A 53-year-old male with a 20-year history of smoking is diagnosed with emphysema. His
airways are obstructed because of:
A. excessive mucous production.
B. loss of elastic recoil.
C. infection and inflammation.
D. airway oedema. - ✔B
A 42-year-old female presents with dyspnoea, rapid, shallow breathing, inspiratory
crackles, decreased lung compliance and hypoxaemia. Tests reveal a fulminant form
of respiratory failure characterized by acute lung inflammation and diffuse alveolar-
capillary injury. Which of the following is the most likely diagnosis?
A. Acute respiratory distress syndrome
B. Sarcoidosis
C. Postoperative respiratory failure
D. Malignant respiratory failure - ✔A
Which of the following shows a correct cause and effect sequence in the development
of acuterespiratory distress syndrome (ARDS)?
, A. Impaired alveolar compliance causing decreased surfactant production
B. A massive inflammatory response causing alveolar-capillary membrane injury
C. Hyaline membrane formation and fibrosis causing pulmonary oedema
D. Increased alveolar-capillary membrane permeability causing metabolic acidosis - ✔B
A 57-year-old male presents with cough, sputum production, dyspnoea, and decreased
lung volume. He is diagnosed with pneumoconiosis. His illness is probably caused by:
A. inhalation of silica, asbestos, mica.
B. autoimmune disease.
C. allergic reactions.
D. flail chest. - ✔A
A 50-year-old male with a 30-year history of smoking was diagnosed with lung cancer.
He was previously exposed to air pollution, asbestos, and radiation at his job. Which of
the following most likely had the greatest impact on development of his cancer?
A. Radiation
B. Cigarette smoke
C. Asbestos
D. Air pollution - ✔B
A 60-year-old male with a 40-year history of smoking presents with chest pain, cough,
and an atypical Cushing syndrome. Tests reveal widespread metastatic cancer. Which
of following is the most likely type of cancer?
A. Adenoma
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