elevation C] T wave changes B] S1Q3T3 D] Sinus tachycardia

28. Gold standard investigation for choice in Pulmonary thromboembolism.

29. Brucella has predilection for placenta due to presence of

30. Purple toe syndrome is associated with which anti-coagulant. A] Warfarin C] Heparin B] Lepirudin D] Argobatran

31. Anticoagulant of choice in pregnancy with DVT and PTE A] Heparin C] Fondanaparinux B] Warfarin D] Lepirudin

32. Most common benign tumor which presents as Solitary pulmonary nodule A] Lipoma C] hamartoma B] Adenoma D] Neurofibroma

33. Scar carcinoma involve which of the following histological type

A] Squamous cell Ca C] large ccell carcinoma

B] Adenocarcinoma D] Carcinoid

34. Cantwell criteria are used in diagnosis of A] MiliaryTB C] Meningeal TB B] Congenital TB D] Endobronchial TB

35. Say True or False Asteroid body and schaumann bodies are found in TB

36. Classification of non-tubercular bacilli was proposed by A] Virchow C] Kochs B] Runyon D] Lannaec

37. Which component in the cell wall of mycobacterium tuberculosis induces formation of Tubercle A] Tuberculoprotein C] Phospatide B] Polysaccharides D] lipid

38. For extrapulmonary TB(not seriously ill) new case, treatment of choice is A] CAT 1 C] CAT 3 B] CAT 2 D] CAT 4

39. Investigation of choice for Breast TB

A] Mammography C] Breast milk

B] Ultrasound of breast D] Biopsy

40. The culture media for MGIT is A] Middle-brook C] Sula B] Dubos D} Soutan

41.For mycobacterial culture to be positive , minimum concentration of AFB/ml of sputum required is A] 10 C] 1000 B] 100 D] 10,000

42. DOTS strategy was launched in A] 1992 C] 1994 B] 1993 D] 1995

43. Say True/False BCG vaccination prevents occurrence of PTB in adults.

44. Afferent pathway which carries cough reflex from nose and paranasal sinuses A] Glossopharyngeal nerve C] Phrenic nerve B] trigeminal nerve D] vagus nerve

45. Name the parasite causing Endemic hemoptysis.

46. Hypertrophic osteoarthropathy most commonly involves which joint A] Ankle C] Knee B] Wrist D] Small joints of hand

47. Alpha1- antitrypsin gene is located on which chromosome A] 12 C] 06 B] 14 D] 15

48. Asthma is characterized by all of the following except A] Persistent airflow obstruction B] Reversibility with bronchodilator C] Seasonal variation D] Associated with atopy

49. Which of the following bacteria is commonly responsible for acute exacerbation of Asthma A] Streptococcus pneumoniae C] Moraxella catarrhalis B] Mycoplasma pneumonia D] H.influenzae

50. For Newborn screening for Cystic fibrosis, sweat chloride level above which is considered diagnostic. A] > 40 mEq/l C] >20 mEq/l B] > 30 mEq/l D} >15 mEq/l

51. Normal non-smoking adults lose FEV1 at the rate of A] 10 ml/year C] 40 ml/year B] 30 ml/year D] 50 ml/year

52. Increased propensity of cavitation is most commonly seen with A] Squamous cell Ca C] Large cell Ca B] Adenocarcinoma D] BAC

53. Which of the following lung cancers most commonly causes puckering of pleura and parenchymal scarring. A] Squamous cell carcinoma C] Small cell carcinoma B] Large cell carcinoma D] Adenocarcinoma

54. Exposure to which inorganic dust was found to have association with sarcoidosis but later found to have no association. A] Silica C] Asbestos B] Beryllium D] Coal dust

55. Which of the following pulmonary disease occurs less commonly in smokers A] LCH C] DIP B] Respiratory bronchiolitis D] Hypersensitivity pneumonitis

56. Shrinking lung syndrome is related to which disease A] Rheumatoid arthritis B] SLE

C] Scleroderma 57. Bagassosis is due to exposure to A] Cotton dust C] Coal dust

D] IPF

B] Sugar cane dust D] Mineral dust

58. Most common manifestation of Rheumatoid nodules in the lung A] Asymptomatic C] Chest pain B] Hemoptysis D] Dyspnoea

59. In which of the following conditions, pleuroparenchymal manifestations appear late in the disease. A] Rheumatoid arthritis C] Mixed connective tissue disorder B] SLE C] Ankylosing spondylitis

60. Most common parasite causing Loefflers syndrome in India A] Ascaris lumbricoides C] Trichuris B] Strongyolides D] Filarial worm

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