
- •Vinnytsya National Medical University n.A. M.I. Pyrogov
- •Guidelines for Third-year Students of the Medical Department
- •Vinnytsya- 2007
- •Importance of the topic
- •2. Concrete aims:
- •3. Basic training level
- •4. Task for self-depending preparation to practical training
- •4.1. List of the main terms that should know student preparing practical training
- •4.2. Theoretical questions:
- •4.3. Practical task that should be performed during practical training
- •Test for self-control
- •Control questions
- •4.3. Practical task that should be performed during practical training
Test for self-control
What disease does patient have only dry cough and never sputum at?
а) Acute bronchitis;
b) Dry pleurisy;
c) Bronchoectasis;
d) Cavernous tuberculosis;
e) Pneumonia
Test of Rivalt needs for:
% contents of lymphocytes
Determination of fibrin in pleural fluid
Differentiation transudates from exudates
Determination of hemorrhagic character of exudates
Determination of neutrophiles in pleural fluid
Auscultation data of lobar pneumonia at resolution is:
Bronchial breath sounds
Vesicular breath sounds
Amphoric breath sounds
Saccadic breath sounds
crackles
Auscultation signs of the focal pneumonia near root of lung is:
Wheeze
Bronchial breath sounds
sonorous bubbling (moist) rales
diminished vesicular breath sounds
Vesicular breath sounds
Percussion data of high point of lobar pneumonia is:
a). small dullness
b) dullness
c) clear
d) resonance
e) small dullness with tympanic tinge.
6. Pneumonia is an inflammatory process that affects:
Bronchi and never alveoli or pleura
only alveoli and never bronchi
only pleura and bronchi
alveoli and pleura, can spread from bronchi
only interstitial tissue and pleura
7. Which of the following characteristics is not typical of pleuritic chest pain?
a) Increases with deep breathing
b) Radiates to the jaw
c) Is located laterally
d) Diminishes with splinting of the affected side
e) Increases with cough
8. Which of the following may cause an increase in vocal resonance?
a) Emphysema
b) asthma
c) pneumonia
d) atelectasis
e) dry pleurisy
9. Percussion sound over fluid at the patient with massive exudative pleurisy is:
Dull
Tympanic
Resonant
Small dull
Clear
10. Auscultation data at patient with dry pleurisy:
Diminished vesicular breathing and crackles
Diminished vesicular breathing and moist rales
Bronchial breathing
Rough vesicular breathing and dry rales
Diminished vesicular breathing and pleural friction rub
11. Auscultation data at patient with high point stage of the lobar CAP is:
breathing is absent
normal vesicular breathing
bronchial breathing
diminished vesicular breathing
rough vesicular breathing
What types of pneumonias do you know?
Community-acquired pneumonia
Hospital pneumonia
Aspiration pneumonia
Pneumonia at immunocompromised patients
All mentioned above
13.At the patient with focal pneumonia near the root of lung at palpation of the chest can be obtained
Amplifying vocal fremitus on the affected side
Weakened vocal fremitus on the affected side
Vocal fremitus does not change
Vocal fremitus is absent
Amplifying vocal fremitus on the health side
14. Which syndrome can develop at the patient with central lung cancer?
emphisema;
pneumotorax;
obstructive atelectasis;
lobar consolidation;
northing from above.
15. Which syndrome can develop at the patient with peripheral lung cancer?
emphisema;
pneumotorax;
obstructive atelectasis;
lobar consolidation;
northing from above.
16. Auscultation signs of massive exudative pleurisy:
Diminished vesicular breathing and crackles
absent of breath sounds
unchanged breath sound
Pathological bronchial breathing
Diminished vesicular breathing and wheeze
17. Which investigation is obligatory for confirming pneumonia?
Sputum culture
Full blood analysis
X-ray examination
Bronchoscopy
Lung function test
18. Which properties does not transudate have?
Light yellow color
Protein = 30 g/l
Negative Rivalt test
1-5 leucocytes and 2-6 mezoteliocytes
All mentioned above
19. Which properties does exudate have?
Comparative density > 1,018
Protein > 30 g/l
Positive Rivalt test
10-25 leucocytes and 2-6 mezoteliocytes
All from above
20. Which investigation is the most informative for confirming lung cancer?
Sputum culture
Full blood analysis
X-ray examination
Bronchoscopy with biopsy
Computered tomography