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PAPH, Ass 6
Pulmonary Pathophys Questions
211
Other
Graduate
09/16/2011
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Term
Which of the following is NOT characteristic of ARDS?
 Definition
Which of the following is NOT characteristic of ARDS?
Term
a. Diffuse pulmonary infiltrates.
 Definition
a. Diffuse pulmonary infiltrates.
Term
b. Reduced compliance of the Respiratory system.
 Definition
b. Reduced compliance of the Respiratory system.
Term
c. Normal pulmonary hydrostatic capillary pressure.
 Definition
c. Normal pulmonary hydrostatic capillary pressure.
Term
d. Reduced interstitial oncotic pressure.
 Definition
d. Reduced interstitial oncotic pressure.
Term
e. Severe hypoxemia.
 Definition
e. Severe hypoxemia.
Term
In order to ascertain the presence of airflow obstruction, which of the following must be demonstrated?
 Definition
In order to ascertain the presence of airflow obstruction, which of the following must be demonstrated?
Term
a. A decreased FEV1/FVC on spirometric testing.
 Definition
a.     A decreased FEV1/FVC on spirometric testing.
Term
b. A decreased FEV1 on spirometric testing.
 Definition
b.     A decreased FEV1 on spirometric testing.
Term
c. A decreased compliance
 Definition
c.     A decreased compliance
Term
d. A decreased forced vital capacity
 Definition
d.     A decreased forced vital capacity
Term
e. Anatomic proof of a narrowed trachea or main stem bronchus
 Definition
e.     Anatomic proof of a narrowed trachea or main stem bronchus
Term
Emphysema of the lung:
 Definition
Emphysema of the lung:
Term
A. Is associated with elevated FEV1/FVC ratio
 Definition
A.    Is associated with elevated FEV1/FVC ratio
Term
B. Can be reversed by alpha 1-antiprotase
 Definition
B.    Can be reversed by alpha 1-antiprotase
Term
C. Is characterized by destruction of alveolar space
 Definition
C.    Is characterized by destruction of alveolar space
Term
D. Is reversed by smoking cessation
 Definition
D.    Is reversed by smoking cessation
Term
E. Usually results in decreased residual volume RV
 Definition
E.    Usually results in decreased residual volume RV
Term
Which of the following is NOT a cause of Chronic Interstitial Lung Disease?
 Definition
Which of the following is NOT a cause of Chronic Interstitial Lung Disease?
Term
A. Sarcoidosis
 Definition
A.    Sarcoidosis
Term
B. Idiopathic Pulmonary Fibrosis
 Definition
B.    Idiopathic Pulmonary Fibrosis
Term
C. Pneumonia due to s. pneumonia
 Definition
C.    Pneumonia due to s. pneumonia
Term
D. Pneumoconiosis (e.g.: asbestos)
 Definition
D.    Pneumoconiosis (e.g.: asbestos)
Term
Which of the following regarding the Pathogenesis of SLE is FALSE?
 Definition
Which of the following regarding the Pathogenesis of SLE is FALSE?
Term
A.    Deficiency of early complement components (ie:C2 & C4) may contribute to disease by impairing the clearance of circulating immune complexes.
 Definition
F.    Deficiency of early complement components (ie:C2 & C4) may contribute to disease by impairing the clearance of circulating immune complexes.
Term
B.    Autoantibodies to Sm protein produce congenital heart block in neonates of mothers with active SLE
 Definition
G.   Autoantibodies to Sm protein produce congenital heart block in neonates of mothers with active SLE
Term
C.   Ab’s to phospholipids are associated with vascular thrombosis
 Definition
H.   Ab’s to phospholipids are associated with vascular thrombosis
Term
D.   Ab’s to platelets may produce thrombocytopenia
 Definition
I.      Ab’s to platelets may produce thrombocytopenia
Term
E.    Erythrocyte C1 receptors are decreased, retarding the clearance of circulating immune complexes by the reticuloendothelial system
 Definition
J.     Erythrocyte C1 receptors are decreased, retarding the clearance of circulating immune complexes by the reticuloendothelial system
Term
Which of the following is NOT a major risk factor in pulmonary thromboembolic disease?
 Definition
Which of the following is NOT a major risk factor in pulmonary thromboembolic disease?
Term
A.    Hx of prior DVT
 Definition
F.    Hx of prior DVT
Term
B.    Estrogen therapy
 Definition
G.   Estrogen therapy
Term
C.   Malignancy
 Definition
H.   Malignancy
Term
D.   Immobilization
 Definition
I.      Immobilization
Term
E.    Excess protein C or protein S
 Definition
J.    Excess protein C or protein S
Term
A 29 yo male with closed head trauma is admitted to the ICU with the following arterial blood gases while breathing room air: pH 7.08, PCO2 88 mmHg, PO2 50 mmHg. What is the cause of this hypoxemia?
 Definition
A 29 yo male with closed head trauma is admitted to the ICU with the following arterial blood gases while breathing room air: pH 7.08, PCO2 88 mmHg, PO2 50 mmHg. What is the cause of this hypoxemia?
Term
A.    diffusion impairment
 Definition
F.    diffusion impairment
Term
B.    alveolar hypoventilation
 Definition
G.   alveolar hypoventilation
Term
C.   V/Q mismatch
 Definition
H.   V/Q mismatch
Term
D.   Right to left shunt
 Definition
I.      Right to left shunt
Term
E.    Decrease PIO2
 Definition
J.     Decrease PIO2
Term
Which of the following is NOT an example of precapillary pulmonary hypertension?
 Definition
Which of the following is NOT an example of precapillary pulmonary hypertension?
Term
A.    A 46 yo woman who underwent a cholecystectomy 2 weeks earlier, suddenly develops shortness of breath, hypoxemia by ABGs, and a high probability lung scan.
 Definition
E.    A 46 yo woman who underwent a cholecystectomy 2 weeks earlier, suddenly develops shortness of breath, hypoxemia by ABGs, and a high probability lung scan.
Term
B.    A 68 yo man with a Hx of severe COPD has an ECG right ventricular hypertrophy & echocardiographic signs of pulmonary hypertention
 Definition
F.    A 68 yo man with a Hx of severe COPD has an ECG right ventricular hypertrophy & echocardiographic signs of pulmonary hypertention
Term
C.   A 72 yo woman is admitted with pulmonary edema as a result of an acute MI
 Definition
G.   A 72 yo woman is admitted with pulmonary edema as a result of an acute MI
Term
D.   A 43 yo woman with a 6 month Hx of progressive shortness of breath, hypoxemia & clubbing. The lung scan is normal & the echocardiogram shows right ventricular hypertrophy
 Definition
H.   A 43 yo woman with a 6 month Hx of progressive shortness of breath, hypoxemia & clubbing. The lung scan is normal & the echocardiogram shows right ventricular hypertrophy
Term
Which of the following statements about RA is most nearly correct? Rheum. Arth. Is:
 Definition
Which of the following statements about RA is most nearly correct? Rheum. Arth. Is:
Term
A.    Rarely seen in adults less than 50 years of age.
 Definition
F.    Rarely seen in adults less than 50 years of age.
Term
B.    Associated with the HLA-B27 haplotype
 Definition
G.   Associated with the HLA-B27 haplotype
Term
C.   Usually more severe in pts with negative rheumatoid factor tests (seronegative)
 Definition
H.   Usually more severe in pts with negative rheumatoid factor tests (seronegative)
Term
D.   Characterized by synovial proliferation
 Definition
I.      Characterized by synovial proliferation
Term
E.    Caused by IgM rheumatoid factor
 Definition
J.     Caused by IgM rheumatoid factor
Term
Pertaining to the pathogenesis of asthma, which of the following is FALSE?
 Definition
Pertaining to the pathogenesis of asthma, which of the following is FALSE?
Term
A.    Extrinsic (allergic) asthma involves a Type I immediate hypersensitivity reaction.
 Definition
F.    Extrinsic (allergic) asthma involves a Type I immediate hypersensitivity reaction.
Term
B.    PAF attracts Eosinophils to the airways
 Definition
G.   PAF attracts Eosinophils to the airways
Term
C.   Increased cAMP to cGMP ratio favors relaxation of bronchiole smooth muscle
 Definition
H.   Increased cAMP to cGMP ratio favors relaxation of bronchiole smooth muscle
Term
D.   Stimulation of beta adrenergic receptors on bronchial smooth muscles produces bronchconstriction
 Definition
I.      Stimulation of beta adrenergic receptors on bronchial smooth muscles produces bronchconstriction
Term
E.    Corticosteroids decrease bronchial hyperresponsiveness
 Definition
J.     Corticosteroids decrease bronchial hyperresponsiveness
Term
Which of the following is NOT a cause of restrictive lung disease?
 Definition
Which of the following is NOT a cause of restrictive lung disease?
Term
A.    pneumothorax
 Definition
F.    pneumothorax
Term
B.    pleural effusion
 Definition
G.   pleural effusion
Term
C.   rheumatoid arthritis (RA)
 Definition
H.   rheumatoid arthritis (RA)
Term
D.   chronic bronchitis
 Definition
I.      chronic bronchitis
Term
E.    Guillian-Barre syndrome
 Definition
J.     Guillian-Barre syndrome
Term
Which constellation of PFT abnormalities would be consistent with a patient with severe interstitial fibrosis?
 Definition
Which constellation of PFT abnormalities would be consistent with a patient with severe interstitial fibrosis?
Term
FEV1/FVC TLC DLCO
 Definition
FEV1/FVC TLC DLCO
Term
A. low low low
 Definition
A. low low low
Term
B. high low low
 Definition
B. high low low
Term
C. normal high high
 Definition
C. normal high high
Term
D. low high low
 Definition
D. low high low
Term
E. low low high
 Definition
E. low low high
Term
A farmer consults you about pain & swelling in his left knee & is concerned that he may have arthritis. Which of the following findings does NOT support your clinical Dx of inflammatory arthritis?
 Definition
A farmer consults you about pain & swelling in his left knee & is concerned that he may have arthritis. Which of the following findings does NOT support your clinical Dx of inflammatory arthritis?
Term
A.    The formation of a strong clot when his synovial fluid is added to dilute acetic acid & shaken.
 Definition
F.    The formation of a strong clot when his synovial fluid is added to dilute acetic acid & shaken.
Term
B.    A swollen, tender, warm knee upon PE
 Definition
G.   A swollen, tender, warm knee upon PE
Term
C.   An elevated C-Reactive Protein (CRP) and Erythrocyte sedimentation rate.
 Definition
H.   An elevated C-Reactive Protein (CRP) and Erythrocyte sedimentation rate.
Term
D.   Decreased joint space on X-ray
 Definition
I.      Decreased joint space on X-ray
Term
E.    All of these finding support the Dx of inflammatory arthritis
 Definition
J.     All of these finding support the Dx of inflammatory arthritis
Term
Which of the following pts. would NOT be expected to have an elevated serum urate level?
 Definition
Which of the following pts. would NOT be expected to have an elevated serum urate level?
Term
A.    a pt. with a myeloproliferative disorder
 Definition
F.    a pt. with a myeloproliferative disorder
Term
B.    a health 30 yo female
 Definition
G.   a health 30 yo female
Term
C.   a pt. with end stage renal failure or receiving hemodialysis
 Definition
H.   a pt. with end stage renal failure or receiving hemodialysis
Term
D.   a pt. with partial or complete deficiency of hypoxanthing-guanine phosphoribosyltransferase
 Definition
I.      a pt. with partial or complete deficiency of hypoxanthing-guanine phosphoribosyltransferase
Term
E.    a man with a long Hx of arthritis with hard chalky nodules on his hands & ear lobes
 Definition
J.     a man with a long Hx of arthritis with hard chalky nodules on his hands & ear lobes
Term
All of the following measurements are important to observe in evaluating the adequacy of a Forced Vital Capacity (FVC) maneuver EXCEPT:
 Definition
All of the following measurements are important to observe in evaluating the adequacy of a Forced Vital Capacity (FVC) maneuver EXCEPT:
Term
A.    Sharpness of initial decline of lung volume
 Definition
F.    Sharpness of initial decline of lung volume
Term
B.    Flat terminal plateau
 Definition
G.   Flat terminal plateau
Term
C.   Total expiratory time
 Definition
H.   Total expiratory time
Term
D.   Peak flow rate
 Definition
I.      Peak flow rate
Term
E.    Lung volume
 Definition
J.    Lung volume
Term
Which of the following statements is CORRECT?
 Definition
Which of the following statements is CORRECT?
Term
A. Osteoporosis is a reduction in the thickness of bone
 Definition
E. Osteoporosis is a reduction in the thickness of bone
Term
B. In osteomalacia, bone mineralization is normal
 Definition
F. In osteomalacia, bone mineralization is normal
Term
C. Paget’s disease is characterized by decreased bone formation and resorption
 Definition
G. Paget’s disease is characterized by decreased bone formation and resorption
Term
D. Ricket’s is a juvenile form of paget’s disease
 Definition
H. Ricket’s is a juvenile form of paget’s disease
Term
What is the most COMMON physiologic mechanism to cause hypoxemia
 Definition
What is the most COMMON physiologic mechanism to cause hypoxemia
Term
A. Shunts
 Definition
E. Shunts
Term
B. Diffusion impairments
 Definition
F. Diffusion impairments
Term
C. V/Q mismatch
 Definition
G. V/Q mismatch
Term
D. Hypoventilation
 Definition
H. Hypoventilation
Term
Which of the following is NOT an example of “cardiogenic” pulmonary edema?
 Definition
Which of the following is NOT an example of “cardiogenic” pulmonary edema?
Term
A.    Left ventricular failure due to MI
 Definition
E.    Left ventricular failure due to MI
Term
B.    Increased pulmonary vascular resistance after transfusion of whole blood.
 Definition
F.    Increased pulmonary vascular resistance after transfusion of whole blood.
Term
C.   Acute mitral insufficiency due to bacterial endocarditis
 Definition
G.   Acute mitral insufficiency due to bacterial endocarditis
Term
D.   Increased left atrial pressure secondary to mitral stenosis
 Definition
H.   Increased left atrial pressure secondary to mitral stenosis
Term
Pulmonary Edema can result from:
 Definition
Pulmonary Edema can result from:
Term
A.    increased capillary hydrostatic pressure
 Definition
D.   increased capillary hydrostatic pressure
Term
B.    Reduced venous pressure
 Definition
E.    Reduced venous pressure
Term
C.   Elevated colloid osmotic pressure (vascular)
 Definition
F.    Elevated colloid osmotic pressure (vascular)
Term
Which of the following syndromes is most likely to cause necrotizing arthritis in medium-sized muscular arteries?
 Definition
Which of the following syndromes is most likely to cause necrotizing arthritis in medium-sized muscular arteries?
Term
A.    Giant cell arteritis
 Definition
F.    Giant cell arteritis
Term
B.    Henoch-Schoelnlein purpura
 Definition
G.   Henoch-Schoelnlein purpura
Term
C.   Takayasu’s arteritis
 Definition
H.   Takayasu’s arteritis
Term
D.   Polyarteritis nodosa
 Definition
I.      Polyarteritis nodosa
Term
E.    All of the above
 Definition
J.     All of the above
Term
Which of the following produces a NORMAL arterial alveolar oxygen gradient?
 Definition
Which of the following produces a NORMAL arterial alveolar oxygen gradient?
Term
A.    Right to left shunt
 Definition
E.    Right to left shunt
Term
B.    Diffusion block
 Definition
F.    Diffusion block
Term
C.   V/Q mismatch
 Definition
G.   V/Q mismatch
Term
D.   None of the above
 Definition
H.   None of the above
Term
A 22 yo asthmatic presents to your office with an acute exacerbation of her disease. Which of the following physiologic abnormalties is most likely to present in this patient?
 Definition
A 22 yo asthmatic presents to your office with an acute exacerbation of her disease. Which of the following physiologic abnormalties is most likely to present in this patient?
Term
A.    Hypoxemia due to Right to left shunt
 Definition
F.    Hypoxemia due to Right to left shunt
Term
B.    Increased airway conductance
 Definition
G.   Increased airway conductance
Term
C.   Decreased pulmonary vascular resistance
 Definition
H.   Decreased pulmonary vascular resistance
Term
D.   Decreased airway resistance
 Definition
I.      Decreased airway resistance
Term
E.    Hypoventilation due to V/Q mismatching
 Definition
J.    Hypoventilation due to V/Q mismatching
Term
How much oxygen is carried dissolved in whole blood (cc/100cc) when the PO2 = 300 Torr.
 Definition
How much oxygen is carried dissolved in whole blood (cc/100cc) when the PO2 = 300 Torr.
Term
A.    0.15
 Definition
F.    0.15
Term
B.    0.45
 Definition
G.   0.45
Term
C.   0.60
 Definition
H.   0.60
Term
D.   0.75
 Definition
I.      0.75
Term
E.    0.90
 Definition
J.    0.90
Term
A 40 yo white female presents with a 6 year Hx of progressive symmetric polyarthritis involving her hands, shoulders, knees, elbows, ankles, & feet. Her rheumatoid factor is a positive at a high titer (1:1280) & she has firm rubbery nodules on her elbows. All of the following fit the Dx EXCEPT?
 Definition
A 40 yo white female presents with a 6 year Hx of progressive symmetric polyarthritis involving her hands, shoulders, knees, elbows, ankles, & feet. Her rheumatoid factor is a positive at a high titer (1:1280) & she has firm rubbery nodules on her elbows. All of the following fit the Dx EXCEPT?
Term
A.    Examination of the synovium reveals dense lymphocytic infiltration & lymphoid nodules
 Definition
F.    Examination of the synovium reveals dense lymphocytic infiltration & lymphoid nodules
Term
B.    She is probably positive for HLA-DR3 allotype
 Definition
G.   She is probably positive for HLA-DR3 allotype
Term
C.   An x-ray shows narrowing of the joint space and bony erosions at joint margins
 Definition
H.   An x-ray shows narrowing of the joint space and bony erosions at joint margins
Term
D.   Aspiration of synovial fluid from knee reveals small particle that look like fragments of rice
 Definition
I.      Aspiration of synovial fluid from knee reveals small particle that look like fragments of rice
Term
E.    She may also develop inflammation of the pleura or sclera
 Definition
J.     She may also develop inflammation of the pleura or sclera
Term
Which of the following factors does NOT increase the individuals risk of progression of active TB disease from latent infection?
 Definition
Which of the following factors does NOT increase the individuals risk of progression of active TB disease from latent infection?
Term
A.    Diabetes Mellitus
 Definition
F.    Diabetes Mellitus
Term
B.    Renal Failure
 Definition
G.   Renal Failure
Term
C.   Head and Neck cancer
 Definition
H.   Head and Neck cancer
Term
D.   Morbid Obesity
 Definition
I.      Morbid Obesity
Term
E.    Silicosis
 Definition
J.     Silicosis
Term
An accountant consults you about pain & swelling in her knees, wrists & hands and is concerned she might have arthritis. All of the following findings support your clinical Dx of inflammatory arthritis EXCEPT:
 Definition
An accountant consults you about pain & swelling in her knees, wrists & hands and is concerned she might have arthritis. All of the following findings support your clinical Dx of inflammatory arthritis EXCEPT:
Term
A.    The formation of a poor mucin clot when her synovial fluid is added to dilute acetic acid & shaken.
 Definition
B.    The formation of a poor mucin clot when her synovial fluid is added to dilute acetic acid & shaken.
Term
B. A swollen, tender, warm knee upon PE
 Definition
B. A swollen, tender, warm knee upon PE
Term
G.   An elevated C-Reactive Protein (CRP) and Erythrocyte sedimentation rate.
 Definition
J.     An elevated C-Reactive Protein (CRP) and Erythrocyte sedimentation rate.
Term
H.   New onset morning stiffness lasting 90 minutes, fatigue & mild normochromic normocytic anemia
 Definition
K.    New onset morning stiffness lasting 90 minutes, fatigue & mild normochromic normocytic anemia
Term
I.      Generalized sorness, fatigue, ESR 16 mm/hr, moderately elevate uric acid.
 Definition
L.    Generalized sorness, fatigue, ESR 16 mm/hr, moderately elevate uric acid.
Term
Cor Pulmonale occurs primarily as a consequence of:
 Definition
Cor Pulmonale occurs primarily as a consequence of:
Term
A.    Right Ventricular MI
 Definition
F.    Right Ventricular MI
Term
B.    Pulmonary Hypertension
 Definition
G.   Pulmonary Hypertension
Term
C.   Hyperventilation
 Definition
H.   Hyperventilation
Term
D.   Systemic arterial hypertension
 Definition
I.      Systemic arterial hypertension
Term
E.    Pulmonic valve stenosis
 Definition
J.     Pulmonic valve stenosis
Term
A 26 yo man who recently fractured his left tibia, presented to the ER with left pleuritic chest pain, shortness of breath, tachycardia, & tachypnea. A 6 view ventilation & lung scan (V/Q scan) was completely normal. Which of the following is FALSE?
 Definition
A 26 yo man who recently fractured his left tibia, presented to the ER with left pleuritic chest pain, shortness of breath, tachycardia, & tachypnea. A 6 view ventilation & lung scan (V/Q scan) was completely normal. Which of the following is FALSE?
Term
A.    the pt. has a major risk factor for the development of pulmonary thromboembolic disease.
 Definition
F.    the pt. has a major risk factor for the development of pulmonary thromboembolic disease.
Term
B.    The patient demonstrated the cardinal symptoms of PE
 Definition
G.   The patient demonstrated the cardinal symptoms of PE
Term
C.   Despite the completely normal V/Q scan, the Dx of PE should be confirmed with pulmonary angiography
 Definition
H.   Despite the completely normal V/Q scan, the Dx of PE should be confirmed with pulmonary angiography
Term
D.   If PE were present, it would likely be a complication of DVT
 Definition
I.      If PE were present, it would likely be a complication of DVT
Term
E.    If DVT were present, anticoagulation would be indicated regardless of the V/Q scan.
 Definition
J.     If DVT were present, anticoagulation would be indicated regardless of the V/Q scan.
Term
Which constellation of PFT abnormalities would be consistent with a patient with emphysema?
 Definition
Which constellation of PFT abnormalities would be consistent with a patient with emphysema?
Term
FEV1/FVC TLC DLCO
 Definition
FEV1/FVC TLC DLCO
Term
A. low low low
 Definition
A. low low low
Term
B. high low low
 Definition
B. high low low
Term
C. normal high high
 Definition
C. normal high high
Term
D. low high low
 Definition
D. low high low
Term
E. low low high
 Definition
E. low low high
Term
Which of the following about ventilation is FALSE?
 Definition
Which of the following about ventilation is FALSE?
Term
A.    A linear relationship exists b/w PaCO2 and ventilation.
 Definition
F.    A linear relationship exists b/w PaCO2 and ventilation.
Term
B.    A hyperbolic relationship exists b/w PaO2
 Definition
G.   A hyperbolic relationship exists b/w PaO2
Term
C.   Ventilation is greater for hyperoxic hypercapnia than for hypoxic hypercapnia
 Definition
H.   Ventilation is greater for hyperoxic hypercapnia than for hypoxic hypercapnia
Term
D.   Ventilation is inversely related to arterial oxygen saturation
 Definition
I.      Ventilation is inversely related to arterial oxygen saturation
Term
E.    Ventilation will be greater in states of metabolic acidosis than in normal or alkylotic states.
 Definition
J.     Ventilation will be greater in states of metabolic acidosis than in normal or alkylotic states.
Term
Which of the following regarding Scleroderma is incorrect?
 Definition
Which of the following regarding Scleroderma is incorrect?
Term
A.    Scleraderma is a disease characterized by sclerosis of the skin, and in some cases the lungs, GI tract, & kidneys.
 Definition
F.    Scleraderma is a disease characterized by sclerosis of the skin, and in some cases the lungs, GI tract, & kidneys.
Term
B.    Scleraderma is associated with a high frequency of positive anti-Sm Ab.
 Definition
G.   Scleraderma is associated with a high frequency of positive anti-Sm Ab.
Term
C.   Raynaud’s phenomenon is common in scleraderma, but is also found in other connective tissue diseases.
 Definition
H.   Raynaud’s phenomenon is common in scleraderma, but is also found in other connective tissue diseases.
Term
D.   Epidermal thinning and increased collagen deposition in the dermis are common histological findings.
 Definition
I.      Epidermal thinning and increased collagen deposition in the dermis are common histological findings.
Term
E.    Scleraderma is associated with a high titers of anti-DS-DNA Abs.
 Definition
J.     Scleraderma is associated with a high titers of anti-DS-DNA Abs.
Term
Complications of Paget’s disease include all of the following EXCEPT:
 Definition
Complications of Paget’s disease include all of the following EXCEPT:
Term
A.    Hearing loss
 Definition
E.    Hearing loss
Term
B.    Hypothyroidism
 Definition
F.    Hypothyroidism
Term
C.   Cancer
 Definition
G.   Cancer
Term
D.   Fractures
 Definition
H.   Fractures
Term
Which of the following regarding Sjoren’s syndrome is incorrect?
 Definition
Which of the following regarding Sjoren’s syndrome is incorrect?
Term
A.    Skin & Vaginal dryness are common
 Definition
F.    Skin & Vaginal dryness are common
Term
B.    Raynaud’s is a common finding
 Definition
G.   Raynaud’s is a common finding
Term
C.   The proliferation of lymphocytes is rarely noted in salivary tissues
 Definition
H.   The proliferation of lymphocytes is rarely noted in salivary tissues
Term
D.   secondary Sjoren’s syndrome is associated with RA
 Definition
I.      secondary Sjoren’s syndrome is associated with RA
Term
E.    Renal abnormalities such as renal tubular acidosis are common
 Definition
J.     Renal abnormalities such as renal tubular acidosis are common
Term
Which of the following is not in the differential Dx of transudative pleural effusion?
 Definition
Which of the following is not in the differential Dx of transudative pleural effusion?
Term
A.    CHF
 Definition
E.    CHF
Term
B.    TB
 Definition
F.    TB
Term
C.   Nephrotic Syndrome
 Definition
G.   Nephrotic Syndrome
Term
D.   Cirrhosis of liver with ascites
 Definition
H.   Cirrhosis of liver with ascites
Term
Which of the following about pulmonary thromboembolism is False?
 Definition
Which of the following about pulmonary thromboembolism is False?
Term
A.    90% of emboli arise from deep venous systems of the lower extremities.
 Definition
F.    90% of emboli arise from deep venous systems of the lower extremities.
Term
B.    The Dx is usually confirmed by V/Q scanning
 Definition
G.   The Dx is usually confirmed by V/Q scanning
Term
C.   The hypoxemia may be cause by both V/Q mismatch and right to left shunting
 Definition
H.   The hypoxemia may be cause by both V/Q mismatch and right to left shunting
Term
D.   Only 10-15% of PE’s lead to pulmonary infarction
 Definition
I.      Only 10-15% of PE’s lead to pulmonary infarction
Term
E.    Bronchospasm with wheezing can be seen acutely
 Definition
J.     Bronchospasm with wheezing can be seen acutely
Term
Which of the following is not consistent with exudative effusion?
 Definition
Which of the following is not consistent with exudative effusion?
Term
A.    Protein ³ 3g/dl
 Definition
E.    Protein ³ 3g/dl
Term
B.    Pleural/serum protein ratio > 0.5
 Definition
F.    Pleural/serum protein ratio > 0.5
Term
C.   Pleural/serum LDH ratio > 0.5
 Definition
G.   Pleural/serum LDH ratio > 0.5
Term
D.   LDH > 200
 Definition
H.   LDH > 200
Term
Which one of the following four patients with hypoxemia will have a normal alveolar- arterial gradient calculated using the results from their arterial blood gas analysis?
 Definition
Which one of the following four patients with hypoxemia will have a normal alveolar- arterial gradient calculated using the results from their arterial blood gas analysis?
Term
Patient
 Definition
Respiratory rate
Term
A
 Definition
20
Term
B
 Definition
10
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