GENESIS
(Post Graduation Medical orientation Centre)
Exam : Pulmonology Davidson Exam Davidson Batch Jan'25
Course: FCPS Part-1 Discipline: Medicine & Allied
Batch: Online Premium Record Medicine Crash Batch Jan'25
Year: 2025 Session: January'25 P-1 Candidate
(1 of 50 )
Causes of Chronic cough with normal chest x ray are–
a) GERD T
F
b) TB
c) ACEi T
d) Post nasal drip T
T
e) Bronchitis
(2 of 50 )
Bilateral diaphragmatic weakness may be present in-
a) Lobectomy F
b) GBS T
T
c) Poliomyelitis
T
d) DMD
F
e) Liver abscess
(3 of 50 )
A 25-year-old male with asthma presents with sudden left-sided chest pain and shortness of breath following a
skateboarding fall 30 min ago. What are the other possible clinical abnormalities present in this case?
T
a) Hyperresonant percussion note
b) Increased breath sound F
F
c) Deviation of trachea to same side
T
d) Hypotension
e) Subcutaneous emphysema T
(4 of 50 )
Connective tissue disorder causing bilateral pleural effusion are–
F
a) Cardiac failure
b) SLE T
F
c) Myxoedema
F
d) Acute Rheumatic Fever
T
e) Rheumatoid arthritis
(5 of 50 )
Postural drainage is helpful in management of –
a) Bronchiectasis T
b) Acute bronchial asthma F
T
c) Chronic bronchitis with suppuration
d)Acute pneumonia F
e)Pulmonary hypertension F
(6 of 50 )
The most common sites for lung abscess are-
a) Apical segment of the lower lobe T
b) Posterior segment of the upper lobe T
F
c) Root of the lung
d) The costo-mediastinal recess F
e) The lobe of the azygos vein F
(7 of 50 )
What are the factors responsible for false negative tuberculin test ?
T
a) Immunosuppressant
b) Overwhelming infection T
c) Children F
d) Latent TB F
F
e) Previous vaccination
(8 of 50 )
ECG Findings of Pulmonary embolism are-
a) Tall T wave F
T
b) Normal
c) RBBB T
d) sinus tachycardia T
T
e) S1Q3T3 pattern
(9 of 50 )
In Emphysema there is decrease in-
a) FEV1/FVC T
b) TLC F
T
c) Kco
d) RV F
T
e) FVC
(10 of 50 )
Following are the features of CO2 retention in case of acute on chronic type-II respiratory failure-
F
a) Peripheral edema
b) Raised JVP F
T
c) Warm periphery
T
d) Bounding pulse
e) Flapping tremor T
(11 of 50 )
Chest X-ray of a patient reveals cavitary lesion. What are the differential diagnoses?
F
a) Sarcoidosis
T
b) Pulmonary infarct
c) Wegener’s granulomatosis T
F
d) Histoplasmosis
T
e) Lung cancer
(12 of 50 )
A 54-year-old male H/O COPD presents to respiratory clinic with recent deterioration of condition for last 3 weeks. He is
advised to prescribe long term oxygen therapy based on clinical, hematological & ABG report. Indications for long term
oxygen therapy includes
a) Pa O2< 7.3 irrespective of PaCO2 T
b) Pa O2 7.3 – 8 kPa plus pulmonary hypertensions T
c) Pa O2< 8.3 respective of Pa CO2 F
d) Pa O2 7.3 – 8 kPa plus peripheral edema or polycythemia T
e) PaCO2 < 7.3 irrespective of PaO2 F
(13 of 50 )
Marker of severity in pneumonia are
a) Leucocytosis T
b) Bacteraemia T
c) Hyponatraemia T
d) Hypoalbuminaemia T
e) Urea < 7 F
(14 of 50 )
Predisposing factors of obstructive sleep Apnea syndrome include
a)Hypoparathyroidism F
b)female gender F
c)Obesity T
d)Nasal Obstruction T
e)Hypothyroidism T
(15 of 50 )
Adverse reaction of Anti-tubercular drugs –
a) Isoniazid – Peripheral neuropathy T
b) Rifampicin – Haemolytic anemia T
c) Pyrazinamide – Photosensitization T
d) Ethambutol – Hyperuricaemia F
e) Rifampicin – Lupoid reaction F
(16 of 50 )
A 72 years old female came to the emergency department with severe respiratory distress, Cough and Fever. She is a
diagnosed case of bronchial asthma. Following features may indicate near fatal asthma
a) Delirium F
b) Coma F
c) Raised PaCO2 T
d) Requiring mechanical ventilation T
e) Feeble respiratory effort F
(17 of 50 )
Cystic fibrosis
a) Autosomal recessive disease T
b) Affect a gene on the short arm of chromosome 7 F
c) Leads to bronchiectasis T
d) Lungs are most commonly infected with Streptococcus pneumoniae F
e) Genotype is a good predictor of disease severity in individuals; F
(18 of 50 )
What are the non-respiratory causes of clubbing?
a) Coeliac Disease. T
b) Irritable Bowel Syndrome. F
c) Rheuma+c Heart Disease. F
d) Arteriovenous Shunts. T
e) Thyroid Acropachy. T
(19 of 50 )
What are the non metastatic extrapulmonary manifestation of lung cancer?
a)Carcinoid syndrome T
b)Myopathy F
c)Cerebellar degeneration T
d)Spinal cord compression F
e)Myasthenia T
(20 of 50 )
Diseases associated with bilateral hilar enlargement -
a) Lymphoma T
b) Lung cancer F
c) Consolidation F
d) Sarcoidosis, T
e) Silicosis T
(21 of 50 ) What are the most common causes of haemoptysis?
a) Lung abscess F
b) Aortic aneurysm F
c) Tuberculosis T
d) Pulmonary Infraction T
e) Trauma F
(22 of 50 )
Drugs causing pulmonary fibrosis are -
a) MTx T
b) Amiloride F
c) Nitrofurantoin T
d) Bleomycin T
e) Levofloxacillin F
(23 of 50 )
You see a 70-year-old man diagnosed with hypersensitivity pneumonitis following a four-month history of shortness of
breath at rest and cyanosis. Which of the following falls under the category of hypersensitivity pneumonitis?
a) Inhalation (‘humidifier’) fever F
b) Farmer’s lung T
c) Byssinosis F
d) Cheese worker’s lung* T
e) Malt worker’s lung T
(24 of 50 )
Factors suggesting psychogenic hyperventilation –
a) Frequent erratic ventilation at rest T
b) Inconsistent spirometry measures T
c) Induction of signs during submaximal hyperventilation F
d) Resting end tidal CO2>4.5% F
e) Associated perioral paraesthesia T
(25 of 50 ) Characteristics of nodule indicate risk of malignancy
a) Size less than 4mm F
b) Spiculated margin T
c) Popcorn pattern F
d) 70% lung cancer occur in lower lobes F
e) Increases age T
(26 of 50 )
What is the gold standard test used for detecting tuberculosis (TB)?
a)Chest X-ray imaging
b)Tuberculin skin test (TST)
Correct Ans
c)Sputum culture test
d)Polymerase chain reaction (PCR) test
e)Interferon-gamma release assay (IGRA)
(27 of 50 )
What is the indication of steroid in sarcoidosis?
a) Hypocalcemia
b) Hepatic impairment
Correct Ans
c) Uveitis
d) Lupus pernio
e) Brain involvement
(28 of 50 )
A 55-year-old female smoker presents with a persistent cough and weight loss. Chest X-ray shows a nodule in the upper
right lobe. Biopsy confirms adenocarcinoma. Which of the following is the MOST common type of lung cancer?
a) Squamous cell carcinoma
b) Small cell lung cancer
Correct Ans
c) Adenocarcinoma
d) Large cell carcinoma
e) Non-small cell lung cancer
(29 of 50 )
A 45-year-old immunocompromised patient presents with fever, cough, and shortness of breath. Chest X-ray shows a new
infiltrate. CT scan reveals a ground-glass opacity with a central nodule - the "halo sign". What is the most likely diagnosis?
Correct Ans
a) Invasive Aspergillosis (IA)
b) Pulmonary Mucormycosis
c) Bacterial Pneumonia
d) Cryptococcosis
e) Organizing Pneumonia
(30 of 50 )
In case of pulmonary hypertension which one is true?
a) Mean pulmonary arterypressure is at least 15 mmHg.
b) Elevated JVP with prominent V wave.
Correct Ans
c) Right ventricular hypertrophy.
d) Pulmonary component of second heart sound is soft.
e) Right ventricular 4thheart sound present
(31 of 50 )
A 18 year old boy present with pan-acinar emphysema with. respiratory [Link] also complaints of steatorrhoea and
jaundice. What is the underlying cause?
a) Cystic fibrosis
b) Bronchiectasis.
Correct Ans
c) α-1 antitrypsin deficiency
d) Kartagener’s syndrome
e) Primary ciliary dyskinesia
(32 of 50 )
A 82-year-old man presents with evidence of pneumonia on chest x-ray. His respiratory rate is 32 breaths/minute, pulse rate
is 110/minute and the blood pressure is 116/56 mmHg, GCS 13/15. Initial bloods show a urea of 7 mmol/[Link] CURB 65
score is:
a) 1
b) 2
c) 3
Correct Ans
d) 4
e) 5
(33 of 50 )
A 57 year old female presents with fever, chest pain and cough. Chest X-ray shows D shaped shadow in the right mid zone.
What is the most likely diagnosis?
a) Lung abscess
Correct Ans
b) Empyema
c) Pyopneumothorax
d) Tuberculosis
e) Pneumonia
(34 of 50 )
A 35 years old alcoholic presents with fever, respiratory distress and cough. What is the most common organism?
a) Streptococcus
b) Staphylococcus
Correct Ans
c) Kleibsella
d) Legionella
e) Mycoplasma
(35 of 50 )
A 20-year-old male student is assessed for shortness of breath that occurs whilst running. He has no other symptoms and
does not smoke. Physical examination, full blood count, and chest X-ray are normal. Which of the following is most likely to
behelpful in confirming the suspected diagnosis?
a) Spirometry before and after administration of bronchodilators
b) ABG Analysis
Correct Ans
c) Spirometry before and after exercise
d) Venous blood lactate before and after exercise
e) Repeat CXR
(36 of 50 )
What is the most common cause of chronic type 2 respiratory failure?
a) Acute Severe Bronchial Asthma
b) Sleep Apnea
c) COPD
d) Lung fibrosis
e) Severe COPD Correct Ans
(37 of 50 )
A 65-year-old man with a history of hypertension and hyperlipidemia presents to the emergency department with shortness
of breath and chest pain. CXR is normal, ECG shows sinus tachycardia. D-Dimer results positive. What is the next single
best investigation to confirm the diagnosis?
a) Repeat CXR
b) CT Abdomen
c) CTPA Correct Ans
d) V/Q Scan
e) Repeat D-Dimer
(38 of 50 )
A 50 years old smoker male presents to respiratory clinic with respiratory distress for last 5 days. On query he gave history
of cough with blood mixed sputum. On examination you found clubbing. Which one Is the most common symptom of Ca.
Lung?
a) Cough Correct Ans
b) Hemoptysis
c) Clubbing
d) Pleuritic chest pain
e) Hypertrophic pulmonary osteoarthropathy
(39 of 50 )
A 50 years old smoker male presents to you breathlessness. CXR showing hypertranslucency of both lung field and low flat
diaphragm. Given the likely diagnosis which one is the central to management of breathlessness?
a) Avoidance of noxious particles
b) Inhaled glucocorticoids
c) Oral glucocorticoids
d) LTOT
e) Bronchodilators Correct Ans
(40 of 50 )
A 47 years old male smoker comes to you with chief complaints of purulent cough for 1.5 months, occasional reddish-dark
colored sputum production and foul smelling breath. On examining chest, you heard coarse crackles on right side of lung.
His chest x-ray reveals ring shadows and tram line shadows. What is the probable diagnosis?
a) Pulmonary TB
b) Pleural TB
c) Cystic fibrosis
d) Bronchiectasis Correct Ans
e) Small cell Ca lung
(41 of 50 )
A patients comes to hospital with high grade fever, rigor and blood stained sputum production for 2 days. On further query,
he says that he was suffering from sore throat for 8 days. On examination you got tender swollen right side of his neck and
bronchial breath sound on auscultation. What is the likely disease he is suffering from?
a) Bronchiectasis
b) Aspiration pneumonia
c) Community acquired pneumonia
d) Lemierre disease Correct Ans
e) Actinomycoses Lung abscess
(42 of 50 )
A young patient comes to you with dry cough, right sided knee joint pain, occasional red eye, multiple reddish lesion over
shin. You are suspecting him as sarcoidosis. What is the confirmatory diagnosis for him?
a) ACE level
b) Bronchoscopy
c) Chest xray
d) CT chest
e) Histopathology of affected organ Correct Ans
(43 of 50 )
A close contact to TB patient is tested for latent TB infection and became IGRA positive. What is the treatment for him?
a) As per active TB patients
b) Total 12 months treatment
c) Rifampicin and isoniazid for 3 months Correct Ans
d) Isoniazid for 4 months
e) Rifampicin, isoniazid and pyrazinamide for 3 months
(44 of 50 )
A 43 years old woman with a history of poorly controlled asthma is reviewed in the chest clinic ___. She is then considered
aspergillosis. What is the most appropriate treatment to control her symptoms?
a) Oral prednisolone Correct Ans
b) Oral antibiotics
c) O2 therapy
d) Noninvasive ventilation
e) Intravenous aminophylline
(45 of 50 )
A 59-year-old male stonecutter complaints of progressive worsening of shortness of breath & persistent dry cough. On
chest X-ray P/A view reveals small rounded nodules predominantly in upper zones & egg shell calcification in both hilar
regions. What is your probable diagnosis?
a) Silicosis Correct Ans
b) Sarcoidosis
c) Coal worker pneumoconiosis
d) Berylliosis
e) Asbestosis
(46 of 50 )
Pleuropulmonary involvement of connective tissue disorder is more common in –
a) SLE Correct Ans
b) Systemic sclerosis
c) Rheumatoid arthritis
d) Polymyositis
e) Granulomatosis with polyangiitis
(47 of 50 )
A 56-year-old H/O smoking complaints of progressive shortness of breath. Spirometry reveals post bronchodilator
FEV1/FVC 0.60, FEV1 60% predicted; What is the most appropriate interpretation of these results?
a) COPD (Stage 2 - Moderate) Correct Ans
b) LOPD (Stage 3 - Severe)
c) COPD (Stage 4 - Severe)
d) COPD (Stage 2 - Mild)
e) COPD (Stage 3 - Mild)
(48 of 50 )
A 37 years old male complaints of loud snoring in all body positions & having multiple breathing pauses. According to
apnoea hypopnea index, Severe obstructive sleep apnea is considered. The gold standard therapy for him –
a) CPAP Correct Ans
b) BiPAP
c) Mandibular advancement device
d) Reassurance
e) O2 supplementation
(49 of 50 )
A known case of bronchial asthma patient comes to your chamber with complaints of not controlling symptoms for 2 weeks.
She is taking salmetrol+fluticasone inhaler twice daily. What is the next approach of management?
a) Add salbutamol orally
b) Add salbutamol inhaler
c) Start oral steroid
d) Start IV steroid
e) Add montelukast Correct Ans
(50 of 50 )
A healthy ship breaking worker undergoes routine radiological and biochemical investigations. His all investigations are
normal but chest xray shows candle wax appearance. What is the most likely diagnosis?
a) Mesothelioma
b) Diffuse pleural thickening
c) Pleural plaques Correct Ans
d) Asbestosis
e) Acute benign asbestos pleurisy
