Respiratory System and Diseases - Part I Quiz
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Questions and Answers

Which of the following is NOT a common predisposing factor for tuberculosis?

  • Alcohol abuse
  • Hyperthyroidism (correct)
  • Diabetes mellitus
  • Immunosuppression
  • In the pathogenesis of tuberculosis, what is the initial reaction after the first infection with mycobacteria?

  • Tissue necrosis
  • Macrophage ingestion (correct)
  • Healing and calcification
  • Delayed hypersensitivity reaction
  • Which of the following is a characteristic of secondary tuberculosis?

  • Disseminated granulomas in many organs
  • Often resolves on its own
  • Small granulomas in the lobes (Ghon complex)
  • Lesions in the apices with caseous necrosis in granulomas (correct)
  • Which type of tuberculosis is characterized by disseminated granulomas in many organs?

    <p>Miliary tuberculosis</p> Signup and view all the answers

    What is the primary method of transmission for tuberculosis?

    <p>Through the air or direct contact</p> Signup and view all the answers

    What is the recommended treatment for tuberculosis?

    <p>Three or four different kinds of antibiotics in combination over 6-9 months</p> Signup and view all the answers

    Which of the following is the most common cause of community-acquired acute pneumonia?

    <p>Streptococcus pneumoniae</p> Signup and view all the answers

    What is the main difference between bronchopneumonia and lobar pneumonia?

    <p>Bronchopneumonia is characterized by focal inflammation along the airways, while lobar pneumonia is characterized by diffuse inflammation affecting the entire lobe.</p> Signup and view all the answers

    What is the primary defense mechanism of the respiratory system?

    <p>Cilia of the respiratory epithelium</p> Signup and view all the answers

    What are the two main subtypes of influenza A virus that have established stable lineages in the human population?

    <p>H1N1 and H3N2</p> Signup and view all the answers

    Which of the following is the most important factor in the spread of influenza virus?

    <p>Airborne transmission through respiratory droplets</p> Signup and view all the answers

    What is the typical incubation period for influenza?

    <p>1-3 days</p> Signup and view all the answers

    What is the main symptom that distinguishes influenza from the common cold?

    <p>Fever</p> Signup and view all the answers

    Which type of pneumonia is more common in elderly patients and those with debilitating diseases?

    <p>Bronchopneumonia</p> Signup and view all the answers

    What is the typical clinical presentation of lobar pneumonia?

    <p>Diffuse inflammation affecting the entire lobe with pleural exudate</p> Signup and view all the answers

    What is the primary investigation used to diagnose pneumonia?

    <p>Chest X-ray</p> Signup and view all the answers

    Gram-negative organisms are the most common cause of hospital-acquired pneumonia.

    <p>True</p> Signup and view all the answers

    Tuberculosis is the leading cause of death globally from a single infectious disease.

    <p>True</p> Signup and view all the answers

    Miliary tuberculosis is characterized by localized lesions in the lung apices.

    <p>False</p> Signup and view all the answers

    The primary method of transmission for tuberculosis is through direct contact with infected individuals.

    <p>False</p> Signup and view all the answers

    Pneumonia complications include lung abscess and empyema, but not respiratory failure.

    <p>True</p> Signup and view all the answers

    The BCG vaccine is used to prevent tuberculosis, but it is not effective in developed countries.

    <p>False</p> Signup and view all the answers

    Influenza virus belongs to the picornavirus group.

    <p>False</p> Signup and view all the answers

    The primary method of spread for influenza virus is by fomites.

    <p>False</p> Signup and view all the answers

    Rhinoviruses are responsible for causing influenza infections.

    <p>False</p> Signup and view all the answers

    Pneumonia can only be caused by bacterial infections.

    <p>False</p> Signup and view all the answers

    Lobar pneumonia typically affects elderly patients.

    <p>False</p> Signup and view all the answers

    In bronchopneumonia, inflammation is diffuse and affects the entire lobe.

    <p>False</p> Signup and view all the answers

    Pulmonary fibrosis is classified as one of the common chronic lung diseases.

    <p>True</p> Signup and view all the answers

    Tuberculosis is caused by a virus.

    <p>False</p> Signup and view all the answers

    The primary symptom of pneumonia is severe headache.

    <p>False</p> Signup and view all the answers

    Bronchioles contain cartilage in their structure.

    <p>False</p> Signup and view all the answers

    In the pathogenesis of tuberculosis, the initial reaction after the first infection with mycobacteria involves macrophage ingestion and interaction with T-cells, leading to the development of cellular immunity and a delayed hypersensitivity reaction.

    <p>True</p> Signup and view all the answers

    The BCG (bacille Calmette-Guerin) vaccination is effective in preventing tuberculosis in developed countries, but not in developing countries.

    <p>False</p> Signup and view all the answers

    Miliary tuberculosis is characterized by localized lesions in the lung apices, rather than disseminated granulomas in many organs.

    <p>False</p> Signup and view all the answers

    In hospital-acquired pneumonia, the causative organisms are often Gram-negative, and the treatment should be modified based on culture and sensitivity results.

    <p>True</p> Signup and view all the answers

    The recommended treatment for tuberculosis involves a combination of three or four different kinds of antibiotics taken over a period of six to nine months.

    <p>True</p> Signup and view all the answers

    In the pathology of secondary tuberculosis, lesions are typically found in the lung bases, rather than the apices.

    <p>False</p> Signup and view all the answers

    The influenza virus undergoes major antigenic shifts, leading to pandemics.

    <p>True</p> Signup and view all the answers

    Bronchopneumonia is characterized by diffuse inflammation affecting the entire lobe of the lung.

    <p>False</p> Signup and view all the answers

    The main defense mechanism of the respiratory system is the presence of ciliated epithelium.

    <p>True</p> Signup and view all the answers

    Influenza vaccines target the M2 protein, which is highly conserved across different strains.

    <p>True</p> Signup and view all the answers

    Streptococcus pneumoniae is the most common cause of hospital-acquired pneumonia.

    <p>False</p> Signup and view all the answers

    In lobar pneumonia, pleural exudate is uncommon.

    <p>False</p> Signup and view all the answers

    The incubation period for influenza is typically 1-3 weeks.

    <p>False</p> Signup and view all the answers

    The primary investigation used to diagnose pneumonia is a chest X-ray.

    <p>True</p> Signup and view all the answers

    Bronchopneumonia is more common in elderly patients and those with debilitating diseases.

    <p>True</p> Signup and view all the answers

    The primary method of transmission for influenza virus is through direct contact with infected individuals.

    <p>False</p> Signup and view all the answers

    Study Notes

    • Pneumonia is an inflammation of the alveoli, commonly caused by bacteria, with classifications based on anatomy (lobar pneumonia, bronchopneumonia) and etiology (bacterial, viral).
    • Streptococcus pneumoniae is a common cause of community-acquired acute pneumonia, affecting healthy adults between 20-50 years with lobar pneumonia and older individuals, infants, and those with debilitating diseases with bronchopneumonia.
    • Clinical features of pneumonia include respiratory symptoms like cough, purulent sputum, and dyspnea, systemic symptoms such as fever, and signs like consolidation and pleural rub.
    • Diagnostic investigations for pneumonia involve chest X-ray, blood cell count (>15x10^9/L in bacterial infections), sputum tests (gram stain, culture, sensitivity), and other specific tests for pathogens like Mycoplasma and Legionella.
    • Management strategies for community-acquired pneumonia include immediate antibiotic treatment without waiting for microbial results, while hospital-acquired pneumonia often involves Gram-negative organisms requiring different antibiotics based on culture and sensitivity results.
    • Complications of pneumonia may include lung abscess and empyema, highlighting the importance of prompt diagnosis and appropriate treatment to prevent adverse outcomes.
    • Tuberculosis, caused mainly by Mycobacterium tuberculosis, remains a significant global health concern as the leading cause of death from a single infectious disease, particularly affecting developing countries but also showing an increasing prevalence in developed nations.

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    Description

    Test your knowledge on the physiology and major diseases of the respiratory tract, focusing on upper respiratory infections, pneumonia, and tuberculosis. Learn about the causes, pathological features, and clinical aspects of these conditions.

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