Carcinoid:

A) Infectious disease

B) Immune disease

C) Mineral dust-induced disease

D) Circulatory disease

E) Tumor

E) Tumor

Mesothelioma:

A) Infectious disease

B) Immune disease

C) Mineral dust-induced disease

D) Circulatory disease

E) Tumor

E) Tumor

Asthma:

A) Infectious disease

B) Immune disease

C) Mineral dust-induced disease

D) Circulatory disease

E) Tumor

B) Immune disease

Croup:

A) Infectious disease

B) Immune disease

C) Mineral dust-induced disease

D) Circulatory disease

E) Tumor

A) Infectious disease

Lobar pneumonia:

A) Infectious disease

B) Immune disease

C) Mineral dust-induced disease

D) Circulatory disease

E) Tumor

A) Infectious disease

Bronchiectasis:

A) Infectious disease

B) Immune disease

C) Mineral dust-induced disease

D) Circulatory disease

E) Tumor

A) Infectious disease

Legionnaires' disease:

A) Infectious disease

B) Immune disease

C) Mineral dust-induced disease

D) Circulatory disease

E) Tumor

A) Infectious disease

Ghon complex:

A) Infectious disease

B) Immune disease

C) Mineral dust-induced disease

D) Circulatory disease

E) Tumor

A) Infectious disease

Sarcoidosis:

A) Infectious disease

B) Immune disease

C) Mineral dust-induced disease

D) Circulatory disease

E) Tumor

B) Immune disease

Pneumonconiosis:

A) Infectious disease

B) Immune disease

C) Mineral dust-induced disease

D) Circulatory disease

E) Tumor

C) Mineral dust-induced disease

Silicosis: 

A) Infectious disease

B) Immune disease

C) Mineral dust-induced disease

D) Circulatory disease

E) Tumor

C) Minearl dust-induced disease

Asbestosis:

A) Infectious disease

B) Immune disease

C) Mineral dust-induced disease

D) Circulatory disease

E) Tumor

C) Mineral dust-induced disease

The most common of all the infections of the respiratory tract is:

A) Upper respiratory infection

B) Laryngitiis

C) Tracheitis

D) Pneumonia

E) Pleuritis

A) Upper respiratory infection

Bronchiolitis of children is in most instances caused by:

A) Bacteria

B) Viruses

C) Fungi

D) Parasites

E) Pneumocystis cannii

B) Viruses

Lung infection that develops in patients who have heart failure and pulmonary edema is called:

A) Interstitial pneumonia

B) Hypostatic pneumonia

C) Bronchiectasis

D) Chronic obstructive pulmonary disease

E) Lobar pneumonia

B) Hypostatic pneumonia

Mycoplasma pneumoniae infection usually causes:

A) Lobar pneumonia

B) Lobular pneumonia

C) Aspiration pneumonia

D) Interstitial pneumonia

E) Abscesses

D) Interstitial pneumonia

Miliary tuberculosis is characterized by:

A) Granuloma formation

B) Abcess formation

C) Lobar pneumonia

D) Acute bronchitis

E) Acute bronchiolitis

A) Granuloma formation

The major pulmonary complication of congenital alpha 1-antitrypsin deficiency is:

A) Chronic bronchitis

B) Bronchiectasis

C) Atelectasis

D) Emphysema

E) Mesothelioma

D) Emphysema

The most important cause of emphysema is:

A) Cigarette smoking

B) Air pollution in the cities

C) Tuberculosis

D) AIDS

E) Asthma

A) Cigarette smoking

Attacks of intrinsic asthma may be precipitated by all the following EXCEPT:

A) Exercise

B) Bronchial infection

C) Aspirin

D) Corticosteroids

E) Psychological stress

D) Corticosteriods

In lungs affected by sarcoidosis there are numerious granulomas and infiltrates of: 

A) T-suppressor lymphocytes

B) T-helper lymphocytes

C) B lymphocytes

D) Eosinophils

E) Plasma cells

B) T-helper lymphocytes

Coal-workers' lung disese is best classified as:

A) Asbestosis

B) Pneumoconiosis

C) Acute hypersensitivity reaction

D) Chronic hypersensitivity reaction

E) Chronic bacterial pneumonitis

B) Pneumoconiosis

All the following lung lesions have benn linked to asbestos exposure except:

A) Bronchial asthma

B) Pulmonary fibrosis

C) Pleural fibrosis and plaques

D) Lung cancer

E) Mesothelioma

A) Bronchial asthma

Fibrin-rich hyaline membrances and protein-rich intra-alveolar edema are featrues of:

A) Atelectasis

B) Diffuse alveolar damage (DAD) in adult respiratory distress syndrome (ARDS)

C) Emphysema

D) Bronchiectasis

E) Aspiration pneumonia

B) Diffuse alveolar damage (DAD) in adult respiratory distress syndrome (ARDS)

Approximately 90% of all patients with lung cancer present with a history of:

A) Alcoholism

B) Hereditary cancer syndromes

C) Cigarette smoking

D) Exposure to chemical carcinogens in food and water

E) Obesity

C) Cigarette smoking

The most common presenting symptom of lung cancer is:

A) Prolonged coughing and expectoration

B) Bleeding

C) Chest pain

D) Pleural effusion

E) Hoarseness due to nerve paralysis

A) Prolonged coughing and expectoration

Pleural tumors are usually associated with: 

A) Pneumothorax

B) Heothroax

C) Pyothorax

D) Pleural effusion

E) Empyema

D) Pleural effusion

A 68 year black retired shipyard worker, presents with a year long history of weight loss, fatigue and shortness of breath. He though that perhaps he was smoking too much, so he recently quit last month. He had two episodes of hemoptysis this week. Chest X-ray reveals a right middle lobe infiltrate consisten with pneumonia. Which of the following is the most appropriate clincial response?

A) Treat with antibiotics

B) Refer to an occupational medicine consultant for mediolegal evaulation

C) Repeat the chest X-ray in the next few weeks after appropriate treatment to exclude any underlying cancer

D) Tell him to write his will

E) Perform a biopys for asbestosis

C) Repeat the chest X-ray in the next few weeks after appropriate treatment to exclude any underlying cancer

Please choose the correct clinical diagnosis from the description given. Previously healthy 25-year-old white female is in clinic with sudden onset of cough, dyspnea and wheezing. Auscultation reveals scattered wheezes and rhonchi; chest X-ray normal. Pulmonary function test's done six months ago were normal.

A) Emphysema

B) Chronic bronchitis

C) Asthma

D) Restrictive lung disease

E) Pulmonary embolism

C) Asthma

Please choose the correct clinical diagnosis from the description given. 69 year old overweight white male with 15 year hisotry of chest colds lasting at least 3 months each year. Has 60 pack year smoking history; is barrel chested; pulmonary function tests reveal FEV₁/FVC=46%, RV=130% predicted: 

A) Emphysema

B) Chronic bronchitis

C) Asthma

D) Restrictive lung disease

E) Pulmonary emolism

F) A & B

F) A & B

The two basic pathophysiologies of asthma are:

A) Airway inflammation an airway expansion

B) Airway inflammation and airway constriction

C) Decrease mucus secretion and irway constrction

D) All of the above

B) Airway inflammation and airway constriction

In asthma the following occurs in airway inflammation:

A) Increased mucus secretion

B) Edema of airways

C) Immune response involving histamine

D) A and B

E) A, B, and C

E) A, B, and C

A 20 year old non-smoking female is in clinic with a chief complaint of her "asthma acting up". What further information would you want in order to evaluate and treat this patient?

A) What is her baseline FEV₁ on her home spirometer?

B) Is she exposed to second hand smoking?

C) Current medications, how and when she uses them and if they relieve her symptoms.

D) All of the above

D) All of the above

Obstructive pulmonary disease includes all except:

A) Asthma

B) Bronchitis

C) Pulmonary emboli

D) Emphysema

C) Pulmonary emboli

Sputum production is seen with all of the following diagnoses EXCEPT:

A) Tuberculosis

B) Bronchopneumonia

C) COPD (chronic obstructive pulmonary disease)

D) PE (pulmonary embolism)

E) Smoke inhalation 

D) PE (pulmonary embolism)

Which of the following are known to be assoociated with asthma attacks?

A) Smoking

B) Mast cells which release histamine

C) Aspiration

D) Exercise

E) All of the above

E) All of the above

PE (pulmonary embolism) is caused by emboli which typically originate in the:

A) Lungs

B) Legs

C) Neck

D) All of the above

E) None of the above

B) Legs

ALL of the following are true of tuberculosis EXCEPT:

A) Usually diagnosed in assymptomatic individuals by positive PPD (purified protein derivative) test

B) Can show positive findings on chest X-ray

C) In assymptomatic cases, prophyllaxis usually includes INH and Rifampin

D) Active (symptomatic) TB is almost always fatal

E) Even if adequately treated, can re-emerge in immunocompromised patients

D) Active (symptomatic) TB is almost always fatal

A nocturnal cough can be suggestive of the following:

A) Congestive heart failure

B) Asthma

C) Chronic obstructive pulmonary disease

D) Esophageal reflux

E) All of the above

E) All of the above

ALL of the following can be associated with dyspnea EXCEPT:

A) Congestive heart failure

B) Peptic ulcer disease

C) Anemia

D) Anxiety

E) Pulmonary embolism

B) Peptic ulcer disease

ALL of the following are considered chemical factors in lung disease EXCEPT:

A) Humidity

B) Smoking

C) Carbon monoxide

D) Cigarettes

E) Aspirated Stomach contents

A) Humidity

Please choose the correct clincial diagnosis from the description given. 55 year old white female with 80 pack year history of cigarettes, has had dry cough for 5 years then presents with dyspnea, pursed lip breathing. Chest X-ray reveals "honey-combing":

A) Emphysema

B) Chronic bronchitis

C) Asthma

D) Restricitve lung disease

E) Pulmonary emolism

F) A & B

F) A & B

Please choose the correct clinical diagnosis from the description given. 52 year old chronic alcoholic hospitalized in intensive are for alcoholic hepatitis and delirium tremens, who develops severe dyspnea, tachypnea and chest pain day seven of hospital stay:

A) Emphysema

B) Chronic bronchitis

C) Asthma

D) Restrictive lung disease

E) Pulmonary embolism

E) Pulmonary embolism

Information appropriate for a chest and lung history pertains mostly to a patient's:

A) Allergy tests and treatment plans

B) Expectations for treatment and cure

C) Experiences with difficult breathing

D) Previous sports injuries and rehabilitation

C) Experiences with difficult breathing

Which condition manifests as unexplained shortness of breath and has a mortality rate of 66%?

A) Bleeding ulcer

B) Myocardial infarction

C) Pulmonary embolism

D) Transient ischemia

C) Pulmonary embolism

In a patient with emphysema a chest X-ray would show:

A) Hyperinflamtion

B) normal Inflation bute decreased bronchovascular markings

C) Decreased bronchovascular markings

D) A and C

D) A and C

A patient with acute bronchitis comes to you and wants you to give somethng to stop his cough. What do you do with this patient?

A) Give a prescription for a medicine that will completely stop his cough

B) Tell him to drink over 10 glasses of water a day to loosen his secretions

C) Explain to him that some coughing is necessary to elminate his secretions

D) B and C

D) B and C