DPT CLASS TEST –
PULMONOLOGY
1. 20-year-old woman came with episodic dyspnea, cough especially in
winter season and exposure to dust. On chest auscultation there were
bilateral expiratory wheeze. Which of the following finding would be
present in this case?
a) High neutrophils on CBC
b) High Ig A levels in serum
c) High Ig E levels in serum
d) High FEV1 on PFTs
2. A young female came in emergency with acute attack of asthma. Which of
the treatment option is advisable in this case?
a) Salbutamol+ formoterol
b) Salbutamol + tiotropium
c) Salbutamol + IV hydrocortisone
d) Formoterol + Tiotropium
3. A patient with history of long-term smoking, recently started hemoptysis and
also noted some hoarseness of voice. Xray chest showed homogenous opacity in
right lung. What would be the likely diagnosis?
a) Bronchogenic carcinoma
b) Bronchiectasis
c) Chronic bronchitis
d) Interstitial lung disease
4. 65-year-old male came in OPD with 5 days history of fever, chest pain and
productive cough. On chest auscultation percussion note was dull and increased
vocal resonance on right side. Xray chest showed a homogenous opacity in right
middle lobe. CBC; showed neutrophilia. What would be the likely diagnosis?
a) Bronchial carcinoma
b) Bronchial pneumonia
c) Pneumothorax
d) Pleural effusion
5. A patient presented with fever for 1 months with night sweats, chest pain
on right side and weight loss. X-ary chest showed right sided pleural
effusion. Pleural fluid analysis showed proteins 5.5gm/dl, LDH = 700 IU and
microscopy showed 7000/mmcl with 80 % lymphocytes. Which of the
following is best treatment option?
a) Antibiotics for 10 days
b) Anti-tuberculous therapy for 6 months
c) Tube thoracotomy
d) Antibiotics plus tube thoracotomy
6. Which of the following combination medication is very
effective in long term control of symptoms of asthma?
a) Salbutamol + Formoterol
b) Oral prednisolone + Montelukast
c) Ipratropium + tiotropium
d) Montelukast + inhaled corticosteroids
7. 65- year-old male smoker came with exertional dyspnea, weight loss
and dry cough. On examination; he had barrel chest; with scanty breath
sounds. What would be the likely diagnosis?
a) Bronchial Asthma
b) Pulmonary TB
c) Bronchial pneumonia
d) COPD
8.A patient presented with fever, weight loss and
hemoptysis for last 2 months. Xray chest showed
cavitation in right lung apex. Which of following
Investigation is best to reach the diagnosis?
a)CBC
b)ESR
c)Sputum analysis
d)PFT
9. A COPD patient recently, started hemoptysis and also noted some
hoarseness of voice. On examination he had partial ptosis in right
eye ,pupil constricted in right eye. Which of the following complication
would be likely suspected?
a. Horner’s syndrome
b. Pneumothorax
c. Kartagener's syndrome
d. Cystic fibrosis
10. 55-year-old female came in OPD with 5 days history of fever, chest pain and
productive cough. On examination she had bronchial breathing on right side.
What finding would you find on Xray chest in this case?
a. Effusion
b. Consolidation
c. Pneumothorax
d. Cavitation.
11. 25 year old male presented with sudden onset chest
pain. On examination he had hyper-resonant percussion
note and absent breath sound on right lung. X-ary chest
showed a hyperlucent area in lung filed with absent lung
markings. What would be the likely diagnosis?
a. Pneumonia
b. Pleural effusion
c. Pneumothorax
d. Asthma
12. A 55 year old male farmer by profession .,He
presented with increasing dyspnea and dry cough for last
2 years. He does not smokes, but keeps a lot birds in
house. On x-ary chest there were bilateral
reticulonodular shadows in both lung bases. PFTS
showed low vital capacity .What would be the likely
diagnosis?
a. Bronchiectasis
b. COPD
c. Interstitial lung disease
d. Tuberculosis
A 55-year-old male came to emergency with severe dyspnea
• 13.
and cough for 2 days, he had suffered from fever 3 days ago.On
examination he was tachypneic, tachycardic. Oxygen saturation
was 75% on room air. Bilateral crackles in chest. Xray chest
showed bilateral infiltrates sparing the Costo-phrenic angles.
• What would be the likely diagnosis?
a) COVID/ ARDS
b) Pneumonia
c) Pulmonary edema
d) Interstitial lung diseases
14. A young male with history of rickets in childhood
presented with dull chest pain in center of chest that
increases with weight lifting. There is no history of cough
or dyspnea. On examination lower part of sternum was
depressed inside. Breath side were vesicular with no
added sounds. What would be the likely diagnosis?
a. Kyphosis
b. Scoliosis
c. Pectus excavatum
d. Pectus carinatum
15. 25-year-old female presented with fever, cough,
headache for one week. Headache is increased when she
bends forward. On examination there was tenderness
over maxillary area and nose had purulent discharge.
What would the best treatment option?
a) Steroids & anti histamines
b) Antibiotics & antihistamines
c) Paracetamol and steroids
d) Steroids & Montelukast
SHORT ESSAY QUESTION
35-YEAR OLD male with history of repeated childhood pneumonia ,known case of
IG A deficiency, presented with ,repeated episodes of cough ,hemoptysis and
weight loss. On examination he had clubbing and chest had bilateral coarse
crepitations. X-ary chest showed honey combing in lower lobes?
What would be the likely diagnosis?---1
Mention 2 relevant investigations?---.1
Mention treatment?---2
Mention 2 complications?---1
SEQ 2;
55 year old male non smoker, office clerk, presented with increasing dyspnea for last 2
years .On examination he had bilateral fine crepitations in chest, he had pedal edema
and increase JVP. CT chest showed ground glass shadows in both lungs?
What would be the likely diagnosis?---1
Mention 2 relevant investigations?---1
Mention treatment---2
Mention 2 complications?---1
THANK YOU &
GOOD LUCK FOR EXAM
