I n t e r n a L medicine questions Bank

All of the following regarding chest drain suction are true except:

1. 
   Suction to an intercostal tube should not be applied directly after tube insertion
   
2. 
   Suction to an intercostal tube is recommended in cases of lung failure to re- expand
   
3. 
   When applying suction,high volume, low pressure (-10 to –20 cm H2O) suction systems are recommended
   
4. 
   Suction to an intercostal tube should can be applied in cases of persistent air leak
   
5. 
   Patients requiring suction can be managed on outpatient basis.
   

19. 
    All of the following regarding spontaneous pneumothorax are absolute indications for operative interventions except:
    

1. 
   Second ipsilateral pneumothorax
   
2. 
   First contra lateral pneumothorax
   
3. 
   Bilateral pneumohoraces
   
4. 
   First ipsilateral ofpneumothorax in individuals living in remote area.
   
5. 
   Persistent air leak (>7days)
   

19. 
    Which of the following is the least cause of iatrogenic pneumothorax?
    

1. 
   Transthoracic needle aspiration
   
2. 
   Subclavian vessel puncture
   
3. 
   Thoracocentesis
   
4. 
   Pleural biopsy
   
5. 
   Intercostal nerve block.
   

19. 
    All of the following are causes of exudative pleural effusion except:
    

1. 
   Malignancy
   
2. 
   Trauma
   
3. 
   Collagen vascular disease
   
4. 
   Infection
   
5. 
   Congestive heart failure.
   

37) The essential factor in the pathogenesis of aortic aneurysm is damage:

1. 
   To the intimal layer
   
2. 
   To the medial layer.
   
3. 
   To the adventitial layer
   
4. 
   To all layers
   
5. 
   Due to atherosclerosis