Medical examination of clinical practitioners Pok exam (second unit)
Source: Author: Publish time :2007-08-26
second unit obstructive chronic bronchitis and emphysema
1 Title infection is the development of chronic bronchitis, the first factor in what factors
A.
C.
B. important factor in the only factor
D. secondary factors
E. irrelevant factors
The correct answer: B
Problem 2, and the pathogenesis of chronic bronchitis, the most common bacteria to
A. Haemophilus influenza, pneumonia cones bacteria, alpha chain cones bacteria, fungi grape cones
B. Influenza A chain of cones bacteria, pneumonia chain cones bacteria, Haemophilus influenzae, Neisseria cones bacteria
C. pneumoniae bacteria chain cones, cones bacteria Neisseria, Haemophilus influenzae, b chain of cones hemolytic bacteria
D. pneumonia chain cones bacteria, alpha chain cones bacteria, Haemophilus influenzae, Staphylococcus aureus
E. coli cones bacteria, Pseudomonas aeruginosa, Escherichia coli, anaerobes
correct answer: B
Question 3 main causes of chronic bronchitis is
A. allergic factors
B. Environmental pollution
C. climatic factors
D. Long-term smoking
E . fungal infections
correct answer: D
question 4 the concept of small airways is
A. ID <2tan
B.
C. inner diameter <2mm
D. diameter <2mm
E. OD <2tan
correct answer: D
5 questions the clinical classification of chronic bronchitis is
A. simplex and asthmatic and repeated infection type
B. simplex and asthmatic
C. simplex, wheezing and mixed
D. simplex, asthmatic and purulent mucus simply type
E. type, obstructive and allergic-type
correct answer: B
Question 6 with chronic bronchitis, small airway obstruction earliest changes in pulmonary function is
A. MVVd (<80% predicted )
B. flow – volume curve decreased (MEFVd)
C.FEV1/FVC% <70%
D.RV / TLC was u
E. PEF was d
correct answer : B
question 7 of the clinical stage of chronic bronchitis, acute exacerbation of
A., chronic moved to an extension, stable
B. Acute exacerbation of clinical remission, active
C. Acute exacerbation of chronic moved to an extension, clinical remission
D. active, stable, moved to an extension
E. compensated, decompensated, intermittent
correct answer: C
Question 8 early chronic bronchitis is a lung X-ray
A. thick two markings, no special signs of disorder
B.
C. degree of lung through the diaphragm to increase
D. down
E. chest expansion, widened intercostal
correct answer: B
the first 11 questions with acute exacerbation of chronic bronchitis treatment, the most important measure is
A. cough expectorant
B. infection control
C. spasm and asthma
D. vaccine injection
E. oxygen infusion
correct answer: B
question 12 with chronic bronchitis acute and chronic treatment of inappropriate moved to an extension for
A. should be long-term continuous use of antibiotics in order to completely cure
B. Acute infection control, timely and easy long-term drug withdrawal
C. caused by double infection and bacterial resistance
D. Patients should adhere to relocate extension cough expectorant drug, in order to completely control
E. aerosol antibiotic therapy can be used to strengthen local anti-inflammatory effect
The correct answer: A
13 questions most common complication of chronic bronchitis is
A. Chronic pulmonary heart disease
B. spontaneous emphysema

C. D. Bronchiectasis
E. respiratory failure
correct answer: C
14 questions emphysema is the most common cause of bronchial asthma

A. B. bronchiectasis
C.
D. Severe chronic bronchitis pneumoconiosis, tuberculosis
E.
correct answer: C
emphysema, chronic bronchitis, question 15 enzyme system changes, following which one is correct
A.a1 antitrypsin reduce
B. adenosine cyclase true cholinesterase activity increased
C. normal
D . phosphorus acid esterase reduce
E. proteolytic enzymes reduce
correct answer: A
Question 16 centrilobular emphysema is characterized by the pathological changes of respiratory fine count
A. bronchiectasis, peripheral normal
B. All terminal bronchioles following structure expansion
C. alveolar ducts, alveolar sacs, alveolar expansion
D. Lung expansion of lobular and alveolar sacs breathing
E. destruction of the bronchioles, alveolar rupture
correct answer: A
17 questions with chronic airway obstruction in patients with emphysema, the most common pathological type
A. Full lobular type
B . lobular central
C. hybrid
D. next to the interval type
E. interstitial
correct answer: B
the first 18 questions in the chronic bronchitis cause lung swelling first appeared during the bronchioles is
A. incomplete obstruction
B. alveolar lumen residual gas increased
C. weakening or destruction of the alveolar wall elasticity of carbon dioxide partial pressure increased
D.
E. The corresponding values ​​of blood pH changes
correct answer: A
question 19 chronic obstructive pulmonary pathophysiological changes in the first place is
A. hypoxia
B.CO2 retention
C. simultaneous hypoxia and C02 retention
D.
E. respiratory acidosis respiratory acidosis + metabolic acidosis
correct answer: A
20 chronic bronchitis, pulmonary problems The main emphysema symptoms
A. sudden difficulty in breathing
B. gradually worsening dyspnea
C. breathing
D. cyanosis
E. palpitations
correct answer: B
21 asthma-type problems red emphysema is characterized by
A. younger and more obese
C.
B. more
D. cough, sputum volume light
E.
near-normal static lung compliance, the correct answer: D
Question 22 swollen purple type is characterized by emphysema barrel chest
A. wet rales was
B. narrow heart shadow scarce
C.
D. dynamic lung compliance than normal
E.
pulmonary heart disease with heart failure, the correct answer: E
the first 23 questions of the following pulmonary function examination The results, which do not meet with emphysema
A. MVV less than the predicted value 80%
B.RV / TLC> 40%
C.FEV1/FVC <60%
D. alveolar nitrogen concentration> 2.5%
E. flow – volume curve was normal
correct answer: E
Which of the following 24 questions are not complicated by emphysema, chronic bronchitis and X-ray
A. Early can be no exception
B. disorder
C. two lung markings in both lungs with multiple holes
D. lungs through the brightness low, flat diaphragm
increase
E. The correct answer: C
25 questions the treatment of obstructive pulmonary emphysema aims to control the infection
B.
A. improve respiratory function
C. Zhikepingchuan
D. the barrel like chest disappeared
E. prevent pulmonary heart
correct answer: B
question 26 with chronic obstructive pulmonary disease (COPD) including
A. chronic bronchitis, emphysema, atelectasis
B. chronic bronchitis, asthma, tuberculosis
C. chronic bronchitis, atelectasis, asthma
D. Chronic bronchitis, emphysema, lung abscess
E. None of the above
correct answer: E
question 27 female, 63 years old, often in the winter and when the season changes, cough, sputum 8-year history, the past three years, activities shortness of breath, nearly two days due to cold cough, shortness of breath increased,
cough yellow sputum , scattered in the lungs dry, wet?? tone, heart rate 100 beats / min, which of the following treatment is the most important
A. continuous low flow oxygen
B. Use of asthma drugs such as aminophylline
C. use of ambroxol and other expectorants
D. ultrasonic atomizing inhalation
E. use of effective antibiotics
correct answer: E
question 28 men, aged 60, chronic cough 11 years, nearly five years after the event occurs shortness of breath, wheezing lungs sound could be heard widely, lungs could be heard to step down wet?? sound, chest X-ray showed pulmonary pattern
management enhancements, the most likely diagnosis is
A. bronchial asthma
B. lung cancer
C. bronchiectasis
D. obstructive pulmonary infection support chronic asthmatic
E. bronchitis
correct answer: E
29 issue male, 62 years old, cough, expectoration of more than six years, the past year, wheezing, when light weight. scattered in the lung wet and dry rales and wheezing sound, see a large number of sputum smear neutral
granulocytes, the diagnosis is most likely to
A. Which of the following chronic bronchitis, bronchial asthma simplex
B.
C. chronic bronchitis, asthmatic
D. Bronchiectasis
E. lung cancer
correct answer: C
question 30 male, 58 years old, chronic cough, sputum more than 10 years, measured as the expected value of VC 85%, FEV1/FVC 52%, this change in lung function may be normal
B.
A. restrictive ventilatory dysfunction
C. obstructive ventilatory dysfunction
D. mixed ventilatory dysfunction
EV / Q imbalance
correct answer: C
31 men, 61-year-old problem, chronic cough, sputum history of five years, nearly 1 Zhoufa Sheng hemoptysis, more than 100ml per day, the patient may be merged
A. pulmonary fibrosis
B. emphysema
C. Cor
D. serious lung diseases such as cancer
E. pneumothorax
correct answer: D
32 questions X-ray brightness through increased lung markings, lower diaphragm, ribs go flat line, expand the intercostal space, time, reduced lung capacity, residual volume increase , lung
with scattered wet?? sound, the diagnosis may be
A. bilateral bullae
B. Bilateral spontaneous pneumothorax
C. bronchial asthma
D. emphysema and lung cyst infection
E.
correct answer: D
33 patients with chronic bronchitis problem, this morning left chest suddenly felt a brief sting, and gradually a sense of shortness of breath, chest tightness, not supine, large sweat, heart rate 140 beats / min, left out
significantly reduced breath sounds, the patient should first consider which of the following diagnostic
A. angina
B. atelectasis
C. pleurisy
D. Spontaneous pneumothorax
E. Acute pulmonary embolism
correct answer: D
question 34 men, 59 years old, seven-year history of cough, pulmonary function, lung capacity 84% predicted %, FEVl / FVC of 54% the most likely diagnosis is
A. diffuse dysfunction
B. restrictive ventilatory dysfunction
C. obstructive ventilatory dysfunction
D. mixed ventilation dysfunction
E. normal
correct answer: C
question 35 men, 50 years old, 6 years of chronic cough, sputum, lung function of obstructive ventilatory dysfunction. Which of the following is wrong
A. lung capacity, residual volume to reduce
B.
C. residual gas volume increases accounted for a percentage of total lung capacity decreased
D. The first second forced expiratory volume in the mid-lower peak expiratory
E. flow rate to reduce
correct answer: C
36 questions male, 54 years old, chronic cough, sputum 10, shortness of breath 3 years, gradually increased. X-ray showed widened intercostal space, through the lungs to increase the brightness , upper right circular translucent area, two lower lung markings disorders, diagnosis should be considered
A. bronchial asthma
B. Spontaneous pneumothorax
C. bronchiectasis
D . chronic bronchitis, emphysema, chronic bronchitis

E. The correct answer: D
first 37-39 questions
male, 32 years old, 3 years, cough, sputum, severe summer and winter light, 3 days, increased cough, cough yellow sputum Examination: Tang Lung dry, wet?? sound, the heart normal. WBC.11t
10 9 / L, normal chest X-ray
1. you that this patient most likely to occur which of the following early lung function
A. VTd
B. TVu
C. VCd
D. CVd
E. TCLu
2. to the patients the correct diagnosis is the next full
A. bronchial asthma
B.
C. remission of bronchial asthma with acute exacerbation of chronic bronchitis, chronic
D. clinical remission
E. bronchitis bronchiectasis secondary infection
3. The case is the most common complication of chronic pulmonary heart disease
A. obstructive lung
B. swollen
C. respiratory failure
D. pulmonary fibrosis bronchiectasis

E. the correct answer: DCB.
first 40-42 questions
male, 67 years old, chronic cough, sputum 20 years, four years after the event shortness of breath, examination: diffuse lung wet and dry?? sound, the heart is normal. blood WBC.11t10 9 / L, the middle and lower chest lung field
film texture to enhance lung
1. This patient most likely diagnosis is
A.
B. bronchial asthma, chronic bronchitis, bronchiectasis
C.
D. Bacterial pneumonia
E. endobronchial tuberculosis
2. The patient’s chest X-ray examination confirmed the diagnosis purpose is
A.
B. know the condition changes
C. assist in determining the prognosis
D .
E. efficacy of objective indicators to determine whether the differential diagnosis and complications
3. The most important treatment of patients is
A. spasm and asthma
B. expectorant cough
C. Low-flow oxygen
D. infection control
E. traditional Chinese medicine
correct answer: CED.
questions 43-45
male, 50 years old, cough, sputum history of 10 years, more than in March last year, activities, shortness of breath after 2 years, sicker 3 days, difficulty breathing, examination:
voiceless lungs had percussion, auscultation, lung wet and dry?? sound.
1. The patient’s diagnosis should be considered first
A. simplex acute exacerbation of chronic bronchitis
B. simplex chronic bronchitis, emphysema acute exacerbation of bronchial
C. asthma, emphysema
D. asthmatic chronic bronchitis, emphysema, acute exacerbation of
E. asthmatic chronic bronchitis, emphysema, acute exacerbation of
2. To confirm the diagnosis should be done which of the following check
A. Chest X-ray film
B. deter bacterial sputum examination
C. Pok
D. pulmonary function blood tests
E. Blood liver and kidney function tests
3. The main treatment of patients is
A. antibiotics
B. expectorant cough agent
C. oxygen inhalation
E.
D. b2 agonists criminal
correct answer: BCA.
first 46-48 questions
male, 48 years old, 10-year history of chronic cough, cough small amount of phlegm, shortness of breath for four years after the event, physical examination: no lip cyanosis, barrel chest, weak lungs breath sounds, no dry sex?? sound. chest showed: increase in lung permeability brightness, narrow heart shadow markings rare clinical diagnosis of emphysema.
1. The patient clinical classification should be considered
A. lobular central
B. lobular type
C. bronchitis all type (purple swollen type)
D. emphysema type (red surge-type )
E. hybrid
2. The patient laboratory tests generally do not appear
A. residual volume increased
B.FEV1 reduce
C. hematocrit <45%
D. Resting PaO2 increased significantly reduce
E.PaC02 late
3. ask family history, his brother and father had emphysema, the onset and which factors are most likely
A. Smoking
B. Air pollution
C. dust inhalation
D. autonomic dysfunction
E.a1-antitrypsin deficiency
correct answer: DDE