and Answers Latest Updated (Graded A+)-WCU
1. Metabolic alkalosis is often accompanied by:
a. Hypernatremia
b. Hyponatremia
c. Hyperkalemia
d. Hypokalemia
2. The hallmark manifestation of acute respiratory distress syndrome is:
a. Tachycardia
b. Hypotension
c. Frothy secretions
d. Hypoxemia
3. A major risk factor for the development of active pulmonary tuberculosis (TB) disease is:
a. Contaminated water
b. Immunosuppression
c. Being a male
d. Overuse of antibiotics
4. The characteristic x-ray findings in tuberculosis include:
a. Diffuse white-out
b. Ghon tubercles
c. Bibasilar infiltrates
d. Tracheal deviation
5. Emphysema results from destruction of alveolar walls and capillaries, which is because
of:
a. Release of proteolytic enzymes from immune cells
b. Air trapping with resultant excessive alveolar pressure
c. Excessive alpha1-antitrypsin
d. Autoantibodies against pulmonary basement membrane
6. Which complication of asthma is life threatening?
a. Exercise-induced asthma
b. Late phase response
c. Status asthmaticus
d. Mast cell degranulation
7. What is likely to lead to hyponatremia?
a. Insufficient ADH secretion
b. Excess aldosterone secretion
c. Administration of intravenous normal saline
d. Frequent nasogastric tube irrigation with water
8. After evaluation, a child’s asthma is characterized as “extrinsic.” This means that the
asthma is:
a. Of unknown pathogenesis
, b. Associated with specific allergic triggers
c. Associated with respiratory infections
d. Induced by psychological factors (stress)
9. An increase in the resting membrane potential (hyperpolarized) is associated with:
a. Hypokalemia
b. Hyperkalemia
c. Hypocalcemia
d. Hypercalcemia
10. Croup is characterized by:
a. A productive cough
b. A barking cough
c. An inability to cough
d. Drooling, sore throat, and difficulty swallowing
11. Osmoreceptors located in the hypothalamus control the release of:
a. Angiotensin
b. Atrial natriuretic peptide
c. Aldosterone
d. Vasopressin (antidiuretic hormone, ADH)
12. The most definitive diagnostic method for active tuberculosis is acquired via:
a. Sputum culture
b. Mantoux skin test
c. Chest x-ray
d. Blood culture
13. Viral pneumonia is characterized by:
a. A productive cough
b. A dry cough
c. Exudative consolidation
d. Significant ventilation-perfusion imbalance
14. Accumulation of fluid in the pleural space is called:
a. An abscess
b. Pleurisy
c. Flail chest
d. Pleural effusion
15. Which pulmonary function test is consistent with a diagnosis of asthma?
a. Reduced forced expiratory volume in one second (FEV1)
b. Decreased functional residual capacity
c. Increased FEV1
d. Reduced total lung capacity
16. A patient with flail chest will demonstrate:
a. Absence of chest movements with breaths
b. No inspiratory breath sounds
c. Fluttering chest movements on expirations
d. Outward chest movement on expiration
17. The increased anterior-posterior chest diameter associated with obstructive lung disease
is caused by: