ACNP Certification
Review: Pulmonary
Questions with
Accurate Answers
A 35 yo woman comes for routine exam. You note clubbing of both hands. What is one diagnostic tool
that should be obtained for further evaluation?
A. An ECHO
B. A CBC
C. A chest xray
D. A liver function test correct answer C. CXR should be obtained for further evaluation. Clubbing may
represent an asymptomatic pulmonary process. A thorough history should be obtained concerning other
family members for clubbing.
A 50 yo woman is diagnosed with Q fever. Q fever is caused by:
A. Chlamydia
B. Coxiella burnetii
C. Cytomegalovirus
D. Mycoplasma correct answer B. Q fever is caused by coxiella burnetii, the organisms of which mostly
reside in animals such as sheep, goats, and cattle
A 65 yo man comes to the office with c/o fever, chest congestion, malaise, and putrid sputum. What is
most likely diagnosis?
A. Pulmonary edema
B. Lung abscess
C. Tuberculosis
D. Bronchitis correct answer B. Lung abscess
, Albuterol correct answer SABA
MDI: 2 puffs q4-6hr
Albuterol/ipratropium (Combivent, DuoNeb) correct answer Short-acting beta agonist + short-acting
anticholinergic
MDI= 2 puffs QID
Aspirin-induced asthma may be manifested by all of the following EXCEPT:
A. Nasal congestion
B. Rhinorrhea
C. Acute asthma attack
D. Epistaxis correct answer D. Aspirin-induced asthma is manifested by rhinorrhea, nasal congestion, and
acute asthma attack. It is not associated with epistaxis.
Bleating and goatlike sound produced by a patient's voice when heard over the chest is known as:
A. Normal breath sounds
B. Broncophony
C. Egophony
D. Pectoriloquy correct answer C- Egophony
Budesonide/formoterol (Symbicort) correct answer inhaled corticosteroid + LABA
Asthma and COPD maintenance
Dosage forms: 80/4.5, 160/4.5 mcg
COPD- use 160/4.5 mcg ( max 640/18/day)
Cancer of the larynx is:
A. more common in women.
B. highly curable if detected early
C. develops at an average age of 40 years
Review: Pulmonary
Questions with
Accurate Answers
A 35 yo woman comes for routine exam. You note clubbing of both hands. What is one diagnostic tool
that should be obtained for further evaluation?
A. An ECHO
B. A CBC
C. A chest xray
D. A liver function test correct answer C. CXR should be obtained for further evaluation. Clubbing may
represent an asymptomatic pulmonary process. A thorough history should be obtained concerning other
family members for clubbing.
A 50 yo woman is diagnosed with Q fever. Q fever is caused by:
A. Chlamydia
B. Coxiella burnetii
C. Cytomegalovirus
D. Mycoplasma correct answer B. Q fever is caused by coxiella burnetii, the organisms of which mostly
reside in animals such as sheep, goats, and cattle
A 65 yo man comes to the office with c/o fever, chest congestion, malaise, and putrid sputum. What is
most likely diagnosis?
A. Pulmonary edema
B. Lung abscess
C. Tuberculosis
D. Bronchitis correct answer B. Lung abscess
, Albuterol correct answer SABA
MDI: 2 puffs q4-6hr
Albuterol/ipratropium (Combivent, DuoNeb) correct answer Short-acting beta agonist + short-acting
anticholinergic
MDI= 2 puffs QID
Aspirin-induced asthma may be manifested by all of the following EXCEPT:
A. Nasal congestion
B. Rhinorrhea
C. Acute asthma attack
D. Epistaxis correct answer D. Aspirin-induced asthma is manifested by rhinorrhea, nasal congestion, and
acute asthma attack. It is not associated with epistaxis.
Bleating and goatlike sound produced by a patient's voice when heard over the chest is known as:
A. Normal breath sounds
B. Broncophony
C. Egophony
D. Pectoriloquy correct answer C- Egophony
Budesonide/formoterol (Symbicort) correct answer inhaled corticosteroid + LABA
Asthma and COPD maintenance
Dosage forms: 80/4.5, 160/4.5 mcg
COPD- use 160/4.5 mcg ( max 640/18/day)
Cancer of the larynx is:
A. more common in women.
B. highly curable if detected early
C. develops at an average age of 40 years
