I n t e r n a L medicine questions Bank

All of the followings are useful for the assessment of the severity of patients with bronchial asthma except :

1. 
   Spirometry .
   
2. 
   Methacholine tests
   
3. 
   ABG (arterial blood gases)
   
4. 
   Peak expiratory flow rate for variability. e- Physical examination .
   

2. 
   Which one of the following pulmonary function values indicates airflow limitation .
   

a-FEV1 of 60% of predicted . b-FVC of 60% of predicted .

3. 
   FEV1/FVC of 60% of predicted .
   
4. 
   DLCO of 60% of predicted .
   
5. 
   Residual volume of 60% of predicted .
   

3. 
   All of the followings can be used as a challenge tests for patients with bronchial asthma except ;
   

a-Methacholine . b-Histamine .
c-Normal saline . d-Excersise .
e-Hypertonic saline .

4. 
   Lung’s failure type respiratory failure is characterized by which one o the followings :
   

a-Normal chest X ray .
b-Hypocapnia or normocapnia .
c-Diffusion is the main mechanism of hypoxia . d- Easy to correct hypoxia .
e- PEEP is contraindicated .

5. 
   All of the following conditions typically can cause pump failure’s type respiratory failure except :
   

a-Myasthenia gravis .
b-Multiple rib fractures .
c-Bronchiolitis obliterans . d-Severe chest pain .
e-Gullien-Barrie syndrome
6- Wide alveolar-arterial Po2 (PA-a O2) gradient can be increased in all of the following conditions except :
a-Morphine over dose .
b-Severe pneumonia .
c-Acute Bronchial Asthma . d-Acute Pulmonary edema .
e-ARDS (acute respiratory distress syndrome) .

7.