1. ___ partial or complete collapse of the entire lung 6. Loeffler’s pneumonia is an example of?

or specific area, or lobe of the lung, leading to

A. Bacterial pneumonia
impaired exchange of carbon dioxide and oxygen
B. Viral pneumonia
A. Pneumonia
C. Parasitic pneumonia
B. PTB
D. Fungal pneumonia
C. Atelectasis

D. SARS
7. Loeffler’s pneumonia is an example of?

A. Bacterial pneumonia
2. All are risk for Acute Tracheobronchitis except
B. Viral pneumonia
A. Cigarette Smoking
C. Parasitic pneumonia
B. Alcohol drinking
D. Fungal pneumonia
C. Gastric refulx

D. Obesity
8. Most common cause of pneumonia in the immuno-
compressed host
3. Treatment for Atelectasis except
A. PTB
A. Antibiotics
B. Pneumocystis jirovici
B. O2 supplementation
C. Strep. pneumoniae
C. Bronchodilators
D. Klebsiella pneumoniae
D. Bronchoconstrictors

9. A 67 year old patient came in due to stroke

4. is a inflammatory process in lung parenchyma (the accident, after 48 hours in the ICU, patient developed
respiratory bronchioles, and the alveoli) associated cough, fever, and episodes of dyspnea, this is a case
with a marked increase in interstitial alveolar fluid. of?
The air sacs may filled with fluid or pus
A. CAP
A. Pneumonitis
B. HAP
B. Pneumonia
C. VAP
C. PTB
D. Pneumonia in an immunocompromised host
D. SARS

10. SARS virus is an example of

5. Most common etiologic agent in community
A. Positive-sense single-stranded RNA virus
acquired pneumonia?
B. Positive-sense single- stranded DNA virus
A. Staph. aureus
C. Negative-sense single- stranded RNA virus
B. Klebsiella pneumoniae
D. Negative-sense single- stranded DNA virus
C. Mycoplasma pneumoniae

D. Strep. pneumoniae
11. 34 year old male patient came in due to more than D. Pyrazinamide
2 weeks episodes of productive cough, fever, body
16. ___ a type of high blood pressure that affects the
malaise associated with loss of appetite and weight
arteries in your lungs and the right side of your heart
loss. In this case you suspect?
A. Pulmonary Embolism
A. Pneumonia
B. Pulmonary Hypertension
B. PTB
C. Uncontrolled Hypertension
C. SARS
D. Cor Pulmonale
D. COVID 19
E. ARDS

12. The causative agent of TB in adult human?

17. All of the following are your risk factors for
A. Mycobacterium avium
number 1 except
B. Mycobacterium tuberculosis
A. Family history
C. Mycobacterium bovis
B. Pregnancy
D. Mycobacterium leprae
C. Obesity

D. Obstructive sleep apnea

13. ___ is a condition where a person is infected with
E. Malnutrition
the tuberculosis bacteria but does not show any
symptoms of active TB disease

A. Active TB 18. Signs and symptoms in a patient showing Right

sided Heart enlargement or failure except
B. Latent TB
A. Ascites
C. Resistant TB
B. Liver enlargement
D. Passive TB
C. Ankle edema

D. Increased Peripheral venous pressure

14. In a patient with pulmonary edema, all of these
lung PE can be seem except E. Increased Pulmonary Wedge Pressure
A. Dullness to percuss

B. Decreased BS on auscultation on affected lung 19. In a patient with pulmonary hypertension resulting
in slight limitation of physical activity. They are
C. Crackles on auscultation
comfortable at rest. Ordinary physical activity causes
D. Distended neck veins undue dyspnoea or fatigue, chest pain, or near
syncope. What is the functional classification?

A. Class I
15. A 32 year old PTB patient who recently started
with Anti-Koch treatment came back to ER B. Class II
complaining of Red urine. This is due to which Anti-
C. Class III
Koch Medications
D. Class IV
A. Ethambutol
E. Class V
B. Isoniazid

C. Rifampicin
20. Pharmacologic treatment of your Pulmonary 24. The most frequent symptom in a patient with
embolism except? pulmonary embolism is?

A. Diuretics A. Dyspnea

B. Calcium Channel blockers B. Tachypnea

C. Anticoagulants C. Chest pain

D. Lung Transplant D. Abdominal pain

E. Cardiac Glycosides E. Cyanosis

21. ______ is defined as an alteration in the structure 25. All are true regarding your management in a
and function of the right ventricle (RV) of the heart patient with Pulmonary embolism except
caused by a primary disorder of the respiratory
A. Using elastic compression stockings or intermittent
system.
pneumatic leg compression devices reduces venous
A. Pulmonary Embolism stasis

B. Pulmonary Hypertension B. Oxygen therapy is administered to correct the

hypercapnia
C. Uncontrolled Hypertension
C. Elevating the leg (above the level of the heart) also
D. Cor Pulmonale
increases venous flow Trauma
E. ARDS
D. Heparin is used to prevent recurrence of emboli but
has no effect on emboli that are already present

22. The drug recommended in patients with cor E. Thrombolytics therapy is one of the treatment
pulmonale at high risk for thromboembolism.

A. Diuretics

B. Calcium Channel Blockers

26 – 30
C. Warfarin
A. Silicosis
D. Vasodilators
B. Anthracosis
E. Bronchodilators
C. Farmer’s Lung

D. Byssinosis
23. All of the following are causes of your pulmonary
E. Baggasosis
embolism except
26. Inhalation from coal dust
A. Thrombus
27. Inhalation of Hay dust or mold spores in
B. Hypocoagulability
agricultural products
C. Atrial fibrillation
28. Inhalation of your cotton dust
D. Trauma
29. Inhalation of your Sugarcane dust
E. Surgery
30. Inhalation of your Silica dust
31. The pleura is composed of two layers of thin lining D. Maintaining the patient on a semi fowler position
tissue. the layer covering the lung (visceral pleura) and
the parietal pleura that covers the inner wall of the
36. After inserting a CTT, which of the following
chest are lubricated by pleural fluid. Normally, there is
procedure is a big help because it promotes adhesion
about ______ of clear liquid that acts as a lubricant
between you parietal and visceral pleura?
between these layers.

A. Pleurectomy
A. 10-20ml
B. Thoracotomy
B. 30-40ml
C. VATS
C. 40-50ml
D. Chemical pleurodesis
D. 50-60ml
E. Thoracentesis
E. 100ml

37. You have a 47 yo female patient complaining of DOB

32. The effusion contains purulent materials is called
and upon your PE, you noticed a decreased BS on right
blank ____.
hemithorax mid to base area. You are now entertaining
A. Pleural effussion
a pleural effusion, in order to evaluate the amount of
B. Fibrothorax
fluid present and the area that aims your thoracentesis,
C. Chylothorax
which diagnostic imaging is most suited?
D. Empyema
E. Emphysema
A. Plain chest Xray
B. MRI
33. The effusion that occurs due to inflammation and C. Chest CT with fluid mapping
increased capillary permeability is _______. D. Pulmonary angiogram
A. Exudate E. Chest CT with IV Contrast
B. Transudate
C. Empyema
38. You have a 47 yo female patient complaining of DOB
D. Emphysema
and upon your PE, you noticed a decreased BS on right
hemithorax mid to base area. You are now entertaining
34. A 37 yo female came in to you at emergency room a pleural effusion, in order to evaluate the amount of
with a previous history of breast carcinoma 5 years ago. fluid present and the area that aims your thoracentesis,
Patient undergone chemotherapy and radiotherapy which diagnostic imaging is most suited?
however at ER, patient was dyspneic with decrease
breathe sounds on the right. Pleural tap was done and A. Plain chest Xray
showed pleural fluid protein to serum protein ratio of B. MRI
more than 5 and Pleural fluid LDH to serum LDH ratio is C. Chest CT with fluid mapping
more than 0.6. You think that the patient’s pleural D. Pulmonary angiogram
effusion is what type? E. Chest CT with IV Contrast
A. Exudate
B. Transudate
39. Your empyema is also called _____
C. Empyema
D. Emphysema
A. Purulent pleuritis
B. Mucothorax
C. Chylothorax
35. In a patient with pleural effusion more than 500cc
D. Fibrothorax
of fluid seen in chest CT with fluid mapping, which of
E. Hemothorax
the following would exacerbates the dyspnea of the
patient?
A. Letting the patient rest on an upright position
B. Maintaining the patient in a supine position
C. Elevating the head
40. In its, pathogenesis, empyema usually develop after
______.

45. All of the following are your diagnostic of choice in

A. Surgery
a patient with pulmonary edema with an emergency
B. Chronic smoking
presentation except
C. Pneumonia
D. PTB
A. ECG
E. Trauma
B. Chest Xray
C. 2D Echo with doppler ultrasound
41. Management of your empyema except D. ABG
E. Cardiac catheterization
A. Percutaneous Thoracentesis
B. Antibiotics
C. Diuretics
D. Analgesics
E. VATS

42. A 67 yo male patient came in due to productive

cough. 5 days prior, patient started to have productive
cough associated with fever. Few hrs ptc, patient had
incidence of vomiting associated with severe dyspnea,
with bilateral infiltrates on chest xray and hypoxemia
refractory to your oxygen supplementation. This is a
classic case of what disease?

A. Empyema
B. Pulmonary edema
C. ARDS
D. Pulmonary embolism
E. PTB

43. Prolonged inhalation of your high concentrations of

Oxygen would result to?

A. Empyema
B. Pulmonary edema
C. ARDS
D. Pulmonary embolism
E. PTB

44. All of the following are your preload reducers in the

management of Pulmonary edema except

A. Furosemide
B. Spironolactone
C. Hydrochlorothiazide
D. Sodium Nitoprusside
E. Nitroglycerine