RESPIRATORY SYSTEM

1-) The apex of he lung rises approximately -:

  1. ​2cm to 4cm

  2. 2.5cm TO 3.5cm

  3. 3cm to 5cm

2-) Percussion in asthma and and COPD are -:

  1. tmpanic

  2. ​generalised hyper resonance

  3. Dullness

3-)Shortness of breath or difficulty getting one's breath-:

  1. Mediastinum

  2. Dyspnea

  3. Eupnea

4-)The difference between mucoid sputum and purulent sputum is -:

  1. mucoid sputum is yellow and green whereas purulent sputum is translucent , white and grey

  2. purulent sputum is red ( with blood ) and sticky whereas mucoid sputum is yellow and sticky with a fowl smell

  3. ​mucoid sputum is translucent , white and grey whereas purulent sputum is yellow and green

5-) Main causes of pleural effusion-:

  1. Hypoproteinaemia (nephrotic syndrome, liver failure, malnutrition)

  2. Connective tissue diseases

  3. Tubercolosis

 

6-) Location of trachea in pleural effusion-:

  1. midline

  2. ​shifted toward opposite side in a large effusion

7-) Breathlessness and cough, which at first is characteristically short, painful and dry, but later accompanied by the expectoration of mucopurulent sputum. Which of the above clinical features includes-:

  1. Asthma

  2. Pneumonia

  3. Copd 

8-) Percussion in lobar pneumonia produces-:

  1. resonance

  2. tympanic

  3. C) ​ dullness

9-) Which of the following findings on respiratory system palpation indicates an area of consolidation-: (asymmetric increased fremitus occurs in unilateral pneumonia which increases transmission through consolidated tissue)

  1. Decreased tactile fremitus

  2. Increased tactile fremitus

  3. Increased crepitus

10-)  PPercussion of chronic  bronchitis-:

  1. Resonance

  2. Dullness 

CARDİOVASCULAR SYSTEM

1-)The closing of mitral and tricuspid valve produces -:

  1. ​S1 Heart sound

  2. S2 Heart sound

  3. S3 Heart sound

2-)In cardiac examination. Which of the following chambers of the heart can you assess by palpation-:

  1. Right atrium 

  2. Right ventricle 

  3. Sinus node

3-)What is responsible for the inspiratory splitting of S2-:

  1. Closure of aortic, then pulmonic valves 

  2. Closure of mitral, then tricuspid valves

  3. Closure of aortic, then tricuspid valves

4-) Where is the point of maximal impulse (PMI) normally located-:

  1. In the left 5th intercostal space, 7 to 9 cm lateral to the sternum

  2. In the left 5th intercostal space, 10 to 12 cm lateral to the sternum

  3. In the left 5th intercostal space, in the anterior axillary line

5-)Which of the following events occurs at the start of diastole-:

  1. Opening of the pulmonic valve

  2. Closure of the aortic valve

  3. Production of the first heart sound (S1)

6-)Which is true of a third heart sound (S3)-:

  1. It reflects normal compliance of the left ventricle.

  2. It is caused by rapid deceleration of blood against the ventricular wall.

  3. It is not heard in atrial fibrillation.

7-) Common signs of cardiovascular diseases are -:

  1. chest pain

  2. palpatiom

  3. shortness of breathe

  4. ​all of the above

8-)How should  determine whether a murmur is systolic or diastolic-:

  1. Palpate the carotid pulse.

  2. Palpate the radial pulse.

  3. Judge the relative length of systole and diastole by auscultation

9-)ST segment elevation indicates-:

  1. ​myocardial infraction

  2. atrial fibrillation

  3. ischemic heart disease

10-) Myocardial infraction of lateral wall is indicated by-:

  1. depression in leads V3, V4, V2

  2. ​Elevation in leads I , aVL, V5, V6

  3. Elevation in leads II , III, aVF