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Xray Chest
(Single Best Answer) Question 1: A 70-yeard old male patient presented to the emergency department with pain in epigastrium and difficult in breathing for 6 hours. On examination, his heart rate was 56 per minute and the blood pressure was 106/60 mm Hg. Chest examination was normal. The patient has been taking omeprazole for gastroesophageal reflux disease for last 6 months. What should be the initial investigation ?
A) An ECG
B) An upper GI endoscopy
C) Urgent ultrasound of the abdomen
D) An x-ray chest
Answer (Select an option above to get the answer):
(Single Best Answer) Question 2: True statement regarding Pulmonary embolism is ?
A) Haemoptysis is always present
B) Haemorrhagic effusion is always present
C) Chest X ray is always abnormal
D) Pleuritic chest pain may be present
Answer (Select an option above to get the answer):
(Single Best Answer) Question 3: A well-defined rounded opacity in the lung with irregular calcification is suggestive of ?
A) Amoebic abscess
B) Carcinoma of lung
C) Hamartoma
D) Hydatid cyst
Answer (Select an option above to get the answer):
(Single Best Answer) Question 4: A well-defined lesion in the lung with pop-corn calcification on X-ray suggests a diangosis of ?
A) Adenoma of lung
B) Carcinoma of lung
C) Hamartoma
D) Hydatid cyst
Answer (Select an option above to get the answer):
(Single Best Answer) Question 5: A 40-year-old man has a chronic cough with fever for several months. The chest radiograph reveals a diffuse reticulonodular pattern. Microscopically on transbronchial biopsy there are focal areas of inflammation containing epithelioid cell granuloma, Langhans giant cells, and lymphocytes. These findings are typical for which of the following type of hypersensitivity immunologic responses ?
A) Type I
B) Type II
C) Type III
D) Type IV
Answer (Select an option above to get the answer):
(Single Best Answer) Question 6: A child with Pyoderma becomes toxic and presents with respiratory distress. His chest radiograph shows patchy areas of consolidation and multiple bilateral thin walled air containing cysts. The most likely etiologic agent in this case is ?
A) Mycobacterium tuberculosis
B) Staphylococcus aureus
C) Mycobacterium avium intercellulare
D) Pneumocystis carinii
Answer (Select an option above to get the answer):
(Single Best Answer) Question 7: A 50 year old smoker male presents with pain along the left arm and ptosis. His chest radiograph shows a soft tissue opacity at the left lung apex with destruction of adjacent ribs. The picture is suggestive of ?
A) Adenocarcinoma lung
B) Bronchial carcinoid
C) Pancoast tumor
D) Bronchoalveolar carcinoma
Answer (Select an option above to get the answer):
(Single Best Answer) Question 8: A 45 year old coal mine worker presents with cutaneous nodules, joint pain and occasional cough and dyspnoea. His chest radiograph shows multiple small (1-4cms) nodules in bilateral lung fields. Some of the nodules show cavitation and specks of calcification. Most likely these features are diagnostic of ?
A) Sjogrens syndrome
B) Caplan's syndrome
C) Silicosis
D) Wegener's granulomatosis
Answer (Select an option above to get the answer):
(Single Best Answer) Question 9: A 50 year old male patient, an alcoholic and smoker presents with a 3 hour history of severe retrosternal chest pain and increasing shortness of breath. He started having this pain while eating, which was constant and radiated to the back and interscapular region. He was a known hypertensive. On, examination, he was cold and clammy with a heart rate of 130/min, and a BP of 80/40 mmHg, JVP was normal. All peripheral pulses were present and equal. Breath sounds were decreased at the left lung base and chest x-ray showed left pleural effusion. What is the most likely diagnosis ?
A) Acute aortic dissection
B) Acute myocardial infarction
C) Rupture of the oesophagus
D) Acute pulmonary embolism
Answer (Select an option above to get the answer):
(Single Best Answer) Question 10: A 35 year old non-smoker presents with 2 episodes of mild hemoptysis. There is no history of fever or any constitutional symptoms. A plain x-ray of chest is found to be normal. Which one of the following should be the next step in the diagnostic evaluation of this patient ?
A) Bronchography
B) High-resolution computed tomography
C) Contrast-enhanced computed tomography
D) Fibreoptic bronchoscopy
Answer (Select an option above to get the answer):
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