Łukasz Minarowski

Internal medicine - pneumonology:

Question 1

Basic anti-tuberculotic agents are pyrazinamide (PZA), rifampicine (RMP), isoniazid (INH) i ethambutol (EMB). Correct basic treatment regimen for new, microbiologically positive, pulmonary TB cases is:

1. RMP, PZA, INH and EMB for 2 months in initial phase, followed by INH and RMP for 4 months of continuation phase,

2. there is no effective therapy, patients isolation is obligatory,

3. PZA and INH for 6 months,

4. RMP, PZA, INH and EMB for 1 month in initial phase, followed by INH, EMB and RMP for 5 months in continuation phase,

5. treatment of tuberculosis is always conducted in specialized center according to antibiogram.

Correct answer: a)

Source: Harrison's Principles of Internal Medicine, 17th Edition, chapter 158, pp. 1016

Question 2

Choose correct answer describing characteristics of fluid in plural cavity in physical examination

1. dull percussion sound

2. diminished vocal fremitus

3. palpable crackles

4. hyperressonant percussion note

5. diminished vesicular breath sounds

6. rales in auscultation

7. barrel chest

Correct answer:

a) 1,2,3 b)1,2,5 c)2,4,7 d)1,3,7 e) 2,4,5

Correct answer : b)

Source: Harrison's Principles of Internal Medicine, 17th Edition, chapter 245, pp. 1584

Question 3

In management of stable COPD following groups of agents are used:

1. inhaled anticholinergic

2. methylated xanthine derivatives

3. systemic glucocorticoids

4. nebulized antibiotics

5. inhaled beta-2-agonists

6. oral anticoagulants

Correct answer is:

a) 1,2,5 b) 3,4,6 c)2,4,6 d)1,4,5 e)3,4,5

Correct answer: a)

Source: Harrison's Principles of Internal Medicine, 17th Edition, chapter 254, pp. 1641

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