Respiratory

Anatomy :
1- sternal angel at which side
Ans: T4

2— muscle cause addiction of vocal cord

Ans/ lateral cricoarytenoid

3— inhalation of foreign material goes to right principal

bronchus
A/ more vertical
B/ longer
C/ narrower
Ans/ A

4— the middle lobar bronchi consist of how many

segments
Ans/ 2

5— which structure open into inferior nasal meatus

Ans/ nasolacrimal duct

6— we insert needle in the left side beside sternum

Cause there is
Ans/ cardiac notch

7— aortic hiatus in diaphragm = T12

8— which one is atypical rib

A/ 2
B/ 3
C/4
D/5
E/6
Ans / A

Pharma/
9— which of antitussive is not acting centrally
A/ methotrexate
B/ methadone
C/ codeine
Ans/ A

10– which drug effective in cystic fibrosis

Ans/ dornase

11— a person have allergy to pencillin presented which

sinusitis treatment
Ans/ fluoroquinolones or macrolides ( erythromycin)

12— treatment of strep pneumonia in patient

hypersensitive to pencillins
Ans / macrolides ( azithromycin, clarithromycin ,
erythromycin )

13— a child age less than 1 month having pertussis

( whooping cough)
Treatment
Ans/ only azithromycin
14— which one is long acting beta 2 agonist
Ans/ formoterol

15— mast cell stabilizer

Ans/ cromolyn

16—antibody that selectively bind to IgE

Ans/ omalizumab

17— a person having COPD and asthma

Treatment ?
Ans/ tiotropium or umiclidinium or ipratropium

18— a person have work of long period u want to

prescribe antihistamine
Ans/ second generation drugs ( cetrizine )

19— which one is not sign of o2 toxicity

A/ headache
B/ hyperthermia
C/ cough
D/ nausea
E/ hypoventilation
Ans / B

20– a patient receiving anti TB drug we must prescribe

which of the vitamins with it
Ans/ vitamin B6 ( pyridoxine )
21— drug cause headache , dizziness and muscular pain
Ans/ cimetidine

Clinical/
22— a 21 years old girl presented with shortness of
breath have history of eczema diagnosis
Ans/ asthma

23— a 35 years old male having raised red leisions on

both shin diagnosis
Ans/ sarcoidosis

24— a female presented with decrease chest expansion

of the left side the trachea deviated to the right side
Diagnosis
Ans/ plural effusion

25— a female having diabetes presented with fever,

shortness of breath
Ans / pneomonia

26— cause of clubbing

Ans/ lung abscess

Community medicine/
( One matching )
27— simple asphyxiant —> helium
28— high molecular weight agent cause asthma —>
Cereal
29— gases with low h2O solubility —> phosgene
—

Histology/
30— blood air barrior consist of
Ans/ basal lamina, alveolar cell, endothelial cell

31— inferior surface of epiglottis covered by

Ans / respiratory epithelium ( ciliated pseodostratified
columnar epithelium )

32— which one has no cartilage no gland

Ans/ bronchioles

33— small rounded cells, lie on the basal lamina

Ans/ basal cells

Immunology/
34- Which one is true
Ans/ CD4/CD8 ratio is 1.5

Pathology/
35— TB infection is which type of hypersensitive
Ans// type IV

36— which type of necrosis occur in TB

Ans/ caseating necrosis
37— which one of these cell is not found in granuloma
A/ lymphocyte
B/ plasma cell
C/ fibroblast
D/ epithelioid cell
E/ neutrophil
Ans/ E

38— a person having fever, sweating the x-ray showed

cavitation in apex of lung
Ans/ secondary TB

39— H.infurnza —> bronchopneomonia

40— which one is true about gray hepatization

A/ massive exudate of neutrophils, red cells
B/ contain macrophage, neutrophils and fibrin
C/have fibrinous exudate in pleura
D/ lysis of fibrin via septum lymphocyte
Ans/ B

41— (case) aspiration of gastric content cause

Ans/ lung abscess

42— a person aspirate forign body and presented with

dyspnea, absence of breathing sound
Ans / resorption atelectasis

43- which one is COPD

Ans/decrease both FEV1 and decrease FEV1/VC

44/ a child presented with shortness of breath there was

abnormalities in the lower lobe of the lung
It affect all parts of acinar
Ans/ panacinar emphysema

45/ bronchiactesis —> is not a disease but consequence

of other diseases

46/ a person presented with cough wheeze there was IG-

E positive in her blood
Ans/ extrensic asthma

47/ which one may cause malignant mesothelioma

Ans/ asbestos

48/ slicosis —> increase susseptability to TB

49/ allergic rhinitis —> type 1 hypersensitivity

50/ which one is not associated with kartagener syndrome

A/ sinusitis
B/ bronchiestasis
C/ situs invertus
D/ infertility
E/ cystic fibrosis
Ans/ E

51/ which one is wrong about nasopharyngeal

angiofibroma

A/ benign
B/ occur in adolecent male
C/ affected by testesteron
D/ have tendency to bleed
The other choice was wrong ( but I can’t remember)

52/ adult male having bilateral nodule on vocal cord —>

singer’s nodule

53/ squamous papilloma ==> they do not become

malignant but frequently recur

54/ the lung become darken in color —> coal worker

pneumoconiosis

55/ which true about SCC

A/ late spread
B/ curable by surgery
C/ not respond to chemo
D/ cancer of old age
Ans/ D

56/ papillomatosis ==> cancer transformation is rare

Physiology/

57/ cortical influences on breathing —> emotional stimuli

58/ Central chemoreceptors respond to —> H+
concentration and PCO2

59/ dorsal respiratory group —> normal quite breathing

60/ hypothermia which one is wrong

A/ cellular metabolism slow
B/ need for O2 reduced
C/ more o2 bound to HB
D/ more o2 release from HB
Ans/ D

61/ co2 transport —> 70% as bicarbonate ion

62/ alveolar ventilation rate

= 4200 mL/ min

63/ which one is false about diffusing capacity

A/ increased when pressure gradient increase
C/ increase when molecular weight increase
D/ decrease when the thickness of. Membrane increase
E/ increase when surface area increase
Ans/ C

64/ is the maximum flow rate generated during a forceful

exhalation , starting from full lung inflation
Ans/ peak expiratory flow rate

65/ is graphic record of lung volume and capacity

Ans/ spirogram
66/ vital capacity depend on ==> sex, body built ,
athletics

67/ ability of the lung and thorax to expand —>

compliance

68/ muscles of respiration

Which one is not an accessory inspiratory muscle
A/ internal intercostal
B/ external intercostal
C/ sternocleidomastoid
D/ anterior serrati
E/ levator scaulie
Ans/ A

67/
in restrictive lung disease
==> ratio FEV/ VC = normal

68/ all decrease compliance except

A/ scoliosis
B/ pleural effusion
C/ fibrosis
D/ emphysema
E/ pneumothorax
Ans/ D

69/ carry oxygenated blood to Lung —> brachial artery

70/ pulmonary blood vessels ==> have more compliance

Micro/
71/ (case ) gray membrane on the pharynx ==> diphtheria

72/ (case) swimmer ==> pseudomonas aerogenosa

73/ which one need immunization==> bacillus anthrax

74/ transmitted between childrens sharing toy ==> H

influenza

75/H. Influenza is dangerous one cause it is

( encapsulated)

76/ diphtheria attack ==> protein synthesis

77/ legionella spread via => water, mud, hot spring

78/ Pontiac fever ==> ligunella pneomnia ==> sliver

impregnation

79/ mycoplasma ==> absence of cell wall

80/ bacteroid ==> formic, acetic , proprionic acid

81/ most serous cause of bronchiolitis & pneumonia in

infant => RSV ( respiratory syncytial virus )

82/ May originate from bat ==> SARS

83/ carry CR2 ==> EBV

84/ have over 150 antigen different, cause common cold

==> rhinovirus

85/ have cottony, dense , floccose colony on culture ==>

zygomycosis ( mucormycosis )

Anatomy/
86/ inferior conchi ==> free bone

Histology /

87/ which one is wrong

—
Pleura cavity consist columnar epi

Radiology/ (mostly it was cases and asking which imaging

modality you perform )
Nearly ( 4 question)

88/ having bilateral opacities on x ray ==> emphysema

89/ a person presented with shortness of breath, post

operative , having bilateral leg swelling
What is the imaging modality you perform?
Prepared by:
Dlnia jakhsy
Hana Zahir
Sara sabah
Sahar Sami

18/6/2019