2004 Mcq Trial Exam

8/17/2019 2004 Mcq Trial Exam

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PART II TRIAL EXAM 2004

MULTIPLE CHOICE PAPER

60 QUESTIONS IN 90 MINUTES


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PART II TRIAL EXAM 2004.

MULTIPLE CHOICE QUESTIONS.

PLEASE SELECT THE ONE CORRECT ANSWER.

1. With regards to investigating patients with suspected PE. Which ONE of thefollowing is TRUE

A. The most common ECG finding in PE is ppulmonale

B. The chest !ra" in nearl" half of all patients with acute PE will show anelevated dome of one hemidiaphragm

C. #$% of patients with an acute PE will have a normal &a gradient

D. 'dimer is highl" sensitive and specific for the diagnosis of PE

E. 'ecreased ventilation in an area of diminished perfusion an a ventilationperfusion lung scan is suggestive of PE

2. (n the assessment of patients presenting with suspected )acterialendocarditis. Which ONE of the following is *&+,E

A. -##$% have haematuria

B. Evidence of vasculitis or em)olic events aids clinical diagnosis

C. Two separate sets of )lood cultures from different veins should )e taenfor aero)ic/ anaero)ic/ and fungal cultures

D. +eucoc"tosis/ raised CRP/ and p"uria support the diagnosis

E. Normoc"tic anaemia supports the diagnosis


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3. (n differentiating )etween ventricular tach"cardia and supraventriculartach"cardia with a)erranc". Which ONE of the following is *&+,E

A. & constant 0undle 0ranch 0loc pattern suggests a)erranc"

B. 1R, duration longer than $.23s is usuall" found in ventricular tach"cardia

C. 4agal manoeuvres do not generall" affect ventricular d"srh"thmias

D. &ge over 5# "ears is suggestive of ventricular tach"cardia in patients witha regular wide comple! tach"cardia

E. &n r,R6 7 Right 0undle 0ranch 8 pattern in 42 favours a)erranc"

4. (n patients following an acute m"ocardial infarction. Which ONE of thefollowing is *&+,E

A. Treatment with )adrenergic )locers have shown improved survival

B. The ma9or determinants of prognosis include age/ left ventricular function/and effort tolerance

C. Use of lipidlowering agents in patients with ischaemic heart disease have)een shown to reduce the ris of su)se:uent cardiovascular death

D. Clinical insta)ilit" of angina is a ma9or determinant of prognosis

E. (n -#% of cases the infarctrelated arter" has onl" minimal or mild stenosis

5. & 3 wee old )a)" presents with a two da" histor" of d"spnoea andsweating whilst feeding. Which ONE of the following is *&+,E

A. Clinical differentiation of heart failure from noncardiac causes in this agegroup is difficult.

B. Cardiomegal" on chest !ra" is usuall" present in congestive heart failure.

C. Patent ductus arteriosus is the most common cause of congestive heartfailure at this age.

D. The incidence of congenital heart disease is ; per 2$$$ live )irths.

E. Raised 9ugular venous pressure/ peripheral oedema/ and lung crepitations

are late signs in infants with congestive heart failure.


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6. Which ONE of the following scenarios is most liel" to e!plain the followingresults Na< 252 725# = 23#8 p> ?.#;@< -.2 75.# = 3.#8 pCO- 3#

Cl< ?A 72$$22$8 pO- #2>CO5< 3$ 7-- = -;8 >CO5 32Urea 5A 75 = B8Creat $.#- 7$.$5 $.2$8

A. & A$"earold woman with e!acer)ation of CO&'

B. & 2$ da" old )o" with vomiting and constipation

C. & 2#"earold insulin dependent dia)etic with altered level ofconsciousness

D. & ?#"earold woman on frusemide for congestive cardiac failure

E. & -5"earold woman distressed after ingestion of amphetamines.

7. Which ONE of the following results does NOT indicate a poorer prognosisin the assessment of a patient with acute pancreatitis

A. 0,+ 2#.2mmoll

B. Ca at 3;hrs< 2.Bmmoll

C. +'> 2$2- iul

D. WCC 25.B!2$B litre

E. PO- at 3;hrs< #Bmm>g


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8. & ?- "earold man presents to "our Emergenc" 'epartment complaining ofsevere generalised a)dominal pain which came on suddenl" 5$mins prior topresentation. >e was recentl" discharged from hospital following an acuteanterior m"ocardial infarct that was treated with throm)ol"tic therap".>is e!amination reveals<

,everel" distressed man>R ?- = regular 0P 2A$B$Temp 5A.A &)domen soft with )owel sounds present &0G mild respirator" alalosis

Which ONE of the following is the most liel" diagnosis

A. &cute peritonitis due to perforated peptic ulcer

B. Desenteric ischaemia due to arterial throm)osis

C. &cute mesenteric ischaemia due to em)olism to inferior mesenteric arter"

D. &cute mesenteric ischaemia due to em)olism to superior mesentericarter"

E. >aemorrhagic pancreatitis

9. With respect to acute gastroenteritis/ which pairing is *&+,E

A. 0lood" diarrhoea Enteroinvasive E. coli

B. Water" diarrhoea = 4i)rio cholerae

C. Enteric fever responsive to ciproflo!acin = ,almonella

D. '"senter" = ,almonella

E. Responsive to large dose Ciproflo!acin Giardia


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10. With respect to acute cholec"stitis/ which ONE of the following is TRUE

A. &)dominal !ra" has a sensitivit" of ?#% for the identification of gallstones

B. Raised white cell count with RU1 pain and ultrasound proven gall stones

means cholec"stitis is present

C. Raised +*T6s strongl" indicates o)struction

D. Ultrasound can visualise B#% of common )ile duct stones with ane!perienced operator

E. CT scan is ver" sensitive for C0' o)struction

11. Regarding a significant ingestion of mushrooms/ which ONE of thefollowing is *&+,E

A. G(T s"mptoms are common/ )ut often not a marer of to!icit"

B. Patients with significant life threatening poisoning will present within da"sof their ingestion

C. &manita phalloides mushrooms are present in &ustralia

D. &manita phalloides poisoning is characterised )" phases of severe G(Tdistur)ance/ apparent recover" at -3 hours/ and multi organ failurecommencing on da" - or da" 5

E. (ntracta)le grand mal seiures ma" )e a manifestation of mushroompoisoning


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12. & Ftin" )rownish coloured snae has )itten a 5"earold child on the trun.Which ONE of the following is TRUE

A. Huvenile )rown snaes do not have ade:uate teeth and venom to causesignificant envenomation in humans

B. (f this child lived in Tasmania/ )rown snae)ite would still )e in thedifferential of potential snaes fitting that description

C. (f this child lived in Western &ustralia/ and was confirmed to have )eenenvenomated )" a )rown snae/ an initial antivenom dose of two vials)rown snae specific antivenom would )e considered ade:uate

D. &ppl"ing local direct pressure to the )ite site on the trun has )een shownto )e )eneficial as a form of first aid where pressure immo)ilisation)andages cannot )e used due to the anatomical area of the )ite

E. Neuroto!icit" is the most liel" manifestation of envenomation with a)rown snae)ite.

13. Regarding the s"mptomatic e!posure to organophosphates/ which ONE of the following is *&+,E

A. Pupil sie is not useful clinical marer in guiding therap"

B. Organophosphates are highl" lipophilic and penetrate e!posed sin readil"

C. &dministering )enodiaepines when organophosphate relatedneuropath" commences can prevent late a!onal degeneration

D. Pralido!ime administration is an efficient means to preventing theIintermediate s"ndrome6 associated with organophosphate poisoning

E. When the mi!ed cholinesterase test is used/ a value less than the mean of the two samples used suggest more pralido!ime is re:uired


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14. & A"earold child presents after a viral illness/ having )een givenparacetamol for a few da"s. Which ONE of the following is *&+,E

A. Chronic supratherapeutic paracetamol ingestion often presents withletharg" and fever

B. The DatthewRumac nomogram is not a useful tool in the setting ofchronic paracetamol poisoning

C. The loading dose of Nacet"lc"steine is 2$$mgg in 2$$ ml #% de!troseover 2# minutes

D. ,ignificant poisoning occurs when a cumulative dose of 2#$mggda" ofparacetamol is e!ceeded

E. &llergic manifestations to Nacet"lc"steine is common/ )ut rarel" an

indication to cease such therap"

15. & child presents after a single large ingestion of iron ta)lets. Which ONEof the following is TRUE

A. *errous sulfate contains appro!imatel" 2-% elemental iron

B. G(T stricture formation characterising the final stage of iron to!icit" occursappro!imatel" two wees after ingestion

C. Total iron )inding capacit" 7T(0C8 is a useful measure of iron to!icit"

D. & ma!imum single dose of defero!amine in this patient should not e!ceed- gram when given (D

E. Dore than 3$mgg of ingested elemental iron is a significant ingestionwith high lielihood of to!icit".

16. &ccording to the Fsad persons inde! which ONE of the following is*&+,E

A. ,< se! 7DJ*8

B. &< age 7J## or "outh8

C. '< 'epression 7past histor"8

D. P< plan

E. E< ethanol


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20. Concerning the pregnant patient/ which ONE of the following statementsis *&+,E

A. Tilting the patient or manuall" displacing the uterus to the left in latepregnanc" prevents aortic compression with resultant h"potension

s"ndrome

B. The rate of com)ined intrauterine and ectopic pregnancies occurringtogether is appro!imatel" 2"peremesis is characteristic of tropho)lastic disease of the uterus suchas Imolar pregnanc"6

E. Rhesusnegative mothers ma" re:uire anti' (g following trauma inpregnanc"/ spontaneous a)ortion and ruptured ectopic pregnanc"

21. Which ONE of the following conditions is NOT associated with a raisedanion gap meta)olic alalosis

A. ,tarvation

B. Chronic diarrhoea

B. 4omiting with deh"dration

D. Thiamine deficienc"

E. ,alic"late to!icit"


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22. Which ONE of the following statements is *&+,E with regards dia)eticetoacidosis

A. (nsulin should )e continued until the etosis is cleared

B. The halflife of intravenous insulin is short ie less then five minutes

C. >"pophosphataemia is common secondar" to urine losses

D. 0eta h"dro!")ut"rate is detected on a standard urinal"sis

E. >"poalaemia on presentation necessitates replacement prior to thecommencement of insulin

23. Which ONE of the following statements is *&+,E with respect to &ddisonian crisis

A. 'e!amethasone is the preferred corticosteroid if the diagnosis is in dou)t

B. & serum sodium< potassium ratio of less then -#


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25. Which ONE of the following is NOT used in the emergenc" managementof h"percalcaemia

A. Normal ,aline

B. Corticosteroids

C. Thiaide diuretics

D. 0isphonates

E. Phosphate )inders

26. (n proph"la!is following >(4 e!posure/ which ONE of the following isTRUE

A. Proph"la!is is not recommended following e!posure from patients withnormal C'3 counts

B. Triple therap" is recommended in all cases/ if proph"la!is is to )e used

C. >(4 testing should )e continued for 2- months/ following e!posure

D. Proph"la!is should commence within A hours of e!posure for ma!imum)enefit

E. Ducocutaneous e!posure should not )e considered for proph"la!is

27. With respect to fe)rile children/ which ONE of the following statements is*&+,E

A. Contamination rates of )lood culture specimens with sin flora is #2$%

B. & positive )ag urine is not diagnostic of a UT(

C. Unwell/ to!ic children aged )etween 5 months and 5 "ears with atemperature J5; degrees Celsius should )e admitted and treated withempiric anti)iotics

D. & white cell count of 2$ ! 2$A + in a neonatal C,* specimen is a positiveresult that re:uires anti)iotic treatment

E. (ntravenous ceftria!one can )e used as empiric therap" in fe)rile childrenwith a high suspicion of )acteraemia )ut no identifia)le source


13/25

28. With respect to upper airwa" o)struction/ which ONE of the followingstatements is *&+,E

A. (n adult epiglottitis stridor is present in A$% of patients

B. (na)ilit" to tolerate the supine position is a sensitive sign of significantupper airwa" o)struction

C. +udwig6s angina is the most common nec space infection in adults

D. (n needle aspiration of a peritonsillar a)scess/ care must )e taen to avoidpuncturing the carotid vessels

E. (n clearing a foreign )od" upper airwa" o)struction in an infant a)dominalthrusts should )e avoided

29. &n ;$"earold female re:uires manual reduction of her Colle6s fracture.Which ONE of the following statements is TRUE

A. The dose of prilocaine $.#% for a 0ier6s )loc is 3mgg

B. Prilocaine cardiac to!icit" most commonl" results in a ventriculartach"cardia

C. The cuff for a 0ier6s )loc should )e inflated to a ma!imum of #$mm>ga)ove the patient6s s"stolic 0P

D. & complete plaster of paris should )e applied with three point moulding tomaintain the position of the reduction

E. &n ina)ilit" to cooperate is a ma9or precaution to performing a 0ier6s )locin children

30. ,elect the ONE TRUE answer. Prognosis in nontraumatic coma

A. (s e!tremel" poor when renal failure is associated with coma

B. (s )etter for structural lesions than hepatic encephalopath"

5. (s worse in patients with coincident shoc

D. (s 9ust as poor in drug overdose as in other causes

E. (s such that most patients go on to recover and lead an independent

e!istence


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31. & five"earold )o" has a diagnosis of post =meningitis epileps" for whichhe is taing phen"toin. >e is )rought to the E' )" his parents who state thathe is Fwaling funn"/ and that he complains of headache. >e is afe)rile with

normal vital signs for age. Which ONE of the following is NOT an immediateprocedure done from the E' for this case

A. Chec ,erum phen"toin

B. Cranial CT

C. &dminister paracetamol

D. +um)ar Puncture

E. Chec Electrol"tes

32. (ntramuscular etorolac could )e safel" used in which ONE of thefollowing circumstances

A. >aemophilia

B. +actation

C. &nticoagulant therap"

D. ,uspected drugseeing )ehaviour

E. Renal failure

33. & 5#"earold a)original man is )rought to the E' one minute aftercollapsing in the hospital fo"er. >e is GC, 5 with no output/ as"stole onmonitor/ and CPR is in progress. >e has a dial"sis fistula present at the left

wrist. Which ONE of the following medications will )e +E&,T liel" toincrease the chance of successful resuscitation

A. Calcium

B. 0icar)onate

C. &miodarone

D. Glucose

E. (nsulin


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34. & ?-"earold man presents to the E' complaining of fever and letharg".>e suffers from smallcell lung carcinoma/ and is two wees into his latestcourse of chemotherap". >e is fe)rile to 3$.# degrees centigrade/ and has a

peripheral WCC of -/ with Neutrophils of $.#. Which ONE of the following isNOT usuall" a drug of choice in this situation

A. Gentamicin

B. Timentin

C. Ceftaidime

D. Penicillin 4

E. 4ancom"cin

35. & 5#"earold alcoholic man from 'arwin presents to the E' complainingof d"suria and fever/ and suprapu)ic a)dominal pain. >e is fe)rile to 5B.#degrees celcius with normal vital signs. 'ipstic urinal"sis reveals 5M+eucoc"tes/ trace haemol"sed )lood/ -M Protein. (nvestigation and treatmentshould include which ONE of the following

A. Urinal"sis and culture

B. Prostatic Ultrasound

C. Gentamicin

D. 0lood Culture

E. &ll of the a)ove


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36. Which ONE of the following statements concerning soft tissue infectionsor wounds is *&+,E

A. Patients with fasciitis manifest moderate to severe s"stemic to!icit"/ oftenout of proportion to the cutaneous findings/ with high fever/ tach"cardia/

an!iet"/ disorientation and often fran shoc.

B. Earl" perior)ital cellulitis in an adult ma" )e treated with oral anti)ioticsand followed up on an outpatient )asis/ whereas or)ital cellulitis re:uireshospitalisation and intravenous anti)iotics

C. The treatment of cutaneous a)scess is incision and drainage. &nti)ioticsare not indicated in patients with normal host defences

D. Tetanus proph"la!is is indicated for an" wound in a patient who has )eenfull" immunised/ if the time since last vaccination is greater than five "ears

E. &ll human )ites to the hand including e:uivalent clenched fist in9uriesre:uire proph"lactic treatment with anti)iotics

37. (n the management of acute ischaemia of the lower lim)/ which ONE ofthe following is *&+,E

A. Patients with microem)oli are anticoagulated for up to # da"s

B. Uroinase is superior to streptoinase )ecause of lower complication rates

C. Therap" should commence within 2- hours of onset of ischaemia

D. Contraindications to throm)ol"tic therap" are the same as those form"ocardial infarction throm)ol"sis

E. Em)olic ischaemia is )est treated )" surgical intervention


17/25

38. Regarding throm)oem)olic disease/ which one of ONE the following isTRUE

A. 'dimer has negative predictive value onl" in patients with low pretestclinical pro)a)ilit"

B. Ples"thmograph" is superior to ultrasound in diagnosis of throm)osis inthe lower lim)

C. Pulmonar" em)oli can arise from organised clot

D. #$% of all fatal em)oli come from throm)oses in the calf

E. CT pulmonar" angiograph" must )e performed within -3 hours ofem)olisation to the lungs.

39. Concerning the indications for CT scanning in minor head in9uries/ whichONE of the following is TRUE

A. CT scanning is not recommended in children with a GC, of 2$ or greater

B. Post traumatic amnesia is not an indicator for CT findings

C. Patients with a GC, of 2# don6t re:uire CT scanning

D. *ocal neurological deficit is an a)solute indicator for CT scanning

E. CT is indicated in all patients over ?$ "ears of age with dementia.

40. When investigating patients with possi)le su)arachnoid haemorrhage/which ONE of the following is TRUE

A. 0rain CT without contrast is the initial investigation of choice

B. anthochromia can )e relia)l" detected )" visual inspection

C. DR( is a relia)le tool for detecting small aneur"sms

D. CT has a sensitivit" of onl" 2$% at ? da"s post haemorrhage

E. & positive 'dimer on C,* is not diagnostic


18/25

41. (n supracond"lar fractures in children/ which ONE of the following is*&+,E

A. ,upracond"lar fractures are more common in children than in adults

B. B#% are displaced posteriorl"

C. (n some undisplaced fractures the fracture line ma" not )e visi)le on !ra"

D. 'isplaced fractures should )e treated initiall" )" closed reduction

E. Neurovascular compromise is uncommon

42. Concerning painful hips in children/ which ONE of the following is TRUE

A. &cute transient tenos"novitis is the commonest cause of hip pain inchildren less than 2$ "ears of age

B. +eggClavePerthes disease is )ilateral in -#% of cases

C. & raised E,R is diagnostic of septic arthritis

D. ,lipped capital femoral epiph"sis is more common in females

E. DR( is less sensitive than )one scan in detecting avascular necrosis

43. Regarding verte)ral fractures/ which ONE of the following is *&+,E

A. 0ilateral interfacetal dislocations occur in fle!ion

B. Chance fractures are not commonl" associated with a)dominal in9uries

C. Cla"shoveler fractures are the least unsta)le of cervical spinal fractures

D. Up to 3$% of cervical fractures are associated with neurological in9ur"

E. Wedge fractures of the lum)ar spine rarel" have associated neurologicalin9ur".


19/25

44. Concerning )ac pain/ which of ONE the following is TRUE

A. ,ciatica is pain radiating from the )ac to a)ove the nee

B. +oss of anal tone is a relia)le indicator of cauda e:uina

C. Epidural a)scesses are common in intravenous drug users

D. & positive +aseuge6s sign indicates nerve root irritation

E. ,pond"losis is not congenital

45. Regarding in9uries of the lower lim)/ which ONE of the following is *&+,E

A. 2$% of dislocations of the hip are anterior

B. 'islocations of the nee often reduce spontaneousl"

C. Ottawa anle rules include tenderness along the anterior of the distal ti)ia

D. ,ever6s disease is an overuse in9ur" of the &chilles tendon insertion

E. Osteochondral fractures of the talus commonl" occur over the medialportion

46. (n regard to renal colic/ which of the following statements is TRUE

A. >aematuria is a)sent in 2% of patients with renal colic

B. Ultrasound is the preferred investigation for visualisation of uncomplicatedmidureteral stones

C. Recurrent episodes occur in appro!imatel" -$% of patients

D. Uric acid stones are radioopa:ue and represent 2$% of all stones

E. ,tones less than #mm will pass within one month in B$% of cases


20/25

47. With respect to testicular pain in a 23"earold male/ which of the followingstatements is *&+,E

A. Torsion of the appendages pro)a)l" occurs more often than torsion of the

testes itself

B. 'iagnosis of epidid"moorchitis necessitates evaluation of the urinar" tractas part of followup

C. ,alvage rate in torsion operated on within 3 hr is appro!imatel" ?#%

D. Ten percent of testicular tumours present with pain secondar" to acutehaemorrhage within the tumour

E. 0ilateral orchidope!" should )e performed in cases of testicular torsion

48. 'rugs useful for tocol"sis in a -?wee pregnant woman with pretermla)our include all ECEPT

A. Dagnesium

B. (ndomethacin

C. ,al)utamol

D. Nifedipine

E. 0etamethasone


21/25

49. (n management of the patient with menorrhagia/ which ONE of thefollowing statements is *&+,E

A. &novulator" 'U0 is generall" not responsive to hormonal therap"

B. N,&('6s are useful in the treatment of menorrhagia/ )" )locingprostaglandin PGE-

C. N,&('6s have )een associated with a 5$ = #$% reduction in )leeding inpatients with Denorrhagia

D. Patients over 5# re:uire endometrial )iops" prior to definitive hormonaltherap" for menorrhagia

E. Coagulopathies such as platelet function disorders ma" first manifest assevere perimenarcheal )leeding

50. With respect to sudden visual loss/ which ONE of the following statementsis *&+,E

A. 0ilateral occipital infarction ma" present with )ilateral )lindness )ut pupilresponses would )e e!pected to )e intact

B. Poisoning with :uinine or methanol ma" present with )ilateral )lindnessand fi!ed/ constricted pupils

C. &cute vitreous haemorrhage presents with varia)le degrees of visual lossand is painless

D. Optic neuritis generall" presents with a gradual visual decline and relativeafferent pupillar" defect should )e present

E. Treatment of central retinal arter" occlusion is generall" futile if theo)struction has )een present for more than two hours


22/25

51. (n considering dentoalveolar trauma/ which ONE of the followingstatements is TRUE

A. &n Ellis class ( fracture involves the enamel and dentin components of atooth

B. & fran drop of )lood and e!posed pulp implies an Ellis class ((( fractureand emergenc" dental review

C. & percentage point for successful reimplantation is lost each hour that anavulsed tooth is a)sent from the oral cavit"

D. &vulsed primar" anterior teeth should )e replaced into their socets toavoid su)se:uent facial deformit"

E. Dil should not )e used as a storage and transport medium for avulsed

teeth due to its high concentration of calcium and magnesium

52. (n an ;"earold child with tonsillitis/ which ONE of the followingstatements is *&+,E

A. Tonsillar e!udate is rarel" seen in viral phar"ngitis

B. &nti)iotic treatment has onl" a minor impact on the duration of s"mptomsin acute sore throat

C. Pheno!"meth"lpencillin 2$mg g is anti)iotic treatment of choice forsevere tonsillitis

D. O)9ectives of treatment with penicillin include prevention of rheumaticfever and prevention of suppurative complications

E. Poststreptococcal glomerulonephritis is a nonsuppurative complication of strep phar"ngitis that is not preventa)le with anti)iotic therap"


23/25

53. With respect to cervical spine !ra"s in children/ which ONE of thefollowing is CORRECT

&. &ir in the preverte)ral space is alwa"s a)normal

0. & normal predental space ma" )e twice as wide as that seen in an adult

C. The odontoid peg does not fuse to the verte)ral )od" until after the age offour

'. ,u)lu!ation at C-C5 is normal

E. The normal retrophar"ngeal space at C- should )e less than ?mm

54. With respect to asthma/ which ONE of the following is TRUE

&. &n elevated white cell count is more liel" to )e due to infection in children

0. Respirator" function testing is unrelia)le in most primar" school agedchildren

C. & chest !ra" should )e performed

'. The indication for steroids is the same in adults and children

E. (ntu)ation should )e performed if the pCO- is elevated

55.Which ONE of the following statements a)out malignant h"pertension is*&+,E

&. 0P should )e rapidl" lowered )" 5$% over 5$A$ mins

0. 'iastolic 0P greater than 2-$ mm>g is diagnostic

C. Nitroprusside causes an increase in m"ocardial o!"gen demand

'. GTN is the drug of choice in patient with pulmonar" oedema

E. (f associated with renal impairment/ red cell casts are seen in the urine


24/25

56. Which ONE of the following is +E&,T liel" to )e a feature in a patientadmitted with )ronchiolitis

A. Normal white )lood cell count

B. Normal chest ra"

C. &pnoea

D. Patient aged in first "ear of life

E. Response to )ronchodilators

57. Which ONE of the following features would mae "ou suspect an at"picalpneumonia

A. ,udden onset of s"mptoms

B. (nfection ac:uired in hospital

C. +ac of a predominant organism on sputum Gram stain

D. Elevated white )lood cell count

E. Dared respirator" signs and s"mptoms with relativel" minimal findings onchest ra"

58. Which ONE of the following is TRUE of 0ilevel Positive &irwa" Pressure70iP&P8

A. ,ome investigators have found +evel 2 evidence supporting the use of 0iP&P in severe e!acer)ations of CO&'

B. 0iP&P t"picall" causes a transient initial worsening of 41 mismatch

C. There are no a)solute contraindications to the use of 0iP&P in CO&'

D. The administration of 0iP&P precludes the use of ne)ulised)ronchodilators

E. 0iP&P does not affect intrinsic PEEP 7autoPEEP8 in patients with CO&'


25/25

59. Which ONE of the following is the +E&,T liel" to complicate carcinomaof the lung

A. >"ponatraemia

B. (ncreased serum viscosit"

C. Urinar" incontinence

D. *acial oedema on waing

E. >"percalcaemia

60. Which ONE of the following statements regarding spontaneouspneumothora! is TRUE

A. The recurrence rate following a single episode is 2$% over the ensuingfive "ears

B. Pulmonar" infection is the most commonl" associated condition insecondar" spontaneous pneumothora!

C. >ammans sign is a pathognomonic finding

D. (n the a)sence of an" further air lea/ a -$% pneumothora! would )ee!pected to rea)sor) over appro!imatel" 2A da"s

E. Ree!pansion pulmonar" oedema is usuall" )ilateral

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2004 Mcq Trial Exam