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1) What is the single most characteristic lung function test picture in Neuromuscular disease?

One answer only.

   FEV1/FVC 85%, globally reduced lung vols. Reduced inspiratory & expiratory mouth Pressures

   Reduced transfer factor alone

   Inspiratory & expiratory fixed obstruction on volume loop

   Spirometry, lung volumes and incorrected transfer factor 50% predicted. Corrected factor normal.

   Increased transfer factor FEV1/FVC 58%, 25% reversibility to broncho-dilators, normal transfer factor

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2) What is the single most characteristic lung function test picture in Interstitial lung disease?

One answer only.

   FEV1/FVC ratio 90%, TLC reduced by 30%, Considerably reduced transfer factor

   FEV1/FVC 62%, no reversibility to Bronchodilators, gas trapping,hyperinflation & reduced transfer factor

   Normal PFTs

   FEV1/FVC 89%

   FEV1/FVC 85%, globally reduced lung vols. Reduced inspiratory & expiratory mouth Pressures

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3) A 30 yr old woman presents with a 3 day history of pyrexia, rigors and sweats. This was preceded by a 1 week history of cough and increasing dyspnoea. She had a swinging fever and dullness to percussion at the left lung base. What is the SINGLE most likely cause of pleural effusion in this case?

One answer only.

   Emphysema

   Rheumatoid arthritis

   Tuberculosis

   SLE

   Bronchial carcinoma

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4) A 60 yr old woman presents with increasing breathlessness and abdominal swelling. She has a right sided pleural effusion. Examination of abdomen reveals ascites and a large pelvic mass, What is the SINGLE most likely cause of pleural effusion in this case?

One answer only.

   Rheumatoid arthritis

   Tuberculosis

   SLE

   Bronchial carcinoma

   Yellow nail syndrome

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5) A 31 yr old IV drug abuser presents with a 3 week history of cough, fever and general malaise with occasional haemoptysis. He has a right sided pleural effusion. What is the SINGLE most likely cause of pleural effusion in this case?

One answer only.

   Pneumonia

   Pleural metastases

   Emphysema

   Rheumatoid arthritis

   Tuberculosis

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6) A 55 yr old retired builder has a 3 month history of cough and left sided chest pain. He has a pleural effusion on the left. On CXR there is evidence of pleural calcification. What is the SINGLE most likely cause of pleural effusion in this case?

One answer only.

   Cardiac failure

   Mesothelioma

   Hypoalbuminemia

   Meig's syndrome

   Pneumonia

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7) A 25 yr old woman has just returned from a holiday in Kenya. She suddenly became breathless and is cyanosed. Her pulse is 120/min, BP 110/70 mmHg, PEFR 400 L/min. CXR is normal. What is the SINGLE most next appropriate step in management?

One answer only.

   IV Insulin

   IV adrenaline

   Rebreathing into paper bag

   Heparin

   Methylene blue

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8) A 50 yr old with pulmonary fibrosis develops sudden left sided pleuritic chest pain and dyspnoea. He has reduced air entry in the left side of the chest and percussion is hyper resonant. 02 saturation is 80%. What is the SINGLE most next appropriate step in management?

One answer only.

   Chest drain

   IV frusemide

   Rapid infusion of saline

   Forced alkaline diuresis

   Intramuscular adrenaline

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9) A 58 yr old woman presents with intermittent breathlessness and cough. On examination, she has a right sided pleural effusion and discoloured nails. What is the SINGLE most likely cause of pleural effusion in this case?

One answer only.

   Rheumatoid arthritis

   Tuberculosis

   SLE

   Bronchial carcinoma

   Yellow nail syndrome

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10) A 72 yr old woman presents with a 2 month history of increasing breathlessness and swollen legs. On examination, she has a raised JVP and a left sided pleural effusion. What is the SINGLE most likely cause of pleural effusion in this case?

One answer only.

   Cardiac failure

   Mesothelioma

   Hypoalbuminemia

   Meig's syndrome

   Pneumonia