Distinguishing Lung Volume Restriction Origins Quiz

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Which of the following distinguishes atypical pneumonia from bacterial pneumonia?

insidious onset (correct)

predominantly pulmonary symptoms involved

purulent sputum

more consolidated appearance on x-ray

Which of the following are complications from idiopathic pulmonary fibrosis?

pulmonary hypertension

respiratory failure

Cor pulmonale

A and B (correct)

Which of the following about pulmonary function testing is true for adults, but not for children?

Total lung capacity (TLC) is measured

A FEV1/FVC ratio of < 0.7 is abnormal (correct)

Diffusing capacity (DLCO) is measured

Respiratory muscle strength is assessed

What is the most appropriate next step for a 57-year-old unemployed female patient with asthma?

Switch to a long-acting bronchodilator (LABA) like salmeterol (B) Signup and view all the answers

What do air bronchograms on a chest X-ray indicate?

Fluid accumulation in alveoli with patent airways (A) Signup and view all the answers

What is the correct order of increasing treatment intensity for COPD management?

Rescue bronchodilator -> LABA -> Pulmonary rehab -> Oxygen -> Surgery (D) Signup and view all the answers

Which of these findings is NOT diagnostic of adult asthma?

Total lung capacity >= 120% predicted (C) Signup and view all the answers

Which medication is considered the gold-standard for asthma management?

Fluticasone (inhaled corticosteroid) (C) Signup and view all the answers

What is a key goal in the stepwise management of asthma?

All of the above (D) Signup and view all the answers

What is the most likely cause of the characteristic 'barking cough' described in the text?

Croup (B) Signup and view all the answers

Which symptom would indicate allergic rhinitis rather than chronic sinusitis?

Clear nasal discharge (D) Signup and view all the answers

What test should be ordered for the patient who is on warfarin and experiencing bleeding?

INR/PTT tests (B) Signup and view all the answers

What is the incorrect advice for treating nosebleeds mentioned in the text?

Pinch the bridge of the nose where bone meets cartilage (C) Signup and view all the answers

What is the most likely diagnosis for the patient with rapid onset, referred otalgia, and unilateral oropharyngeal pathology?

Peritonsillar abscess (A) Signup and view all the answers

What is the recommended treatment for a peritonsillar abscess according to the text?

Incision and drainage (D) Signup and view all the answers

What is the main purpose of this document?

To serve as a question bank for the PoM 1 Respirology and ENT Block (C) Signup and view all the answers

According to the document, how were the questions verified?

The questions were not verified due to time constraints (C) Signup and view all the answers

Which section of the document contains questions from a previous cohort?

Questions from the Meds2024 Question Bank (D) Signup and view all the answers

How many contributors are listed in the acknowledgments section?

12 (D) Signup and view all the answers

Which week has the most sections with questions?

Week 9 (B) Signup and view all the answers

What type of content does the 'New Questions' section likely contain?

Questions created specifically for this document (A) Signup and view all the answers

Which section is present in all weeks?

All of the above (D) Signup and view all the answers

What is the purpose of the 'ANSWERS' section for each week?

To provide solutions to the questions (D) Signup and view all the answers

Which statement best describes the structure of the document?

The document is organized by week (C) Signup and view all the answers

Based on the information provided, what can be inferred about the intended audience for this document?

Medical students studying respiratory and ENT topics (B) Signup and view all the answers

What does a significantly reduced total lung capacity (TLC) at 65% of the expected volume suggest?

A lung volume restriction (B) Signup and view all the answers

To determine if a lung volume restriction is of parenchymal (lung) origin or non-parenchymal origin, which test should be assessed?

Diffusion capacity (DLCO) (D) Signup and view all the answers

If the total lung capacity (TLC), forced expiratory volume in 1 second (FEV1), and forced vital capacity (FVC) were all normal, but the diffusion capacity (DLCO) was reduced, what would this suggest?

An isolated diffusion capacity abnormality (C) Signup and view all the answers

What does a low diffusion capacity of the lungs for carbon monoxide (DLCO) in addition to a reduced total lung capacity (TLC) indicate?

A parenchymal (lung) cause for restriction (A) Signup and view all the answers

If the only abnormal pulmonary function test result is a low diffusion capacity of the lungs for carbon monoxide (DLCO), what does this indicate?

An isolated diffusion capacity abnormality (B) Signup and view all the answers

What does a forced expiratory volume in 1 second (FEV1) less than 70% signify?

An obstructive pulmonary disorder (A) Signup and view all the answers