1. Bronchial adenoma

2. Mitral stenosis

3. Bronchogenic carcinoma

4. Uncomplicated bronchial asthma

5. Tuberculosis

Answer: D* Uncomplicated bronchial asthma

***) Hemoptysis may result from all of the following, except:

1. Pulmonary tuberculosis

2. Aspergilloma

3. Cryptogenic fibrosing alveolitis

4. Bronchial adenoma

5. Pulmonary infarction

Answer: C* Cryptogenic fibrosing alveolitis

***) Hemoptysis is not a feature of:

1. Bronchitis

2. Idiopathic pulmonary hemosiderosis

3. Cystic fibrosis

4. Goodpasture's syndrome

5. Asbestosis

Answer: B* Idiopathic pulmonary hemosiderosis

***) All of the following diseases are well known causes of massive hemoptysis, except:

1. Tuberculosis

2. Bronchiectasis

3. Idiopathic pulmonary fibrosis

4. Acute pneumonia

5. Mitral stenosis

Answer: C* Idiopathic pulmonary fibrosis

2. Respiratory Investigations.

1. Lung Anatomy.

***) Regarding the right main bronchus, all the following are correct, except:

1. It is longer and wider than the left bronchus

2. It extends from the carina down to the origin of middle lobe bronchus

3. Its structure is identical of trachea

4. The right upper lobe bronchus leaves the main bronchus outside the hilum

5. It is more vertical than the left

Answer: A* It is longer and wider than the left bronchus

2. Chest X-Rays.

***) Regarding chest X-Ray all are true except:

1. Routine CXR is done in A-p view with full inspiration

2. Right done of diaphragm is seen at the level of 6^th anterior rib

3. Visceral pleura cover the lung

4. Right hilum is usually lower than the left

5. Pneumothorax appears radiolucent

Answer: A* Routine CXR is done in A-p view with full inspiration

3. Arterial Blood Gases.

***) Which of the following ranges of hemoglobin saturation in arterial blood:

1. 40 – 97 %

2. 26 – 75 %

3. 75 – 97 %

4. 40 – 75 %

5. 60 – 90 %

Answer: C* 75 – 97 %

3. Respiratory Diseases.

1. Pneumonia.

***) Rusty sputum is characteristic of: Q2012

1. Pneumococcal pneumonia

2. Lung abscess

3. Tuberculosis

4. Coal worker pneumoconiosis

5. Lung cancer

Answer: A* Pneumococcal pneumonia

***) The most common cause of pneumonia is:

1. Staphylococcus aureus

2. Mycoplasma pneumonia

3. Haemophilus influenza

4. Streptococcus pneumonia

5. Influenza A virus

Answer: D* Streptococcus pneumonia

***) The most common cause of pneumonia in children is:

1. Adenovirus

2. Staphylococci pneumonia

3. Streptococci pneumonia

4. H.influenza type B

5. Mycoplasma

Answer: B* Streptococci pneumonia

***) All of the following conditions may cause aspiration pneumonia, except:

1. Gastroesophageal reflux

2. Achalasia

3. Phrenic nerve palsy

4. Werdnig-Hoffman disease

5. Tracheo-esophageal fistula

Answer: D* Werdnig-Hoffman disease

***) Clinical signs consistent with lobar pneumonia include all the following, except:

1. Reduced chest movement

2. Whispering pectoriloquy

3. Pleural rub

4. Deviation of the trachea

5. Bronchial breathing

Answer: D* Deviation of the trachea

***) Regarding viral pneumonia, one of the following is correct:

1. Influenza virus group C can cause epidemics in human

2. Amantadine is an effective medication for swine flue

3. H1N1 virus is transmitted mainly through milk

4. Viral pneumonia is more common than bacterial pneumonia

5. Specific radiological findings is characteristic for viral pneumonia

Answer: A* Influenza virus group C can cause epidemics in human

***) Regarding atypical pneumonia all are true except:

1. The organism is mycoplasma pneumonia

2. Treatment with clarithromycin

3. Positive cold agglutination test

4. Presence of cell wall responsible for resistance of penicillin

5. More common in school age children

Answer: D* Presence of cell wall responsible for resistance of penicillin

2. Empyema & Lung Abscess.

***) The most common complication of lung abscess is:

1. Pneumothorax

2. Empyema

3. Broncho-pleural fistula

4. Brain abscess

5. Osteomyelitis of a rib

Answer: B* Empyema

***) All of the following may be causes of empyema, except:

1. Osteomyelitis of rib

2. Pneumonia

3. Perforation of the esophagus

4. Subphrenic abscess

5. Primary

Answer: E* Primary

3. Bronchiectasis.

***) Any of the following may be commonly found in patients with bronchiectasis, except:

1. Clubbing of fingers

2. Lung crepitations

3. Absence of sputum

4. Hemoptysis

5. Pulmonary hypertension

Answer: C* Absence of sputum

4. Cystic Fibrosis (CF).

***) Routine management in cystic fibrosis includes all of the following, except:

1. Gluten free diet

2. Pancreatic preparations

3. Regular physiotherapy

4. Vitamins supplementation

5. Low fat diet

Answer: A* Gluten free diet

5. Lung Tumors.

***) The commonest symptom of bronchial carcinoma is: