Pneumonia
1 Pneumonia is an infection of ?
A. Pulmonary parenchyma
B. Terminal bronchiole
C. Respiratory bronchiole
D. All of the above
2 HCAP stands for ?
A. Hospital-community acquired pneumonia
B. Hospital-community associated pneumonia
C. Health care - associated pneumonia
D. Health care - acquired pneumonia
3 Which of the following is the most common route for bacterial pneumonia ?
A. Aerosolization
B. Contiguous extension
C. Microaspiration of oropharyngeal secretions
D. Hematogenous spread
4 Which of the following is instrumental in clearing and killing pathogens at the the alveolar level ?
A. Resident alveolar macrophages
B. Surfactant protein A
C. Surfactant protein D
D. All of the above
5 Which of the following triggers the clinical syndrome of pneumonia ?
A. Host inflammatory response
B. Proliferation of microorganisms
C. Alveolar capillary leak
D. All of the above
6 Release of which of the following results in fever ?
A. Interleukin (IL) 1
B. Interleukin (IL) 8
C. Granulocyte colony-stimulating factor
D. All of the above
7 Macrophage is the dominant cell type in alveolar space in which of the following pathological phase of pneumonia ?
A. Edema
B. Red hepatization
C. Gray hepatization
D. Resolution
8 Neutrophil is the dominant cell type in alveolar space in whichof the following pathological phase of pneumonia ?
A. Edema
B. Red hepatization
C. Gray hepatization
D. Resolution
9 Successful containment of infection & improvement in gas exchange occurs in which of the following pathological phase of pneumonia ?
A. Edema
B. Red hepatization
C. Gray hepatization
D. Resolution
10 Four pathological phases of pneumonia are best described for ?
A. Pneumococcal pneumonia
B. Viral pneumonia
C. Pneumocystis pneumonia
D. All of the above
11 Bronchopneumonia pattern is most common in ?
A. Bacterial CAP
B. Nosocomial pneumonia
C. Viral pneumonia
D. Pneumocystis pneumonia
12 Which of the following is the most common cause of CAP in OPD, Non-ICU and ICU ?
A. Streptococcus pneumoniae
B. Haemophilus influenzae
C. Mycoplasma pneumoniae
D. H. influenzae
13 Which of the following complicates influenza infection ?
A. Streptococcus pneumoniae
B. Haemophilus influenzae
C. Staphylococcus aureus
D. H. influenzae
14 Which of the following is not an independent risk factor for community-acquired pneumonia ?
A. Alcoholism
B. Asthma
C. Immunosuppression
D. Age > 60 years
15 Which of the following is the strongest independent predictorof invasive pneumococcal disease in immunocompetent young adults ?
A. Alcoholism
B. Cigarette smoking
C. Chronic obstructive pulmonary disease
D. Male gender
16 A recent hotel stay or ship cruise predisposes a person to pneumonia due to ?
A. Legionella
B. Enterobacteriaceae
C. CA-MRSA
D. P. aeruginosa
17 Pneumatoceles on chest radiography suggest infection with ?
A. Enterobacteriaceae
B. P. aeruginosa
C. M. tuberculosis
D. S. aureus
18 To be adequate for culture, sputum sample should have ?
A. >25 PMN & <10 squamous cells per low power field
B. >25 PMN and <20 squamous cells per low power field
C. >50 PMN and <10 squamous cells per low power field
D. >50 PMN and <20 squamous cells per low power field
19 Urinary antigen detection by ELISA is done for which of the following lung infections ?
A. Legionella pneumophila serogroup 1
B. C. burnetii
C. Histoplasma capsulatum
D. Neisseria meningitidis
20 Urinary antigen detection by ELISA is done for which of the following lung infections ?
A. S. pneumoniae
B. Mycobacterium tuberculosis
C. Histoplasma capsulatum
D. Neisseria meningitidis
21 In pneumonia, following etiologic agents can be diagnosed serologically except ?
A. Mycoplasma pneumoniae
B. Chlamydia pneumoniae
C. Chlamydia psittaci
D. Histoplasma capsulatum
22 In pneumonia, following etiologic agents can be diagnosed serologically except ?
A. Legionella spp.
B. Coxiella burnetii
C. Adenovirus
D. Coccidioides immitis
23 Number of variables included in the Pneumonia Severity Index (PSI) is ?
A. 8
B. 15
C. 20
D. 26
24 Which of the following bacteria is typically resistant to cephalosporins ?
A. Escherichia coli
B. Enterobacter spp.
C. CA-MRSA
D. All of the above
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