Question

On routine labs your 69 year old patients who has a 40 pack year history has an elevated Calcium level and a lesion on chest x-ray what would be the most likely diagnosis.

            A         Small Cell Cancer

            B         Hypoparathyroidism

            C         Colon Cancer

            D         Non Small cell cancer

            E          Osteoarthritis

3.         The pathophysiology of hypoxia in Emphysema is

            A         Fluid build up in the alveolus

            B         Decrease surface area

            C         Increase Mucus in the large airways

            D         Left to right shunting

4.         An example of restrictive lung disease would be

            A.        Bronchitis       

            B.        Severe kyphoscoliosis

            C.        Emphysema

            D.        Pulmonary Embolisms

            E.         Sleep apnea

5.         Of the Lung cancers which is the most aggressive and worse prognosis

            A.        Small Cell

            B.        Adenocarcinoma

            C.        Squamous Cell

            D.        Large Cell

6.         Sudden on set of shortness of breath should make you think of

            A.        Pneumonia

            B.        Pulmonary embolism

            C.        Heart Attack

            D.        Pleurisies

            E.         Coal Miner Lung

7.         If a patient has a high (60) A-a gradient(normal less then 20 and has a Pa O₂ of 60 the most likely diagnosis is

            A.        Right to left shunt

            B.        Left to right shunt

            C.        Hypoventilation

            D.        Hyperventilation

8.         Your patient has taken a spirometry test and you found that his Inspiratory reserve volume is 4,000 ml and normal for this person should be 6,500 ml this result should suggest

            A.        Emphysema

            B.        Asthma

            C.        Pneumonia

            D.        Cat allergies

            E.         Restrictive lung disease

Answer 1

Ans:- 1) A,

Small cell cancer,

Small cell cancer would be most likely diagnosis of this patient because this cancer has strongest association with smoking.

3) B

Decrease surface area,

The pathophysiology of hypoxia in emphysema decrease surface area.

4) B

Severe kyphoscoliosis is an example of restrictive lung disease .

5) A

Small cell,

On the lung cancer small cell is the most aggressive and worse prognosis.