BPT CLINICAL; INTERNAL MEDICINE
PULMONOLOGY EXAM 2026 QUESTIONS
AND 100% CORRECT AND VERIFIED
ANSWERS
• 1
INT - 4.1
The factor that mostly effects the prognosis of a COPD
patient is:
A) The continuation of smoking
B) The reversibility of obstruction when using steroids
C) The degree of hypoxia
D) The value of FEV1
E) The presence of hypercapnia
D) The value of FEV1
Numerous international studies have confirmed that the
prognosis of COPD is mainly determined by the FEV1 values.
The degrees of the severity (prognosis) were determined by the
decline of FEV1.
• 2
,INT - 4.2
In case of suspected chronic obstructive pulmonary
disease, the most important examination that can confirm
the diagnosis is:
A) The determination of the daily amount of sputum
B) Physical examination
C) Chest radiograph
D) Pulmonary function testing
E) Blood gas analysis
D) Pulmonary function testing
The diagnosis of COPD cannot be made without detectable
airway obstruction proved by pulmonary function testing, as
airway obstruction (O) is the most important criteria.
• 3
INT - 4.4
From the following symptoms which one is the most typical
for bronchiectasis?
A) Cough
B) Large amount of (>50-100 ml/day), often purulent
expectoration
C) Hemoptysis
D) Chest pain
E) Dyspnea
,B) Large amount of (>50-100 ml/day), often purulent
expectoration
Although in bronchiectasis both hemoptysis and dyspnea may
be present, the most typical symptom that draws the attention to
bronchiectasis is the large amount of expectoration, the “full-
mouth” spit after targeted cough. In bronchiectasis phlegm
stasis serves as an ideal substrate for bacteria, so the sputum is
often purulent. It should be noted that bronchiectasis can be
permanently asymptomatic as well, especially in the case of
even cylindrical dilation.
• 4
INT - 4.5
From the following medication groups which one can
significantly inhibit the production of mucus?
A) Theophylline
B) β2-adrenergic receptor agonists
C) Non-selective β2-blockers
D) Anticholinergics
E) Furosemide
C) Non-selective β2-blockers
The non-selective β-adrenergic agonists prevent the movement
of the cilia on the columnar cells found on the surface of the
bronchial mucous membrane and thus the mucus transport,
, contrary to theophylline and β2-adrenergic agonists which
enhance the functions of the mucociliary clearence.
Anticholinergics and furosemide do not inhibit the clearence, in
larger doses they even help it.
• 5
INT - 4.6
Medications for the rapid treatment of asthma attacks:
A) Sedatives
B) Bronchodilators
C) Antihistamines
D) Corticosteroids
E) Chromoglycate
B) Bronchodilators
The asthma attack can be eased in a short time by
bronchodilators (bronchial smooth muscle relaxants). The
bronchodilator effect of antihistamines - that competitively inhibit
the bronchoconstrictor effect of histamine released in a
significant amount during mast cell degranulation - is irrelevant.
In fast evolving asthma attack the spasm of the bronchial
smooth muscles is dominant. The bronchial mucous membrane
inflammation that later might become dominant can be eased
slowly with corticosteroids. The use of Using chromoglycate
PULMONOLOGY EXAM 2026 QUESTIONS
AND 100% CORRECT AND VERIFIED
ANSWERS
• 1
INT - 4.1
The factor that mostly effects the prognosis of a COPD
patient is:
A) The continuation of smoking
B) The reversibility of obstruction when using steroids
C) The degree of hypoxia
D) The value of FEV1
E) The presence of hypercapnia
D) The value of FEV1
Numerous international studies have confirmed that the
prognosis of COPD is mainly determined by the FEV1 values.
The degrees of the severity (prognosis) were determined by the
decline of FEV1.
• 2
,INT - 4.2
In case of suspected chronic obstructive pulmonary
disease, the most important examination that can confirm
the diagnosis is:
A) The determination of the daily amount of sputum
B) Physical examination
C) Chest radiograph
D) Pulmonary function testing
E) Blood gas analysis
D) Pulmonary function testing
The diagnosis of COPD cannot be made without detectable
airway obstruction proved by pulmonary function testing, as
airway obstruction (O) is the most important criteria.
• 3
INT - 4.4
From the following symptoms which one is the most typical
for bronchiectasis?
A) Cough
B) Large amount of (>50-100 ml/day), often purulent
expectoration
C) Hemoptysis
D) Chest pain
E) Dyspnea
,B) Large amount of (>50-100 ml/day), often purulent
expectoration
Although in bronchiectasis both hemoptysis and dyspnea may
be present, the most typical symptom that draws the attention to
bronchiectasis is the large amount of expectoration, the “full-
mouth” spit after targeted cough. In bronchiectasis phlegm
stasis serves as an ideal substrate for bacteria, so the sputum is
often purulent. It should be noted that bronchiectasis can be
permanently asymptomatic as well, especially in the case of
even cylindrical dilation.
• 4
INT - 4.5
From the following medication groups which one can
significantly inhibit the production of mucus?
A) Theophylline
B) β2-adrenergic receptor agonists
C) Non-selective β2-blockers
D) Anticholinergics
E) Furosemide
C) Non-selective β2-blockers
The non-selective β-adrenergic agonists prevent the movement
of the cilia on the columnar cells found on the surface of the
bronchial mucous membrane and thus the mucus transport,
, contrary to theophylline and β2-adrenergic agonists which
enhance the functions of the mucociliary clearence.
Anticholinergics and furosemide do not inhibit the clearence, in
larger doses they even help it.
• 5
INT - 4.6
Medications for the rapid treatment of asthma attacks:
A) Sedatives
B) Bronchodilators
C) Antihistamines
D) Corticosteroids
E) Chromoglycate
B) Bronchodilators
The asthma attack can be eased in a short time by
bronchodilators (bronchial smooth muscle relaxants). The
bronchodilator effect of antihistamines - that competitively inhibit
the bronchoconstrictor effect of histamine released in a
significant amount during mast cell degranulation - is irrelevant.
In fast evolving asthma attack the spasm of the bronchial
smooth muscles is dominant. The bronchial mucous membrane
inflammation that later might become dominant can be eased
slowly with corticosteroids. The use of Using chromoglycate
