NEET PG Medicine MCQs 14 – Respiratory System Disorders

1. D-dimer is the most sensitive diagnostic test for

  1. Pulmonary embolism
  2. Acute Pulmonary edema
  3. Cardiac tamponade
  4. Acute myocardial infarction

Ans(1)


2. Not seen in precapillary Pulmonary hypertension:

  1. ↑ a pressure in Pulm. circulation
  2. ↑ Capillary pressure
  3. Rt -vent. hypertrophy
  4. ↑ Pulmonary wedge pressure

Ans(4)


3. D-Dimer is the most sensitive test for

  1. DVT
  2. Pulmonary Embolism
  3. Acute Pulmonary edema
  4. Acute myocardial infarction

Ans(2)


4. Precapillary Pulmonary hypertension is caused by all except

  1. Mitral stenosis
  2. Pulmonary vasculitis
  3. Primary Pulmonary Hypertension
  4. Thromboembolism

Ans(1)


5. Which of the following should be the initial investigation in a patient with a low clinical likelihood of Pulmonary Embolism

  1. D-Dimer
  2. Chest CT
  3. Pulmonary Angiography
  4. V/Q Scan

Ans(2)


6. All are causes of Pulmonary hypertension except

  1. Hyperventilation
  2. Morbid obesity
  3. High altitude
  4. Fenfluramine

Ans(1)


7. Which of the following should be the initial investigation in a patient with a high clinical likelihood of Pulmonary Embolism

  1. d- dimer
  2. Chest CT
  3. Pulmonary Angiography
  4. V/Q lung Scan

Ans(1)


8. Pulmonary hypertension may occur in all of the following conditions except

  1. Toxic oil syndrome
  2. Progressive systemic sclerosis
  3. Sickle cell anemia
  4. Argemone mexicana poisoning

Ans(4)


9. A 55 years old man who has been on bed rest for the past 10 days. complains of breathlessness and chest pain. The chest X-ray is normal. The next

  1.  Lung ventilation-perfusion scan
  2. Pulmonary arteriography
  3. Pulmonary venous angiography
  4. Echocardiography

Ans(1)


10. Pulmonary hypertension in COPD is due to all, except

  1. Hypoxia
  2. Pulmonary vasoconstriction
  3. High lung volume
  4. Bronchoconstriction

Ans(4)


11. The most definitive method of diagnosing Pulmonary embolism is:

  1. Pulmonary arteriography
  2. Radioisotope perfusion Pulmonary scintigraphy
  3. EXG
  4. Venography

Ans(1)


12. Iloprost in Pulmonary Arterial Hypertension is administered:

  1. Intravenous
  2. Intrauscular
  3. Oral
  4. Inhalation

Ans(4)


13. The treatment of choice in a patient with Massive Pulmonary Embolism in Shock is:

  1. Thrombolytic Therapy
  2. Low Molecular Weight Heparin
  3. Surgical Embolectomy
  4. Aggressive Fluid Resuscitation

Ans(1)


14. A 29 years old unmarried female presents with progressive dyspnea. Her X-ray chest shows clear lung fields. Pulmonary function testing reveals in FVC of 92%; fev1/fvc of 89%; and dlCO of 59%. On exercise testing her oxygen saturation drops from 92% to 86%. What is the likely diagnosis :

  1. Alveolar hypoventilation
  2. Primary Pulmonary Hypertension
  3. Interstitial lung disease
  4. Anxiety

Ans(2)


15. The young healthy patient presents to the Emergency with Acute Pulmonary embolism. patient’s blood pressure is normal but echocardiography reveals Right ventricular hypokinesia and compromised cardiac output.

The treatment of choice in this patient is:

  1. Thrombolytic therapy
  2. Anticoagulation with low molecular weight heparin
  3. Anticoagulation with warfarin
  4. Inferior vena cava filters

Ans(1)


16. A 29 years old anxious lady presents with a history of progressive breathlessness and exercise intolerance for four months. Her FVC is 90% and FEV1/ FVC is 86%. Oxygen saturation after exercise was observed to drop from 92% to 86%. What is the likely diagnosis:

  1. Primary alveolar hypoventilation
  2. Primary Pulmonary Hypertension
  3. Anxiety disorder
  4. Interstitial lung disease

Ans(2)


17. Hypokinesia of right ventricular free wall on Transthoracic Echocardiography is known as

  1. Mc Connell’s sign
  2. Westermark’s sign
  3. Hampton’s hump
  4. Palla’s sign

Ans(1)


18. Chronic Cor Pulmonale is seen in all except:

  1. Pulmonary embolization
  2. COPD
  3. Cystic fibrosis
  4. Primary Pulmonary hypertension

Ans(1)


19. Pulmonary Hypertension is defib=ned as Pulmonary Artery Pressure:

  1. ≥ 15 mm Hg
  2. ≥ 18 mm Hg
  3. ≥ 20 mm Hg
  4. ≥ 25 mm Hg

Ans(4)


20. The most common cause for chronic cor pulmonale is

  1. Recurrent Pulmonary embolization
  2. COPD
  3. Cystic fibrosis
  4. Bronchial Asthma
  5. Airway foreign body

Ans(2)


21. Pre-capillary Pulmonary Hypertension is defined as:

  1. PAP ≥ 25 mm Hg; PCWP > 15mm Hg
  2. PAP ≥ 25 mmHg; PCWP ≤ 15mm Hg
  3. PCWP ≥ 25 mmHg; PAP > 15mm Hg
  4. PCWP ≥ 25 mm Hg; PAP ≤ 15mmHg

Ans(2)


22. The most common cause of acute cor pulmonale is:

  1. Pneumonia
  2. Pulmonary thromboembolism
  3. Chronic Obstructive Pulmonary Disease
  4. Primary spontaneous pneumothorax

Ans(2)


23. All of the following are signs of Pulmonary Hypertension Except

  1. Right Parasternal heave
  2. Raised JVP
  3. Palpable P2
  4. Low volume pulse

Ans(1)


24. All the following are radiological features of Chronic Cor Pulmonale except

  1. Kerley B lines
  2. Prominent lower lobe
  3. Pleural effusion
  4. Cardiomegaly

Ans(2)


25. In primary Pulmonary  hypertension basic abnormality in gene lies in:

  1. Bone morphogenic protein receptor II
  2. Endothelin
  3. Homeobox gene
  4. PAX-I I

Ans(1)

Take the quiz to complete the lesson. For taking the quiz please enroll as a member of this site and join our gold course

All attempts have been made to give the right answers in case anything wrong please inform us through our comments section also refer standard textbooks

Most of the questions are from previous papers of  leading universities in India

Repeat questions show the importance of those question

 

 

Free WordPress Themes, Free Android Games