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Flashcards in FINAL Fall 2014 Deck (101)
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1
Q
  1. Congenital heart disease has a prevalence in the general population of ____ although the CDC puts it slightly higher

a. 1/120
b. 3/100
c. .5/100
d. 2/110

A

A. 1/120

2
Q

. The most common neoplasm to produce paraneoplastic syndrome such as HPT, Cushing’s syndrome or acromegaly and produce mediastinal widening?

a. squamous cell
b. small cell
c. large cell
d. carcinoid

A

b. Small cell

3
Q

The left atrium and left ventricle together, boarder form on all views except:

a. PA
b. Lateral
c. LAO
d. RAO

A

D. RAO

4
Q

On this view the right ventricle forms the heart boarder with teh right atrium

a. PA
b. Lateral
c. LAO
d. RAO

A

C. LAO

5
Q

Small bowel obstruction (mechanical ileus) produces ___ on the plain film radiographs (Mar p1335)

a. Multiple water filled loops of bowel
b. Fluid/fluid levels from fat and fluid separation
c. Distended gas filled loops / no air-fluid levels
d. Distended gas filled loops and fluid levels / valvulae convent transversing lumen

A

D. distended gas filled loops and fluid levels/ valvulae convent transversing lumen

6
Q

All of the following are causes of large bowel obstruction (mechanical ileus). Which are most common? Mar p1335

a. Intussusception adhesions
b. Bowel hernia, distended bladder
c. Ovarian mets, volvulus
d. Colon cancer, diverticulitis

A

D. colon cancer, diverticulitis

7
Q

Lymphangitis cardinomatosis/pulmonary lymphatic mets, causes reduced - lymp absorption edema, is mc related to primaries of the stomach, pancreas, prostate and breast and will show which of the following findings (mar 1204)

  1. Kerley’s lines
  2. Hilar LAN
  3. Reticulonodular pattern
  4. 3-5mm nodules

a. 1,2
b. 2,3,4
c. 1,2,3
d. 3,4
e. 1,4

A

C. 1,2,3

8
Q

Descending order of incidence for aortic aneurysm location (YR 1819)

a. Aortic arch, thoracic, ascending, abdominal
b. Thoracic, ascending, abdominal, arch
c. Suprarenal abdominal, ascending, arch, thoracic
d. Infrarenal abdominal, arch, thoracic, ascending

A

d. Infrarenal abdominal, arch, thoracic, ascending

9
Q

Syphilis could cause ____ aneurysm

a. Stanford A
b. Stanford B

A

a. Stanford A

10
Q

Common posterior mediastinal masses: pick all correct choices

a. Bronchogenic cyst
b. IVF Schwannoma
c. Pott’s disease
d. Esophageal achalasia

A

b. IVF Schwannoma

c. Pott’s disease

11
Q

Common posterior mediastinal masses:

a. Bronchogenic cyst
b. IVF Schwannoma
c. Aortic aneurysm
d. Esophageal achalasia

A

b. IVF Schwannoma

12
Q

When secondary/post primary TB heals it usually produces radiographic upper lung ___ which may lead to ____

a. fibrosis, cicatrix atelectasis
b. Fibrotic nodules, conglomerate masses
c. Nodular densities, multiple calcific nodules d. Air space consolidation, cavitation

A

a. fibrosis, cicatrix atelectasis

13
Q

Probably the most common potential lift threatening disorder encountered in patient presenting with back pain: YR 1819

a. Infectious discitis
b. Multiple myeloma
c. Emphysematous cholecystitis
d. Abdominal aortic aneurysm

A

d. Abdominal aortic aneurysm

14
Q

.Which of the following are characteristic findings of acquired valvular heart disease (usually mitral and aortic) which typically causes valvular stenosis. Pick all choices

a. Alteration in cardiac side
b. Valvular calcification may be present
c. Alteration in pulmonary vascularity
d. Alteration in size and shape of specific cardiac chambers

A

a. Alteration in cardiac side
b. Valvular calcification may be present
c. Alteration in pulmonary vascularity
d. Alteration in size and shape of specific cardiac chambers

15
Q

Common causes of right atrial enlargement. please pick all correct

a. Tricuspid stenosis
b. Ebstein’s anomaly
c. ASD
d. PDA

A

a. Tricuspid stenosis
b. Ebstein’s anomaly
c. ASD

16
Q

True of Hodgkin’s lymphoma. Pick Two (Mar 1203)

a. Anterior mediastinal mass
b. Pleural effusion
c. Presence of Reed-Sternberg cells
d. Can occur at any age

A

A. Anterior mediastinal mass

C. Presence of Reed-Sternberg cells

17
Q

Carcinoid tumor is a _____

a. Bronchogenic carcinoma
b. Carcinosarcoma
c. Alveolar cell carcinoma
d. Bronchial adenoma

A

D. bronchial adenoma

18
Q

Carcinoid tumor makes up 90% of all bronchial adenomas, what is the carcinoid incidence of all epithelial malignant tumors

a. 9%
b. 15%
c. 6%
d.

A

A. 9%

19
Q

Aortic coarctation in an area of aortic lumenal constriction (Mar 1158)

a. At the aortic bifurcation
b. Prior to the left common carotid
c. Prior to brachiocephalic artery
d. Distal left subclavian

A

D. distal left subclavian

20
Q

Upright abdominal or lumbar spine plain films would not be helpful in the evaluation of:

a. Free peritoneal air
b. Cholecystitis
c. Abdominal calcification
d. Gas and fluid patterns

A

b. Cholecystitis

21
Q

The presence of pulmonary hematogenous mets (Mar p1207)

a. Indicates slow primary growth
b. Dyspnea common symptoms
c. Indicates the primary lesion is carcinoma
d. indicates the primary lesion in an adenoma

A

b. Dyspnea common symptoms

22
Q

A patient with multiple small pulmonary nodules several centimeters in size may have all of the following diagnoses except

a. Sarcoidosis
b. Metastasis
c. Rheumatoid lung
d. Early stage silicosis

A

d. Early stage silicosis

23
Q

A patient with multiple small pulmonary nodules with air fluid levels, nasopharynx mass with difficulty breathing and renal disease is likely suffering form

a. Carter’s syndrome
b. Wegner’s disorder
c. Erasmus syndrome
d. LAngerhans histocytosis / cosiocphilic granuloma

A

b. Wegner’s disorder

24
Q

Where in the human body are air-fluid levels abnormal? Pick all that apply

a. Maxillary sinus
b. Small bowel
c. Lung
d. Gastric fundus

A

a. Maxillary sinus
b. Small bowel
c. Lung

25
Q

Where in the human body are air-fluid levels normal? Pick two

a. Maxillary sinus
b. Proximal Large bowel
c. Lung
d. Gastric fundus

A

a. Maxillary sinus

c. Lung

26
Q

A patient found to have a few loops of small bowel 2.5 cm in diameter, on an AP lumbopelvic radiograph has a(n) ____ small bowel patterns. (Mar 1335)

a. Normal
b. Abnormal

A

a. Normal

27
Q

A patient with an acute abdomen showing distended loop of small bowl 5 cm in diameter has a(n) ____ small bowel

a. Normal
b. Abnormal

A

b. Abnormal

28
Q

Which of the following cause pulmonary edema related to pulmonary venous hypertension? Pick all that apply

a. Mitral stenosis
b. Pulmonary fibrosis
c. Congestive heart failure
d. Ammonia gas inhalation

A

a. Mitral stenosis

c. Congestive heart failure

29
Q

Pneumonia, diffuse synovitis and digital clubbing may be a clinical indication of:

a. Atelectasis
b. Previous pulmonary tuberculosis
c. Pleuritis
d. Pulmonary neoplasm

A

d. pulmonary neoplasm

30
Q

Hypertrophic osteoarthropathy may be clinical indication of

a. atelectasis
b. Previous pulmonary tuberculosis
c. Pleuritis
d. Pulmonary neoplasm

A

d. pulmonary neoplasm

31
Q

Radiographic sign of pulmonary embolism. Mar p1165

a. Westermark’s sign
b. Hampton’s hump
c. Bergqvist’s sign
d. Wegner’s Triad

A

a. Westermark’s sign

32
Q

Radiographic sign of pulmonary embolism / infarct (pick 2). Mar p1165

a. Westermark’s sign
b. Hampton’s hump
c. Bergqvist’s sign
d. Wegner’s Triad

A

a. Westermark’s sign

b. Hampton’s hump

33
Q

Who described the radiographic and clinical characteristics of the apical lung tumor

a. Harvey pancoast
b. Henry Khunrath Pancoast
c. Harold Pancoast
d. Hoover Wadsworth Pancoast

A

b. Henry Khunrath Pancoast

34
Q

The pancoast syndrome consists of

a. Localized emphysema, apical pulmonary mass, rib pain
b. Arm pain, cervical spine pain, hilar pulmonary mass, Horner’s syndrome
c. Blood sputum, apical pulmonary mass, arm pain, vertebral destruction

A

b. Arm pain, cervical spine pain, hilar pulmonary mass, Horner’s syndrome

35
Q

The end stage finding of emphysema (infectious, massive, pleural effusion) may result in:

a. Pleural scar calcification and passive atelectasis
b. Herniation of ipsilateral lung disease
c. Tracheal deviation to contralateral side
d. Expanded rib cage on the ipsilateral side

A

a. Pleural scar calcification and passive atelectasis

36
Q

Eisenmenger physiology results in:

a. Marked pulmonary arterial hypertension
b. Great exercise for the right ventricle
c. Left atrial enlargement
d. Increased pulmonary gaseous inhalation

A

a. Marked pulmonary arterial hypertension

37
Q

Costophrenic angle blunting may be related to: pick all correct choices

a. Free pleural effusion
b. Pleural scar
c. Low flat diaphragm
d. Subpulmonic pleural effusion

A

a. Free pleural effusion
b. Pleural scar
c. Low flat diaphragm

38
Q

Three direct signs of lung collapse, seen on plain film, are:

a. Increased lung lucency, displaced fissures, and hilar elevation
b. Hilar displacement, displaced fissures, hyperluccency of unaffected lung
c. Unilateral hemidiaphragm elevation, tracheal deviation, displaced fissures
d. increase lung opacity, displaced fissures, and vascular or bronchial crowding

A

d. increase lung opacity, displaced fissures, and vascular or bronchial crowding

39
Q

Chiropractic clinicians should be aware that many intrinsic organ disease refer pain. Abdominal visceral disease may refer pain to the musculoskeletal system. Rectosigmoid cancer may refer pain to the ____. Mar p1267

a. Mid lumbar spine
b. Lower lumbar spine
c. Lower thoracic spine
d. Sacral region

A

je ne sais pas

40
Q

What are likely the 3 most common middle mediastinal masses. Pick 3

a. Lymph nodes
b. Esophagus
c. Ectopic thyroid
d. Bronchogenic cyst

A

a. Lymph nodes
b. Esophagus
c. Ectopic thyroid

41
Q

Best cardiac examination for chamber wall thickness and volume?

a. Echocardiography
b. Retrograde aortography
c. Coronary arteriography
d. Thallium scan

A

a. Echocardiography

42
Q

For plain film detection of pleural effusion, which has the correct order of sensitivity form most to least sensitive:

a. Lateral decubitus, lateral decubitus with trendelenburg, lateral view, PA view
b. PA view, Lateral view, lateral decubitus with trendelenburg, lateral decubitus
c. Lateral decubitus with trendelenburg, lateral decubitus, lateral view, PA view
d. Lateral view, PA view, lateral decubitus, Lateral decubitus with Trendelenburg

A

c. Lateral decubitus with trendelenburg, lateral decubitus, lateral view, PA view

43
Q

All of the following would be considered true statements regarding pulmonary metastasis except: Mar 1207

a. May have no known primary
b. May have no symptoms at discovery
c. Pleural effusion commonly accompanies
d. Lymph more common then hematogenous

A

d. Lymph more common then hematogenous

44
Q

Hilar mediastinal lymphadenopathy is most often due to ___ in patients > 40. (Goodman p165)

a. Lung cancer spread
b. Histoplasmosis
c. Coccidioidomycosis
d. Sarcoidosis

A

a. Lung cancer spread

45
Q

Which of the following are potential finding of pneumothorax. Pick all correct choices

a. Peripheral hyperluccency / pleural air space
b. Mediastinal shift to the affected side
c. Visceral pleural line
d. Tracheal deviation to unaffected side

A

a. Peripheral hyperluccency / pleural air space
c. Visceral pleural line
d. Tracheal deviation to unaffected side

46
Q

Which of the following is associated with pulmonic stenosis, ASD and right ventricle hypertrophy: (hint, the meaning usually tells you what is wrong except the fallot defects)

a. Tetralogy of Fallot
b. Trilogy of Fallot
c. Transposition of great vessels
d. Tricuspid atresia
e. Ebstein’s anomaly with cyanosis

A

b. Trilogy of Fallot

47
Q

ASD with mitral stenosis would be expected to produce ____ which will eventually produce ____? Pick 2

a. Left ventricle enlargement
b. Fallot physiology
c. High volume left to right shunting
d. Eisenmenger’s physiology

A

c. High volume left to right shunting

d. Eisenmenger’s physiology

48
Q

Which of the following would not have ASD

a. Trilogy of Fallot
b. Truncus arteriosus
c. Tricuspid artesia
d. Pentalogy of Fallot

A

b. Truncus arteriosus

49
Q

On a PA chest film, upper and lower lung blood vessels of equal size indicates pulmonic blood pressure alteration

a. True
b. False

A

a. True

50
Q

On a recumbent AP chest film, upper and lower lung blood vessels of equal size may indicate pulmonary blood pressure

a. true
b. false

A

B. False

51
Q

Which one of the following is non-cyanotic

a. VSD + Eisenmenger
b. Trilogy of Fallot
c. Ebstein’s + ASD
d. Coarctation
e. Pentalogy of Fallot

A

d. Coarctation

52
Q

Which condition would not be a precursor for left ventricle failure?

a. ASD
b. Aortic stenosis
c. Mitral regurgitation
d. Coronary artery disease

A

a. ASD

53
Q

Which condition would not be a precursor for left ventricle failure?

a. Emphysema
b. Aortic stenosis
c. Mitral regurgitation
d. Coronary artery disease

A

a. Emphysema

54
Q

Which type of aortic dissection has the best prognosis, using the DeBakey classification

a. Type II
b. Type I
c. Type III
d. Type IV

A

c. Type III

55
Q

Which type of aortic dissection has the worst prognosis, using the DeBakey classification

a. Type II
b. Type I
c. Type III
d. Type IV

A

b. Type I

56
Q

Which DeBakey dissection in the Stanford system have the worst prognosis? Pick all correct choices

a. Type II
b. Type I
c. Type III
d. Type IV

A

a. Type II

b. Type I

57
Q

What is a classic sign of pulmonary arterial hypertension

a. Small hilar areas
b. Pulmonary edema
c. Constriction of upper lobe blood vessels
d. Large pulmonary artery

A

d. Large pulmonary artery

58
Q

A common finding of mitral stenosis and congestive heart failure: Hint, think about what these are doing that is the same

a. Right atrial enlargement
b. Right lung have air bronchogram sign
c. Phantom tumor
d. Pulmonary venous hypertension (PVH)
e. Left ventricular enlargement

A

d. Pulmonary venous hypertension (PVH)

59
Q

A patient with honeycomb lung and enlarged IVF may have:

a. Myasthenia gravis
b. Muscular dystrophy
c. Multiple sclerosis
d. Neurofibromatosis

A

d. Neurofibromatosis

60
Q

A patient with multiple posterior mediastinal masses and enlarged IVF may have:

a. Myasthenia gravis
b. Muscular dystrophy
c. Multiple sclerosis
d. Neurofibromatosis

A

d. Neurofibromatosis

61
Q

Chamber left at the right ventricle, would be expected with which of the following: Pick the single choice reflecting the correct answer: remember put in the defect and follow the blood flow

  1. Ebstein’s anomaly
  2. Aortic coarcetation
  3. Emphysema
  4. Tricuspid atresia
  5. Ventricular septal defect

a. 1,2,3,4
b. 2,3,4
c. 1,2,4
d. 3,5
e. 1,3,4

A

d. 3,5

62
Q

Which primary malignancy is responsible for 3-5 mm metastatic nodules

a. Osteosarcoma
b. Colon cancer
c. Renal cell carcinoma
d. Breast cancer

A

c. Renal cel carcinoma

63
Q

Which primary malignancy is responsible for 3-5 mm metastatic nodules

a. Osteosarcoma
b. Colon cancer
c. seminoma
d. Breast Cancer

A

c. Seminoma

64
Q

Pulmonary vascular obstruction disease secondary to chronic increased pulmonary blood flow can convert a “left to right” to a “right to left”

a. True
b. False

A

A. True

65
Q

With regard to lung tumor staging, all of the following combination of TNM are stage IIIA or B cancers except:?

a. T1 N1 M0
b. T2 N2 M0
c. T4 N2 M0
d. T3 N3 M0

A

a. T1 N1 M0

66
Q

Which of the following combinations would involve only ipsilateral lymph node groups in CT examination

a. T1 N0 M0
b. T2 N1 M0
c. T4 N2 M0
d. T3 N3 M0

A

b. T2 N1 M0

67
Q

Bergqvist’s triad is associated with all except:

a. Rib fractures
b. Traumatic hernia of the left hemidiaphragm c. Spine and pelvic fracture
d. Splenic Rupture

A

d. Splenic rupture

68
Q

Bergqvist’s triad associated with____,____ and ____

a. Rib fractures
b. Traumatic hernia of the left hemidiaphragm
c. Spine and pelvic fracture
d. Splenic Rupture
e. Traumatic hernia of right hemidriaphram

A

a. Rib fractures
b. Traumatic hernia of the left hemidiaphragm
c. Spine and pelvic fracture

69
Q

Lower extremity cyanosis with Eisenmenger’s is associated with

a. PDA only
b. VSD and ASD
c. ASD only
d. VSD only

A

a. PDA only

70
Q

Pulmonary infarction related to DVT and pulmonary embolism:

a. Has no radiographic sign
b. Is seen as pulmonary mass
c. Seen as a round or oval opacity near the lung hills
d. Seen as air space consolidation at the lateral lung base

A

d. Seen as air space consolidation at the lateral lung base

71
Q

Carcinoid tumor of the lung is a ____

a. Bronchiolar carcinoma
b. Bronchial adenoma
c. Carcinosarcoma tumor
d. Bronchogenic carcinoma

A

b. bronchial adenoma

72
Q

Which of the following would not be a cause of left ventricular enlargement

a. Mitral stenosis
b. Systemic hypertension
c. Large VSD
d. Aortic coarctation

A

a. mitral stenosis

73
Q

Echincoccosis (hydatid disease) is a pulmonary infection:

a. Causing a “water-lily sing” and bone disease
b. Caused by a parasite found in South Africa
c. That occurs in newborns with inactivated surfactant
d. Complicating comatose or quadriplegic patients

A

a. Causing a “water-lily sing” and bone disease

74
Q

Which of the following would be causes of proximal aortic enlargement? Pick 2 correct

a. Coarctation
b. ASD
c. Mitral stenosis
d. PDA

A

a. Coarctation

d. PDA

75
Q

Squamous cell and small cell carcinoma:

a. Peripheral tumors
b. Smoking related to neoplasms
c. Bronchial adenomas
d. Bronchiolar carcinomas

A

b. Smoking related to neoplasms

76
Q

Which cause of atypical pleural effusion is usually right sided and inter fissure major and minor?

a. Emphysema
b. Congestive heart failure
c. Pulmonary infarction
d. SLE
e. Pleural Metastasis

A

b. Congestive heart failure

77
Q

_____ must be considered (by location) in the differential diagnosis of mediastinal Pericardial cyst:

a. Teratoma
b. Aortic aneurysm
c. Lymphoma
d. Morgagni hernia

A

b. Aortic aneurysm

78
Q

The “extra-pleural sign” (remember what this tells us) helps to differentiate lung lesions from all of the following except:

a. Free pleural effusion
b. Rib mets, or fractures
c. Mediastinal lesions
d. Intercostal lesions

A

A. free pleural effusion

79
Q

The distended gas filled loops of bowel in dynamic or paralytic ileus can be differentiated from mechanical obstructive ileus will have ___: HINT paralytic ileus - no lumen obstructions - mechanical dose

a. Rectal gas
b. No rectal gas
c. No small bowel gas
d. Gastric gas distention

A

a. Rectal gas

80
Q

Gallstone mechanical ileus is caused by: Mar p1254

a. A stone filled, spastic gallbladder
b. A gallstone in the small bowel
c. A gallstone lodged at the biliary duct
d. A gallstone lodged in the pancreatic duct

A

b. A gallstone in the small bowel

81
Q

The percentage of gallstones calcified and visible on plain films: Both authors agree on %

a. 100%
b. 10-15%
c. 50-60%
d. 80-90%

A

b. 10-15%

82
Q

Diagnostic abdominal ultrasound is the most cost effective imaging for which two:

a. Gallbladder
b. Small bowel
c. Stomach
d. Aorta

A

a. Gallbladder

d. Aorta

83
Q

Smooth muscle uterine leiomyoma is found in ___% of females over 35 years of age and although >50% are asymptomatic, ___ is the most common symptom: Mar 1281

a. 90, bowel obstruction
b. 50, amenorrhea
c. 60, paralytic ileus
d. 40, bleeding

A

d. 40, bleeding

84
Q

The most common reason for mediastinal lymph node calcification include

a. Bronchogenic carcinoma and lymphoma
b. Fungal infections and pneumoconiosis
c. Metastatic chondrocarcinoma and neurofibroma
d. Sarcoidosis and metastatic osteosarcoma

A

b. Fungal infections and pneumoconiosis

85
Q

Small cell carcinoma may create a radiologic appearance of:

a. Pulmonary nodules
b. Large pulmonary artery
c. Hilar enlargement
d. Apical mass

A

c. Hilar enlargement

86
Q

Interstitial pulmonary edema and normal hilar size and normal upright vascular relationship suggests:

a. Pulmonary venous hypertension
b. Ebstein’s anomaly
c. Pulmonic stenosis
d. Increased capillary permeability

A

d. increased capillary permeability

87
Q

AAA should be suspected on a lateral lumbar x-ray any time the calcified vessel wall diameter measures:

a. :> 2 cm
b. > 3 cm
c. > 5 cm
d. > 3.8 cm

A

d. > 3.8 cm

88
Q

Periostitis, synovitis and digital clubbing:

a. Is associated with atelectasis
b. Is an indication of pleural effusion
c. Related to previous pulmonary tuberculosis
d. A paraneoplastic syndrome related to bronchogenic cancer

A

d. A paraneoplastic syndrome related to bronchogenic cancer

89
Q

With skeletal metastasis, which should be remembered relative to bronchogenic carcinoma? Pick two correct choices

a. Commonly causes mixed metastasis
b. May spread beyond axial skeleton
c. Cause osteolytic mets
d. Typically spreads only to the rib cage

A

b. May spread beyond axial skeleton

c. Cause osteolytic mets

90
Q

The potential seriousness of abdominal aortic aneurysm (AAA) is directed related to lumen diameter. The rule is in the clinical practice, AAA measuring

A

d. 5, 40

91
Q

The normal … rate in air pressure is linear from sea level to 13K ft. and is ___ in(s) of mercury per ___ feet of altitude. High altitude edema begins subclinical at ___ K ft and clinical above __ K ft.

a. 2, 4000: 10,20
b. 1, 1000: 8 ,15
c. 2.5, 1500: 10,12
d. 1.5, 1200: 5,8

A

b. 1, 1000: 8 ,15

92
Q

Most paranasal sinus disease causes

a. Hyperaeration
b. Hyperaeration and bony wall thickening
c. Well defined body wall destruction
d. Opacification with possible fluid levels

A

d. Opacification with possible fluid levels

93
Q

Aspirin overdose

a. Non-obstructive / paralytic ileus
b. Hypervolemic arterial hypertension
c. Pleuritic chest pain
d. Permeability edema
e. Bronchiolar carcinoma
f. Caplan’s syndrome
g. Honeycomb lung or cicatrix atelectasis
h. PVH edema
i. Cyanosis in upper extremity only

A

c. Pleuritic chest pain

94
Q

Mediastinal small cell neoplasm

a. Non-obstructive / paralytic ileus
b. Hypervolemic arterial hypertension
c. Pleuritic chest pain
d. Permeability edema
e. Bronchiolar carcinoma
f. Caplan’s syndrome
g. Honeycomb lung or cicatrix atelectasis
h. PVH edema
i. Cyanosis in upper extremity only

A

Caplan’s Syndrome

95
Q

Acute traumatic spine compression fx

a. Non-obstructive / paralytic ileus
b. Hypervolemic arterial hypertension
c. Pleuritic chest pain
d. Permeability edema
e. Bronchiolar carcinoma
f. Caplan’s syndrome
g. Honeycomb lung or cicatrix atelectasis
h. PVH edema
i. Cyanosis in upper extremity only

A

a. Non-obstructive / paralytic ileus

96
Q

Sarcoidosis

a. Non-obstructive / paralytic ileus
b. Hypervolemic arterial hypertension
c. Pleuritic chest pain
d. Permeability edema
e. Bronchiolar carcinoma
f. Caplan’s syndrome
g. Honeycomb lung or cicatrix atelectasis
h. PVH edema
i. Cyanosis in upper extremity only

A

g. Honeycomb lung or cicatrix atelectasis

97
Q

PDA:

a. Non-obstructive / paralytic ileus
b. Hypervolemic arterial hypertension
c. Pleuritic chest pain
d. Permeability edema
e. Bronchiolar carcinoma
f. Caplan’s syndrome
g. Honeycomb lung or cicatrix atelectasis
h. PVH edema
i. Cyanosis in upper extremity only

A

b. Hypervolemic arterial hypertension

98
Q

You are in Denver (mile high city) on a beautiful VAVU (ceiling and visibility unlimited) day. Weather Channel reports the barometric pressure as 30.40 inches of mercury (which is not the actual real outside pressure but is corrected to sea level). You decide you are going to take a day trip to visit the top of Pike’s Peak (altitude -14,000 ft). What is the approximate air pressure at the summit (normal lapse rate below 18,000 ft is 1 inch loss per 1000 ft, altitude) and is there the possibility you may develop high altitude edema dyspnea after staying at the summit for several hours?

a. 14,40 yes
b. 25,40, no
c. 35,40, no
d. 16,40, yes

A

d. 16,40, yes

99
Q

High altitude edema

a. Non-obstructive / paralytic ileus
b. Hypervolemic arterial hypertension
c. Hemopytsisi common
d. Clinical above 15K ft.
e. Bronchiolar carcinoma
f. Caplan’s syndrome
g. Honeycomb lung or cicatrix atelectasis
h. Clinical above 5K ft
i. Cyanosis in upper extremity only

A

d. Clinical above 15K ft.

100
Q

Coal worker’s penumoconisosis

a. Non-obstructive / paralytic ileus
b. Hypervolemic arterial hypertension
c. Hemopytsisi common
d. Clinical above 15K ft.
e. Bronchiolar carcinoma
f. Caplan’s syndrome
g. Honeycomb lung or cicatrix atelectasis
h. Clinical above 5K ft
i. Cyanosis in upper extremity only

A

f. Caplan’s syndrome

101
Q

The pressure on the wall of an AAA is important as it is equal to the 4th power of the radius. How many times greater is the pressure on the wall of an 10cm AAA compared to a 4cm AAA?

a. 216
b. 2.5
c. 39
d. 16

A

b. 2.5