FINAL YEAR MEDICINE TEST- WEEK : presentation of respiratory illness, investigations. Tuberculosis

Questions; Q1. All of the following are indication of single lung transplantation except a) emphysema b) pulmonary fibrosis c) cystic fibrosis d) none of them. 2) A female smoker complains of breathlessness, cough and sputum production for 3 years, her afb smear is negative and hb is 16grams/dl. The most likely diagnosis is a) lung cancer b) asthma c) bronchitis d) copd Q3) At least how much fluid is required in pleural effusion to be detected on xray chest? A)50ml b)100ml c)200ml d)300ml Q4) All of the following pre dispose to asthma except: a) childhood viral infections b) exposure to pets in early life c) lactobacilli predominance in gut flora d) indoor pollution. 5) A patient complains of cough, chest tightness, breathlessness, examination shows rash on body and xray chest is normal. The likely diagnosis is : a) asthma b) copd c) pulmonary fibrosis d) pneumonia 6) All of the following disease cause millet seed appearance on xray except: a) TB b) sarcoidosis c) coal worker pneumoconiasis d) pneumonia Q7) A person was diagnosed as having tuberculosis and given ATT, To label him as resistant case of tuberculosis, smear should be positive after? a) 2 weeks b) 2 months c) at 5months d) at the end of therapy Q8) A 60yrz old pt with history of copd and needs to be considered for chemotherapy. Which of following drugs may cause lung fibrosis and should be avoided? A)5 fluorouracil B)tamoxifen C)vincristine D)bleomycin E)cytarabine Q9)A 60yr old miner has been in the occupation for 20 years . He presents with cough and breathlesness. CXR shows diffuse interstitial shadowing, a sputm sample is positive for afb. Which of the following dusts is most likely to hve predisposed the patien To tb? A)berrylium B)cadmium C)coal D)silica E)house dust. 10) which disease increases the risk of a child to contract tuberculosis: a) chicken pox b) rubella c) measles d) diarrhoea