Jumat, 05 Agustus 2011

Diseases of the Respiratory Tract-MCQ with Answers

1.             Which one is not included in upper the respiratory tract?

               A.                  Oral cavity.
               B.                  Nasopharynx.
               C.                  Paranasal.
               D.                  Pharynx.
               E.                   Larynx.

2.             What respiratory disease is usually associated with asbestos?

              A.                  Emphysema.
              B.                  COPD.
              C.                  Pneumonia.
              D.                  Mesothelioma.

3.             Which is not a sign of inflammation?

A.                  Redness.
B.                  Pain.
C.                  Heat.
D.                  All are signs of inflammation.

4.             In questioning patient with COLD or FLU, which of the following is most often used to eliminate flu as diagnosis?

A.                  Do you have stuffy / runny nose?
B.                  Do you have muscle aches? 
C.                  Do you have a temperature?
D.                  Do your ears hurt?
               
5.                   What does the “I” stand for in the MIND Paradigm?

A.                  Infectious.
B.                  Inflammatory.
C.                  Immunologic.
D.                  I don’t know.


6.             What is the most important concern you as a dentist have for a patient of COPD?

A.                  Susceptibility to infection.
B.                  Allergies to penicillin.
C.                  Getting something stuck in their throat.
D.                  Local anesthetic adversely affecting them.

7.                 During anaphylactic shock, oxygen should be administered and  _______ epinephrine injected sublingually.

A.                  1 : 1
B.                  1 : 10
C.                  1 : 100
D.                  1 : 1000


8.              What should you NOT do in case of anaphylactic shock?

A.            Call 911.
B.            Give them penicillin.
C.            1 : 1000 epinephrine should be injected.
D.            Administer oxygen.

9.             Rust-colored phlegm may be indicative of:

A.                  Flu plus bronchitis.
B.                  Allergies.
C.                  Cold.
D.                  Flu plus pneumonia.

10.           Which of these is mismatched? (this is a trick question, remember, the MIND concept is based on what histopathologic problem leads To oral cavity problems)

A.                  Metabolic diseases -  pernicious anemia (vit B12 deficiency)
B.                  Immunological diseases - AIDS
C.                  Neoplastic diseases - fibroma
D.                  Developmental diseases – dentigerous cyst

11.          What is your major concern, as a dentist, with treating a patient with  COPD?

A.                  Infection through aerosol inhalation.
B.                  Cardiac arrest.
C.                  Bacteremia.
D.                  There is no problem.

12.          A patient walks into the office and says that she has a sore spot on her gums.  The sore spot could be categorized under:

             A.            Neoplastic disease.
             B.            Metabolic disease.
C.                  Developmental disease.
D.                  All of the above.

13.          Tuberculosis is indicated by:

A.                  Edema.
B.                  Hemoptysis.
C.                  Stridor.
D.                  Runny nose (rhinits).

14.          AIDS belongs to what categories?

             A.            Neoplastic disease.
             B.            Metabolic disease.
C.            Developmental disease.
D.            All of the above.

15.          Which of these definitions is incorrect?

A.                  Hemoptysis – coughing up blood.
B.                  Stridor – dry hack.
C.                  Productive cough – bring up phlegm.
D.                  Dyspnea – shortness of breath.



16.          Regular breathing involves a volume of _____________ of air with each inspiration and expiration, a measure referred to as the tidal volume:

             A.                  500 mL
B.                  200 mL
C.                  100 mL
D.                  900 mL

17.          What is the false definition?

A.                  Stridor – to bring up phlegm.
B.                  Non productive cough – dry hack.
C.                  Hemoptysis – coughing up blood.
D.                  Pulmonary  function test – test for lung capacity.



18.          The term “Red Puffers” describes a person with which type of disease?

A.                  Emphysema.
B.                  Bronchitis.
C.                  Tuberculosis.
D.                  AIDS

19.          Which disease of the upper airway is associated with a yellow nasal discharge?

A.                  Sinusitis.
B.                  Laryngitis.
C.                  Polyps.
D.                  Cancer.

20.          Signs and symptoms of sinusitis include all of the following, except:

A.                  Sneezing.
B.                  Fever.
C.                  Syncope.
D.                  Nasal discharge.

21.          What medications may be used for dental pain if the patient reports aspirin as the possible cause of asthma?

A.                  Acetaminophen.
B.                  Propoxyphene.
C.                  A and B
D.                  None of the above.

22.          What is not a sign or symptom of sinusitis?

A.                  Edema.
B.                  Sneezing.
C.                  Fever.
D.                  None of the above.

23.          The following are causal factors of inflammatory diseases, except:

A.                  Trauma.
B.            Nutritional.
B.                  Infective.  (C)
C.                  Reactive.  (D)



24.          What is the most common metabolic problem with oral manifestation?

A.                  Grave’s Disease.
B.                  Lyme Disease.
C.                  A.I.D.S.
D.                  Diabetes.

25.          Which of the following categories would an allergy to cats fall under?

A.                  Metabolic.
B.                  Inflammatory.
C.                  Neoplastic.
D.                  Developmental.

26.          Which type of patient is subject to oral metabolic problems?   

A.                  Cancer.
B.                  Hepatitis.
C.                  Diabetes.
D.                  Heart Disease.

27.          All of the following are associated with pneumonia except:

A.                  Require major antibiotics. (???)
B.                  Coughing and dyspnea.
C.                  Fever.
D.                  Viral infections.

28.          What disorder is an example of a metabolic disease which causes oral manifestations?

A.                  Tuberculosis.
B.                  Diabetes.
C.                  AIDS
D.                  None of the above.

29.          The clinical term for coughing up blood is:

             A.            Dyspnea.
             B.            Hemitis.
             C.            Hemoptysis.
             D.            Corpusclitis.

30.          Which of the following symptoms does not necessarily indicate a sinusitis?

A.                  Increased pressure and/or pain upon bending or lying.
B.                  Nasal fluid discharge.
C.                  Toothache of maxillary and/or mandibular arch.
D.                  Toothache that is alleviated by injection of local anesthetic.

31.          Which is NOT  an effective precaution that you may take if a patient present with COPD?
A.                  Keep patient sitting upright during appointment.
B.                  Antibiotic prophylaxis.
C.                  Rubber Damn.
D.                  Administer O2 through nasal mask.





32.      In diagnosing a patient with liver problems, a physician may elect to run which tests:

    A.    SMA 20
    B.    BUN (Blood Urea Nitrogen)
    C.    Glycated Hemoglobin
    D.    Angioplasty

33.      After treatment, the patient, who takes medication to control his hypertension stands up and promptly falls backwards.  What is the most probable cause?

    A.    Postural hypotension
    B.    Not enough blood sugar level
    C.    Isomnia
    D.    Diabetes
    E.    Inner ear infection

34.      What is a major concern for dental treatment of a patient who has recently had a kidney transplant?

    A.    Hypertension
    B.    Frequent urination
    C.    When was their last dialysis
    D.    Opportunistic infections as a result of immunosuppression

35.      What is a symptom of hypertension?

Peter J. Note:  Pay attention!  This has the potential to be a trick question.  Be clear about the difference between a sign and a symptom.

    A.    High blood pressure
    B.    Dizziness
    C.    Excessive bleeding
    D.    Swollen ankles

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