ŁM

Choose correct answer describing characteristics of atelectasis in physical examination

1. dull percussion sound

2. diminished tactile fremitus

3. palpable pleural rub

4. hyperressonant percussion note

5. diminished vesicular breath sounds

6. rales in auscultation

7. increased or normal tactile fremitus

Correct answer:

A) 1,2,3 B)1,2,5 C)2,4,7 D)1,5,7 E) 2,4,5

Prawidłowa odpowiedź: D

Pytanie o średnim stopniu trudności

Źródło: Clinical Medicine, Kumar&Clark, Sixth Edition, Elsevier Saunders

On ICU a patient with a moderate exacerbation of COPD was admitted. In performed ABG (arterial blood gasometry) you see: pH=7,30, HCO₃^-= 25 mEq/L, pCO₂= 57 mmHg, pO₂=59,6 mmHg. You diagnose:

1. Compensated metabolic acidosis

2. Noncompensated respiratory alkalosis

3. All values are within normal limits

4. Noncompensated respiratory acidosis

5. Compensated metabolic alkalosis

Prawidłowa odpowiedź: D

Pytanie trudne

Źródło: Clinical Medicine, Kumar&Clark, Sixth Edition, Elsevier Saunders

Nail clubbing is one of the symptoms of chronic respiratory insufficiency, although other diseases are also associated with it. Select a disease in which nail clubbing is absent:

A/ Congenital cyanotic heart disease (i.e. Eisenmenger syndrome)

B/ Non-small cell lung cancer

C/ Gastrointestinal reflux disease

D/ Cirrhosis, especially in primary biliary cirrhosis

E/ Hyperthyroidism (thyroid acropachy)

Correct answer: C

Source: McLeod's Clinical Examination Handbook

Choose incorrect statement characterizing exacerbation of chronic obstructive pulmonary disease:

A/ coinfection of rhinoviruses and H. influenzae is frequently present

B/ mechanical invasive ventilation is needed during therapy

C/ dyspnonea is one of the key symptoms

D/ expectorated sputum is often white or yellowish

E/ exacerbation of existing ischemic heart disease can occur

Prawidłowa odpowiedź: C

Pytanie o średnim poziomie trudności

Źródło: Clinical Medicine, Kumar&Clark, Sixth Edition, Elsevier Saunders

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