Based on Solved Past MCQs 201 2-2 02~

RESPIRATORY SYSTEM
1, In emphysema the commonest symptom Is:
d) Cyanosis
a) Palpitation
e) Audible wheeze
b) Increased dyspnea
c)
d)
e)
Cough
Hemoptysis
Chest pain
6.
Ans. D, Ref. Davidson as UHS exam
Which pulmonary condition is associated
with clubbing except:
0
-

a) Empyema
Ans. B, Ref. PJ Kumar as UHS exam
b) Bronchiectasis -
2. Which one of the follow ing characteristics
of plural fluid aspira te is in favor of
c) Pulmonary fibrosis II
tuberculosis: d) Interstitial lung disease lil
a) Yellow color e) COPD I"
b) Turbidity _ _ _A_n_s._E_ _ _ _ _ _ _ _ _ _ _ _ _ ,
c) High Lymphocyte Count 7. Which of the following organism is 11111
d) High Protein Conte nt
e) RBCs
associated with acute exacerbation of SI
chronic bronc hitis: 1111111
Ans: C as UHS exam a) Staphylococci ~
3. Which condition is associated with b) Menengiococci 1111111
spontaneous pneum othor ax:
·a)
b)
Marfan's syndr ome
COPD
----
Ic)
d)
e)
E - choli
Proteaus
Hemophillus lnfluenzae
~

c) Bronchial asthma Ans. E, Ref. Step-up as UHS exam 11111111

d) Ehrlers Danlos syndr ome 8. Which of the follow ing is a poor progn ostic sign 1111
e) All of them in sarcoidosis?
Ans. E, Ref. PJ Kumar as UHS exam a) Arthri tis
4. The side effect of optic neurit is is associated b) Fever
with: c) Erythema nodosum
a) Rifampicin d) Lofgren's syndrome
b) Pyrazinamide (PZA) e) Hypercalcemia
c) Ethambutal Ans. D as UHS exam 1111111
d) INH
9. In acute pu_lmona ry embolism, the most ~,
e) Streptomycin
diagnostic ECG finding is:
Ans.c
a) Left axis deviation
s. ~ich of the follow ing is the most b) P pulmo nary
important sign of seriousness of bronchial
c) Right axis devia tion
asthma:
a) - d) S1 Q3 T 3
Anxious patient
b) e) Sinus tachycarC:ia
Hypertension
c) Ans. E as UHS exam
Tachycardia
 ~
10. An 18 y ears o ld youn g man w ith knov
,n 14. A trucic driv er who keeps fallin g asle ep:--
w i BM I = 25. Sleep stud y show s sleep apno
as
cyst ic fibro s is pres ents to the phys ki~n t h ea,
his th ird ep isod e of kidn ey ston es in
th e He had lots of arou sal (26/h our) and
n d ecrease d slee p laten cy. Managen ,
past year . In add it ion he has begu to
com pla in of diffi cult y see ing at nigh t.
Sue h opti on_s in~lu de all of the follo wing excepi:nt
chan ges can be attri bute d to a defic ienc
y of a) Uvu loplasty

I whic h vitam in?

a) Pyrid oxin e
b) Continu ou s Pos it ive Airw ay Pressure
c) Sleep hygi en e and reassure

I b)
c)
Vit am in A
Vitam in Bl
d)
e)
Los e w eigh t
M ethy lphenida te

I d)
e)
Vi t amin 8 12
Vit amin D
Ans. E, Ref. Kap lan as UHS exam

A man is stab bed and arriv es to emergenc

y

I___11.
A_ns_._B...;.,_R_e_f_._St_e..;..p_-u_p__a_s_U_H_S_e_x_a_m_ _
A SO year old man with diab etes mel
_
litu s
15.
room with in 30 minu tes. You notice that
the pati ent is distr esse d and trachea
is

t crus hin g devi ated to the opp osite side of chest

1 sudd enly deve lops pers isten
cent ral ches t pain radi atin g to the neck
wit h pun ctur e. The mos t likel y finding
on
exam inat ion of the stab bed side wou ld be:
t
I assy metr ical plac es. Wha t is the sing le mos
app ropr iate diag nosi s? a) Dullness to perc ussi on
I b) Hyp er-re sona nt percussion
Angin a
I
a)
b) Cos toch ondr it is (tietz's disease) c) Incre ased voca l frem itus
c) Diss ecting aneu rysm d) Incre ased voca l reso nanc e

I d)
e)
Myo card ial infar ction
Pulm ona ry emb olism
e) Whe eze
Ans. B, Ref. Kap lan as UHS exam
Ans. D, Ref. Step -up as UHS exam
[ -__...;.._
...;..___
,.__
16. Whi ch is true in a pred omin antly blue

r12. Whi ch of the follo wing is inco rrec

rega rding trea tme nt of acut e pulm ona
ry
t bloa ter?
a) FEV l is mar ~dly dimi nish ed
thro mbo emb o!ism ? b) Vita l capa city is usua lly norm al

I a) Eme rgen cy emb olec tom y is rare

need ed
b) Thro mbo lytic s shou ld be used in a
ly
c} Hist ory of repe ated episodes of
resp irato ry insu fficie ncie s

I massive pulm ona ry thro mbo emb olism

prov ed by CT or angi ogra phy
d)
e)
Elastic reco il is muc h dimi nish ed
Pulm onar y hype rten sion does not

I c)
d}
Hep arin is a thro mbo lytic drug
Hep arin ther apy cann ot resu lt in rapi d
com plica te the disease
Ans. C as UHS exam

I e)
reso lutio n of patie nt's dysp nea
Oral antic oagu lants have no plac e in the
17. A 52-year-old fem ale presents with _a
com mun ity acquired
complicated by pleural effusion. thA
pneumonia

I man agem ent of

thro mbo emb olic disease
life thre aten ing

as UHS exam
thoracentesis is performed, with
following results: Appeara nce: Visco
2
e
us,
Ans. C cloudy, pH 7.11, Protein 5.8 g/dl , LOH ~
IU/L , Glucose 66 mg/ dl, wee 3800/mm .~
d
13. A patient has post tuberculous destroye st
right Iung. How would he lie dow n in bed
to
RSC 24 000 /mm 3, PMNs 93%, Gram
~' I

' feel mor e com forta ble?

a) Left lateral decu bitus posi tion
b J No preferre d posi tion
c) Pron e posi tion
d) Right later al decu bitus posi tion
Many PMNs·I no organism
Cu r
ltu. es are sent
'
but the
seen. Bacteria
results are
currently availabl. Which characteri
the pleural fluid is mos t suggestive
st
n~
I o
·sfc
th t

pati ent will requ ire tube thoraco omY ·

he
f

aJ

e) Supine position a} Glucose < 100 mg/ dL

Ans. A, Ref. Kaplan as UHS ex.am b)
_ LOH> 2/3r d of upper lim_it of normal
 c) Presence of> 90% Neutrophils in pleural acute confusional state. He Is a non smoker,
fluid hemodynamically stable and his
d) Presence of> 1000 neutrophils in biochemical profiles are Hb 11 gm%, TLC
pleural fluid 2900/cmm, Neutrophil 60%, lymphocytes
e) pH less than 7.20 40%, ESR 30/lst hr, bilirubin 3.1 mg/di,
- Ans. E, Ref. PJ Kumar as UHS exam
SGPT 68, Alkaline phosphatase 280, serum
creatlnlne 1.7mg%. What Is the most likely
18, A 25 years old married woman using oral pathogen of this disease: ~
contraceptive pills developed acute onset a) Staphylococcus aureus ~
shortness of breath after she travelled from
b) Streptococcus pneumonia ~
Europe to Islamabad.' On examination her
·c) Hemophilus influenza ~
BP was 120/80, pulse 100/ min and RR 30 /
min. chest was clear bilaterally right leg was d) Legionella pneumophila ;11111111111
swollen. What Is the most likely diagnosis ? e) Chlamydia psittaccii ~
a) Acute pulmonary embplism ~

II
Ans. D, Ref. Step-up as UHS exam
b) Acute bronchial asthma 22. A 25 years old tall lean patient came to ~he I~
c) Myocardial infraction OPD with acute onset shortness of breath.
d) Aortic dissection On examination, he was distressed with BP
e) Pneumonia of 90/60, pulse 110/min, respiratory rate -
30/min, temperature of 99 F, his neck veins
Ans. A, Ref. Davidson as UHS exam were engorged with absent breath sounds
19. A SO years old smoker and diagnosed case on the right side of chest with hyper .
of COPD presented with acute exacerbation resonant percussion note. What single best ·
of shortness of breath. One week ago he decision would take next:
was diagnosed as hypertensive and his GP a) Urgent chest x-ray
put him on some medications. What is the b) Needle thoracocentesis
most likely cause for his current condition: c) IV fluids
a) Propranolol
d) ECG
b) lisinopril
c) Amlodipine
e) IV antibiotics
Ans. B, Ref. Step-up as UHS exam ii
d) Water tablets
e) Simvastatin 23. A 52 years old female presents with a
EJ
20.
Ans. A as UHS exam
A 35 years old lady had a fight with her
husband . an~ took some medication for
suicidal· purpose. She was brought to the
community acquired pneumonia
complicated by pleural effusion. A .
thoracentesis is performed with the
following results, Appearance viscous
I!
clou~y, pH 7.11, Protein 5.8 g/dl, LOH 285
casualty de_p artment with altered state of
IU/L, Glucose 66 mg/di, WBC 3800/mm3,
consciousness. On examination she was
RBC 24,000/mm3, PMNs 93%, Gram St~in
breathing shallow and her pupils were pin
point.:., : What single most important Many PMNs: no organism seen. Bacterial
investigation would you do which will guide cultures are sent. But the result are not
further ·rnanagement: currently available. Which characteristic of
a) Chest x-ray the pleural fluid is most suggestive that the
b) Sputum routine exam patient wil( require tube thoracostomy?
. . . .)
c) Arterial blood gases a) Presence of more than 90%

-
-
d) P. Smear
---::---__:_.:.._
e) CT chest
Ans. C
________
as UHS exam
b)
c)
plymorphoncleocytes {PMNs)
Glucose less than 100 mg/di
Presence of more than 1000 white
.blood cells
.,
1
21. A4 0
year old banker presented with 3 days d) pH less than 7.20
5t
hi ory of fever, productive cough and
 28
MEDICINe-1l J
e) lactate dehydrogenase (LOH) more than
two third of the normal upper 11,:nlt for
serum .
__ ___~---- - ---
e)
:.,:_
Ans. B
Prevent growth of existing clot
...............

28. Which of the follow Ing laboratory

-....__
Ans . D, Ref. Step-up as UHS exam
abnormalities Is not likely to be found In
124. A young male patient presents with non
productive cough, chills and fever. He has
patlent1 with sarcoldosls? ·
a) Depressed serum 1,25-dihydroxy
type 1 diabetes. A chest ><-ray shows diffuse

I
vitamin D3
lnterstltlal Infiltrate bilaterally, the most b) Elevated serum angiotensin-converting
probable Infecting organism In this patient enzyme activity
Is:
c) Elevated urinary calcium
a) Strep, Pneumonia
d) Elevated serum gamma globulin
b) Klebsiella Pneumonia
e) Elevated serum acid phosphatase
c) Mycoplasma Pneumonia
Ans. E, Ref. Kaplan as UHS exam
d) Legioella Pneumonia
e) Fungal infections 29. Which of the following disorders is
suggestive of pulmonary complication of
Ans. C, Ref. Step-up as UHS exam rheumatoid arthritis?
I 25. A 32 years old male Is climbing mount K-2. a) Scattered parenchymal nodules

iIll
He has no medical problems and takes no b) Interstitial pulmonary fibrosis
medications. Shortly after beginning the
c) Recurrent wheezing, dyspnea, and
climb, he develops severe shortness of
chest tightness
breath. Physical examination shows diffuse
Q bilateral inspiratory crackles. Which of the d) Severe irreversible airway obstruction
1111 following is the most likely etiology? with hyper-inflation
Ill a) Acute interstitial pneumonitis e) lnspiratory strider following a viral
upper respiratory infection

I b) Acute respiratory distress syndrome

c) Cardiogenic shock Ans. B, R.ef. Kaplan as UHS exam
Bronchial breath sounds are found in ·all

~
d) Community acquired pneumonia 30.
e) High altitude pulmonary edema except:
~..:::..._______~-
a) Collapse with patent bronchus
Ans. E as UHS exam
b) Bronchial asthma
[ 26. In a suspected case of pulmonary embolism
c) Superficial big empty cavity with patent
the confirmatory test is:

I a) Atrial Blood Gases

bronchus
d) Bronchopleural fistula

I b)
c)
d)
D - dimers
CT angiogram
ECG
e) Bronchietasis
Ans. B as UHS exam
, ___e.:..)_E_c_ho_ _ _ _ _ _ _ _ _ _ __ 31. A 30 year old asthmatic presents wi th
dyspnoea and the following blood gases:
Ans. C, Ref. Kaplan as UHS exam
~ 27. The single major reason for early use of
pH=7.20,
pCO2=50mmHg,
heparin in patients with pulmonary
thromboembolism is to: p02=60 mmHg, HCO3=18 mmHg,
;
a) Dilate pulmonary vascu!ature This patient has:
a) Partially compensated metabolic
b) Eliminate the source of the furthe r
emboli acidosis
b) Partially compensated respiratory
c) Reverse bronchoconstriction induced by
platelet-derived mediators acidosis
c) Mixed metabolic and respiratory
d) Lyse existing clot in the pulmonary
circulation acidosis
d) Respiratory acidosis

•
 --
'~ MEOICINc,_-_q,=~--==~-~ fir.'::iS"~~ ~::;:;-;;;:;~ -:======== ---·
e) Metabolic acidosis
Ans. C, Ref. PJ Kumar as UHS exam
c)
d)
92-96%
88-92%
29

32, A patient presents with end stage COPD, he e) 84-88%

is on maximum bronchodllators and Inhaled Ans. D, Ref. Step-up as UHS exam
steroids. He has a raised JVP and ankle 36. Which one of the following Is not an
edema. He complains of Increasing Indication for chest tube Intubation In
shortness of breath. The therapy most likely patient with Para pneumonlc effusion?
to Improve survival Is: a) Loculated pleural fluid
a) Home oxygen therapy b) Pleural fluid PH> 7.45
b) Long term antibiotics c) Pleural fluid glucose < 3.3
c) Theophylllne mmol/L(<60mg/dL)
d) Oral-steriods d) Positive gram stain or culture of the
e) Pulmonary rehabilitation pleural fluid
e) Presence of gross pus in the pleural
Ans. A as UHS exam space .
33, A diagnosed case of asthma presented to
Ans. B as UHS exam -
medical unit with shortness of breath, What
Is the most specific test to measure severity 37, A 45 years old lady presented to CPD with
of this disease? day time sleepiness sometimes even during
her routine work, Her ii~ep during night Is
a) Oxygen saturation (Sa02%)
Interrupted by repeated wakening. She
b) Partlal pressure of arterial oxygen feels tired and complalned of headache on
(Pa02) awakening. Her BMI Is 32 and blood gas
c) Partial pressure of arterlal carbon analysis Is normal. What Is the diagnosis?
dioxide (PC02) a) Narcolepsy
d) Forced vital capacity (FVC) b) Obstructive sleep apnea
e) Forced expiratory volume In one second c) Congestive heart failure
(FEVl) d) Bronchial asthma Ill
Ans. -E, Ref. Davidson as UHS exam e) CO2 narcosis 1111
34. A 16 years old asthmatic glrl presented to Ans. B, Ref, Kaplan as UHS exam r1I
casualty department with shortness of 38, A 20 years old thin male prevlously In good 1111
breath, She was given emergency heal~h whlle playlng cricket suddenly felt fll
medication and she Improved. How will you severe pain In left chest and collapsed on 111111
assess the severity of this disease? the spot, He has no major health problem Ill
a) Daily arterial blood gases and was non smoker, He was found to be Ill
dyspnelc and cyanosed In emergency
b) Daily forced vital capacity
department but vltal signs were normal.
c) Dally peak expiratory flow What Is the most llkely diagnosis?
d) Dally full blood count a) Pulmonary embolism
- e) Dally chest X-ray
Ans, c
b) Tension pneumothorax
c) Myocardial Infraction
35 d) Dissection of aorta
, A SO years old chronic smoker presented
With shortness of breath to emergency unit, e) Left ventricular failure
He Is diagnosed as case of COPO, What Is Ans, B
the most Ideal oxygen saturation for this 39, A 40-years-old man Is presented with
Patient?
complaints of shortness of breath for the
a) 100% last one month due to right sided pleural
b) 96-98% effusion. Pleural fluid analysis shows
pH=7,2, sugar•40mg%, proteln=3.6gm¾,
 MEDICJN~
3-0
ister,
. w hat 43. A 55 year old wom en with a pers
TLC=523/mm3 with neu trop hils 20% cough and hist ory of smo king develop
s le~
is you r diagnosis? sided chest pain exacerbated by
d~
lized crac kle P
a) Left ven tr icul ar fa ilure bre ath ing with feve r and loca
iat~
b) Pul mon ary tube rcul os is Wh at Is the single mos t appropr
c) Nep hro tic syn dro me diagnosis?
a) Dissecti ng ane urys m
d) Hyp othy roid ism
Pro tein losi ng ente rop athy b) Per icard it is
e)
c) Pne umo n ia
Ans. B, Ref. PJ Kumar as UHS exam
d) Pne ymo tho rax
p ital
40. A you ng man has been adm itte d In hos e) Pul mon ary emb olism
His
l for progressive dyspnea for 4 mon ths. le&
exa min atio n shows end lnsp lrat ory crac
k Ans. C, Ref. Step-up as UHS exam
reve als •
on bot h lungs bases. His hist ory sudden
I rhe uma toid arth ritis for which he was 4
tab let met hot rex ate l0m g/w eek
for
on 44. A 79 yea r old was adm itte d with
ons et of chest pain and breathlessness
exa min atio n, he was cyanosed. He had
. On
total

I weeks. His blood analysis sho

with nor mal carbon dioxide. Wh at
ws hyp
is
o xla
t he hip rep lace men t ten days before.
pat ient smo ked 10 cigaratte
The
/day .

I most like ly diagnosis? .

a) Inte rstit ial lung disease
Exa min atio n sho ws tachypnea, rest
unr ema rka ble. Inve stig atio ns are show
=
n HB
13x l09 /L, platelets =
= 13g /dl, wee
I b) Left ven tricu lar failu re
Met hotr exa te toxi city 250x109/L, CRP = 28g /L, ECG =
Sinus

I c)
d) Pulm ona ry tube rcul osis · tach yca rdia and RBBB, arte rial bloo
=
d gases

I _ e)
Ans. _A,, .Ref. _ __
Bro nch opn eum onia
_ idson
; . _Dav as UHS exam
ort of
(PH = 7.49 (7.35 - 7.45), PaCO2 3.1 KPa
(4,7 - 6.0), Pa0 2 = 8.SKPa {11.2 -14),
28m nol/ L, Wh at fs the pro bab le diag
HC03 =
nosis:

41. The spu tum cult ure sen sitiv ity rep a) Pul mon ary emb olis m
ce t 0
fifty years old man showed resistan
I pyrazinamide, eth amb uto l, thioace
and fNH but was foun d sen
tazon e
sitiv e t0
b)
c)
Acu te myo card ial infa rctio n
Fat emb olis m
stre pto myc in an d d) Pne umo nia
rifampicin,
mos t like ly Pul mon ary ede ma
flou roq uino lone s. Wh at Is the e)
diagnosis? Ans. A, Ref. Kaplan as UHS exam
a) Poly dru g resi stan ce TB hy hair
4 S. A 15 yea r old girl pre sen ts with patc
b) Mon o dru g resi stan ce TB loss on the scalp. The skin appears
normal.
Extensive dru g resi stan ce TB seen. The
c) Exc lam atio n ma rk hai r can be
d) Secondary dru g resi stan ce mo st like ly diag nos is is:
e) Primary dru g -resistance TB a) And rog ene tic alop ecia
as UHS exam b) Alo pec ia are ata
Ans. A
c) Tine a cap itis

________
ted to
42. A 16 year old asth mat ic girl pre sen d) Telo gen effl uviu m
casualty dep artm ent with shortne
brea.th. . She was . n
give
ss of
eme rge ncy
_______
e) __;ecia
Cic atri tial alop ~ __...
imp rov ed. How will you Ans. B
med1cat1on and she
is:
assess the sev erit y of this disease? 46. The cha rac teri stic lesi on of scabies
a) Daily arte rial bloo d gases a) Ulc er
b) Da!ly forc ed vita l cap acit y b) Pap ule
c) Dally peak exp irat ory flow c) Pus tule
d) Daily full bloo d cou nt
____
d}
__________
Bur row
_
_______________
...-, /
e) Daily chest x ray e) Com edo ne
,..-. /
Ans. C as UHS exa m Ans. D
 31

41, Which of the following disorders is e) Sinus tachycardia

suggestive of a pulmonary complication of ·
rheumatoid arthritis? Ans. E
a) Scattered parenchymal nodules 52. Which of the followil')g ls true In type 2
b) Interstitial pulmonary fibrosis respiratory failure?
c) Recurrent wheezing, dyspnea, and a) Normal pC0 2
chest tightness b) Increased pC0 2
d) Severe irreversible airway obstruction c) Normal p0 2 and increased pC02
with hyper- Inflation d) Decreased p0 2 and increased pC02
e) lnspiratory strider following a viral e) Normal P0 2and normal pC02
upper respiratory Infection Ans. D, Ref. Kaplan as UHS exam
Ans. B, Ref. Kaplan as UHS exam 53. Which of the following Is false regarding
48. When used In the management of asthma, plckwlcklan syndrome?
glucocortlcolds are likely to cause: a) Marked obesity
a) Hypoglycemia b) Somnolence
b) decreases in blood pressure c) Hyperventilation
c) anabolic actions in wound healing d) Right sided heart failure
d) oral thrush e) More prone to systemic hypertension
e) sedation Ans. C
Ans. D 54. Haemop~ysls Is characterlstlcally seen In all
49. Crepts uninfluenced by coughing are found except:
In: a) Good Pasteur's syndrome 11111
I'
a) Acute pulmonary oedema
b) Consolidation
c) Fibrosing alveolitis
b) Asperglllosls
c) Pulmonary vasculitls
d) Bysslnosls
I
d) Lung abscess e) Pulmonary tuberculosis Ill
e) Bronchiectasls Ans. D, Ref. Step-up as UHS exam II
Ans. C, Ref. Kaplan as UHS exam 55. Hemorrhagic pleural effusion may be seen.
SO. A patient presents with end-stage COPD,
he ls on maximum bronchodllators and
Inhaled steroids. He has a raised JVP and
In:
a)
b)
Cirrhosis liver
Tuberculosis
I
ankle edema. He complains of Increasing c) SLE 1111
shortness of breath. The therapy most likely d) CCF 11111
to impr:ove survival is: e) Nephrotic syndrome r1
a) Home Oxygen therapy Ans. B as UHS exam ____ 11
b) Long term antibiotics
56. Chronic respiratory failure is not seen In: .
c) Theophylline
a) Diffuse interstitial fibrosis
d) Oral steroids
b) Emphysema
e) Pulmonary rehabilitation
c) Pneumothorax
Ans. A as UHS exam
5 d) Chronic bronchitis
1. In acute pulmonary embolism, the most
e) Pneumonia
frequent ECG finding is:
a) Left axis deviation Ans. C as UHS exam
b) P pulmonale 57. A 45-year-old chronic smoker attends the
c) Right axis deviation OPD with complaints of persistent cough
d) S1Q3T3 and copious amount of purulent sputum .
 - - - - - - - - ~iiiii i..; ii~- ;._; ;~~ ~~~-~-----.:__::M:!l
:;!;DICINE~ 'V
b) Immu ne suppressive thera py
He had histo ry of meas les In the past. Exam:
c) Maln ouris hed patie nts
finge r clubb ing and lnspi rator y crepl tation s
d) Young patie nts
on ausc ultati on. What is the single most
e) AIDS patie nts
likely diagn osis?
Ans. D, Ref. Kapla n as UHS exam. --.
a) Inters titial lung disease
b) Bronc hiecta sis 61. The most comm on cause of pneumonia In
AIDS Is:
c) Asthm a
a) Cytom egalo virus
d) COPD
b) M. tuber culos is

I e) Sarcoldosis
Ans. B, Ref. PJ Kuma r as UHS exam
c) Pneu mocy tis carini i

I 58. A 28 year- old woma n with a histo ry of nasal

polyp s has episodes of dyspn ea, chest
d)
e)
Pyogenic bacte ria
Crypt ococc us
Ans. C Ref. David son's

I tightn ess and short ness of breat h that have

recen tly begun to occur when ever she takes
aspirin. She shoul d be advis ed to avoid the
62. A 13 year old villager prese nts with dyspnea,
Examination of chest revealed trachea
I use of medi cation s conta ining:
a) Codeine
shifted to left, vocal resonance and fremltus
on the right, dullness to percussion on right
side along with absent breath sounds on
· b) lndom ethac ln the right. The llkely cause Is: ·
c) Sodium sallcylate a) Left sided aplca l TB
d) Aceta minop hen b) Left lung collap se
c) Mass ive lobar conso lidati on on the right
I e) H2-re cepto r-bloc king
S(e .g., cimet idlne)
r11ntihlstamlnes

d)
side
Right sided tensi on pneu moth orax

II 59.
Ans. A, Ref. David son as UHS exam

A 52 years old woma n Is sever ely short of

e) Right sided pleur al effus ion
Ans. E Ref. Davidson's
breat h. She Is confu sed and cann ot respo nd
t.o que.c;tlons. There Is no one accom panyi ng 63. A 20 year old girl Is taking antltuberculosls
treatment. She presents In eye outdoor
I her to shed llght on her medl cal histo ry:
T :: 37.1 "C, Heart Rate = 120b pm, BP=
with vlsual complalnts. The most likely
cause of her symptoms Is side effect of:

I 105/6SmmHg, RR= 26/m ln.

Her lips appear blue, her neck muscles are
a)
b)
lsonla zld
Rlfam pln
being used to assist breat hing and there Is a

'
c) Etham butol
generalized wheeze on her chest. She Is put
d) Pyraz lnaml de

I on high- flow oxygen. Whic h Is the single

most appro priate course of Imme diate
management? '
e) Strte ptom ycln
Ans. C Ref. Davidson's _
I a) Amln ophyl llne 300m g IV 64, A SO year old male presents with productive
cough of copious amounts of foul smelllns
I b)
c)
Epinephrine (adre naline ) 0.5m g IM
Hydro cortls one 100m g IV
sputum and hemoptysls. Brochlectasls Is
suspected, the Investigation of choice Is:
d) Magnesium sulph ate l.2g IV Bronc hosco py
a)
e) Salbutamol 5mg NEB
b) X-ray chest -PA
Ans, E as UHS e><am c) High resol utluo n CT scan
60. False tuber culln te t d) Serum immu noglo bulin
the follow ing excep~: may be seen In all of
e) Sputu m exam inatio n
a) Mlliar y tuberculosis
Ans, C Ref, Davidson's
~

-MEOICfNC -

65,
I

Which Intervention Is
pneumothorax
?
used to treat d)
e)
Streptomycin
Pyrazinamide
33

a) Needle aspiration Ans. C Ref. Davidson's

b) Corticosteroids 70. Postural drainage has Important role In
c) Release of positive pressure treatment of:
d) SABA and LAMA a) COPD .
e) None of above
Ans. A Ref. Davidson's
b)
c)
d)
Asthma
Pleural effusion
Bronchiectasls
II
66 ; whlch of the following aggravates asthma? e) Tuberculosis
a) Methacholine
Ans. D Ref. Davidson's
bl Salbutamol
c) Ganciclovir I
d)
e)
Corticosteroid
All
Ans. A Ref. Davidson's
67, A 30 year old main has been suffering from
-I
attacks of dlfflcult breathing In the past, He
presents In emergency with 3 days history
I
of severe dlfflculty In breathing, which Is
not responding to usual treatment. Which Is I
a)
first line treatment you would administer?
Iv Furosemide I
b)
c)
d)
Iv hydrocortisone
Inhalation of ventolin
Iv diazepam
I
e) Iv amlnophylllne
Ans. B
68. A12 year old child has dry cough and fever for
4 weeks. Chest X-ray, shoes hllar
lytmphadenopathy on right side and
consolldatlon of the right mlddle lobe.
Which of the following condition you wlll
consider as the most llkely possiblllty?
a) Pneumococcal pneumonia
b) Hodgkin's disease
c) lnterstltltlal lung disease '

d) Primary pulmonary tuberculosls

_ e) Benign tumor of right bronchus
_ Ans, D
69
• Which of the following antltubercular drugs
leads to color blindness? ~-
a) Rlfamplcln
b) lsonlazld
c) Ethambutol

it,