08-04-2015 IM TEST 2 Name & Roll no SHRAWAN K.

YADAV 942

1) The current anti-TB program applied in my country ( NEEPAL ) is based on WHO recommended DOTS strategy & is called _
NATIONAL TUBERCLOSIS PROGRAMME. It was started in /was recently revised in1989 (year)
2) Mainstay of treatment for OSA Is nasal_COUTINOUS POSITIVE AIRWAY PRESSURE( CPAP)
3) Most effective sterilizing drug used against TB is RIFAMPICIN
4) Risk factors of fungal respiratory infection (any 5) 1.DM, 2.CHRONIC ALCOHOLISM, 3.HIV AIDS, 4.CORTICOSTEROIDS AND
OTHER IMMUNOSUPPRESENT, 5.RADIOTHERAPY
5) PYRIDOXIN should be supplemented to pregnant women taking anti-tubercular therapy (ATT)
6) Ghon complex includes _GHON FOCUS and _RELETED HILAR LAMPHODENOPATHY
7) Formation of LEUCOTRINES from the Arachdonic acid pathway contributes to asthma.
8) The polysomnographic finding which is needed for Diagnosis of OSA (obstructive sleep apnea) is A DETAILED OVER NIGHT
SLEEP STUDY
9) The PRE BOTZZINGER COMPLEX ( situated in the ventrolateral medulla) regulates the breathing patterns
10) Conditions in which the Mantoux test may be falsely positive: BCG.VACCINETED AND NONTUBERCCLOSIS MYCOBACTERIUM
INFECTION
11) Diagnosis of COPD requires FEV1<80% & FEV1/FVC< 70% in spirometry.
12) Drugs contraindicated in asthma: BETA BLOCKER & ASPIRIN
13) With proper use of DOTS for ATT, TB patients usually become sputum-negative in 2 MONTHS and non-infectious in 2 WEEKS
time.
14) Late reaction (phase II) in asthma starts 3- HOURS after exposure and peaks at 6-12 HOURS
15) Findings in CT-scan which suggest Bronchiectasis are (any 4) 1. CYST WITH DEFINED BORDER 2.SIGNET RING SIGN 3.TRAM
TRACK SIGN 4. TREE IN BUD SIGN
16) Which of the following anti-TB drug is given intravenously?
a) Isoniazid c) Rifampicin
b) Pyrazinamide d) Streptomycin
17) Allergic bronchopulmonary aspergilosis may be associated with all EXCEPT:
a) Cystic fibrosis c) Bronchiectasis
b) Asthma d) Tuberculous cavity
17) Asthma is diagnosed by:
a) Tachypnea and cyanosis c) Reversible airway obstruction
b) Inspiratory wheeze on auscultation d)Expiratory wheeze on auscultation
18) All true about asthma EXCEPT:
a) ‘Silent chest’ is more ominous sign than the presence of wheezing.
b) Best drug to prevent exercise induced asthma is sodium cromoglycate.
c) Persistence of Th1 bias predisposes to increased leukotrines production.
d) Atopic individual produce more IgE

19) All are true about major adverse effects of TB except:

a) Rifampicin may cause red urine. c) Arthralgias are due to pyrazinamide.
a) Ototoxicity is due to Isoniazid d) Ethambutol may cause optic neuritis
20) Indication for adjuvant steroid therapy for ATT are all EXCEPT:
a) Renal tract TB c) Adrenal TB ( hypoadrenalism)
b) TB of spine (Pott’s disease) d) TB Meningitis

21) 62 yr/M, diagnosed as sputum positive TB has returned after default. Now, he has come to ER with severe shortness of breath,
cough & dizziness. On examination, HR =137bpm, BP 80/40mmHg, raised JVP, positive abdominojugular reflux and muffled heart
sounds. Most likely diagnosis:
a) TB of pleura c) TB of mediastinal lymph nodes
b) TB of pericardium d) Miliary TB
.
22) Following patients are “Category 1” patients EXCEPT:
a) New sputum positive patients c) Sputum negative but positive clinical + CXR features
b) Tuberculous pleural effusion d) Sputum positive due to treatment failure

23) All are features of acute severe asthma EXCEPT:

a) Arrythmias c) Cyanosis
b) Delirium d) Hypertension

24) In a patient with sputum positive TB, following Xray -feature suggests “active” infection:
a) Cavitiation c) Fibrosis
b) Upper zone infiltrates d) Bilateral infiltrates

25) A 74y/F , wt 47kg, comes with severe SOB, pursed lip breathing, barrel-shaped chest and flushed skin.
Most likely diagnosis: a) Brochiectasis c) Asthma
b) Chronic bronchitis d) Emphysema

26) All true about treatment of infection with Mycobacterium avium complex (MAC) EXCEPT:
a) Must give complete course of 14 days of antibiotics b) 3-4 drug regimen needed
c) Clarithromycin ,rifampin & ethambutol used d) Negative sputum culture indicate effective therapy
27) NOT a feature of APBA (ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS):
a.ASTHMATIC SYMPTOMS c) Positive skin test to an extract of A. fumigatus
b) Peripheral blood eosinophilia d) Elevated levels of serum IgG

28) Patient comes with chronic fever, cough, weight loss and hemoptysis. CXR shows ‘ millet-seed’ pattern. Most like diagnosis:
a) Latent TB c) Tuberculous interstitial fibrosis
b) Miliary TB d) Subclinical infection
29) The dye commonly used to visualize tubercle bacilli is:
a)Gram stain c) Myeloperoxidase (MPO) stain
b) Sudan black stain d) Ziehl-Neelsen (Z-N) stain
30) NOT a cardinal pathophysiological feature of asthma:
a) Airway inflammation c) Airway hyper-reactivity
b) Alveolar destruction d) Airflow limitation