Bronchiectasis: Chapter 284 Harrison's Internal Medicine Jing R. Bautista

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BRONCHIECTASIS

Chapter 284 Harrison’s Internal Medicine


Jing R. Bautista
1. What is the MOST COMMON form of
bronchiectasis?
A. Cylindrical
B. Varicose
C. Cystic
D. Cylindrical or Tubular
1. What is the MOST COMMON form of
bronchiectasis?
A. Cylindrical
B. Varicose
C. Cystic
D. Cylindrical or Tubular (p 1983)
2. Which of the following describes Focal
bronchiectasis?
A. Characterized b widespread bronchiectatic changes throughout the
lung.
B. Often arises from an underlying systemic or infections disease
process.
C. Examples are Autoimmune or rheumatologic causes.
D. Refers to changes in a localized area of the lung and can be
consequence of obstruction of airway.
2. Which of the following describes Focal
bronchiectasis?
A. Characterized b widespread bronchiectatic changes throughout
the lung.
B. Often arises from an underlying systemic or infections disease
process.
C. Examples are Autoimmune or rheumatologic causes.
D. Refers to changes in a localized area of the lung and can be
consequence of obstruction of airway. (p 1983)
3. All of the following are etiology examples
of Diffuse bronchiectasis, except
A. Obstruction
B. Infection
C. Immunodeficiency
D. Autoimmune or rheumatologic causes
3. All of the following are etiology examples
of Diffuse bronchiectasis, except
A. Obstruction(p 1983)
B. Infection
C. Immunodeficiency
D. Autoimmune or rheumatologic causes
4. Upper lung fields involvement is most
common in which of the following case/s?
A. Postradiation fibrosis
B. Cystic fibrosis
C. End stage fibrotic lung disease
D. A and B
4. Upper lung fields involvement is most
common in which of the following case/s?
A. Postradiation fibrosis
B. Cystic fibrosis
C. End stage fibrotic lung disease
D. A and B (p 1984)
5. Bronchiectasis affecting Middle lung fields
mostly is/are caused by
A. Chronic recurrent aspiration
B. End-stage fibrotic lung disease
C. Infection by nontuberculous mycobacteria
D. Both A and B
5. Bronchiectasis affecting Middle lung fields
mostly is/are caused by
A. Chronic recurrent aspiration
B. End-stage fibrotic lung disease
C. Infection by nontuberculous mycobacteria (p.
1984)
D. Both A and B
6. What is the most common clinical
presentation of Bronchiectasis?
A. Tachycardia and Tachypnea
B. Persistent productive cough
C. Dry cough and dyspnea
D. Shortness of breathing
6. What is the most common clinical
presentation of Bronchiectasis?
A. Tachycardia and Tachypnea
B. Persistent productive cough (p1984)
C. Dry cough and dyspnea
D. Shortness of breathing
7. In diagnosis of bronchiectasis, the following
must be present
A. Constricted airways, chronic cough and sputum production.
B. Dilated airways, chronic cough, and sputum production.
C. Presence of ”tram tracks” in CT Scan of the chest, chronic
cough and sputum production.
D. Ultrasound with appearance of fluids, “tram trucks’ on Chest
ultrasound and chronic cough.
7. In diagnosis of bronchiectasis, the following
must be present
A. Constricted airways, chronic cough and sputum production.
B. Dilated airways, chronic cough, and sputum production.(p 1984)
C. Presence of ”tram tracks” in CT Scan of the chest, chronic cough
and sputum production.
D. Ultrasound with appearance of fluids, “tram trucks’ on Chest
ultrasound and chronic cough.
8. What is the more specific modality for
bronchiectasis?
A. Chest ultrasound
B. Chest CT scan
C. Chest X ray PAL view
D. MRI and MRA
8. What is the more specific modality for
bronchiectasis?
A. Chest ultrasound
B. Chest CT scan (p 1984)
C. Chest X ray PAL view
D. MRI and MRA
9. In evaluation of focal bronchiectasis, the
following should be done
A. Chest CT scan with contrast.
B. For MRI and MRA immediately
C. Bronchoscopy to exclude airway obstruction.
D. Chest ultrasound and CT scan
9. In evaluation of focal bronchiectasis, the
following should be done
A. Chest CT scan with contrast.
B. For MRI and MRA immediately
C. Bronchoscopy to exclude airway obstruction. (p
1985)
D. Chest ultrasound and CT scan
10. What is/are the most commonly isolated
pathogens in bronchiectasis?
A. Klebsiella pneumoniae and S.pneumoniae
B. Pseudomonas aeruginosa
C. Streptococcus pneumoniae
D. Haemophillus influenzae and P.aeruginosa
10. What is/are the most commonly isolated
pathogens in bronchiectasis?
A. Klebsiella pneumoniae and S.pneumoniae
B. Pseudomonas aeruginosa
C. Streptococcus pneumoniae
D. Haemophillus influenzae and P.aeruginosa (p 1985)
11. All of the following are included in the
treatment of bronchiectasis, except
A. Control of the inflammatory response
B. Improvements in secretion clearance
C. Administration of gamma globulin and vaccination.
D. Aerosolization of bronchodilators.
11. All of the following are included in the
treatment of bronchiectasis, except
A. Control of the inflammatory response
B. Improvements in secretion clearance
C. Administration of gamma globulin and vaccination.
(p1985)
D. Aerosolization of bronchodilators.
12. What is the most common complication of
infectious bronchiectasis?
A. Decline of lung function
B. Microbial resistance to antibiotics
C. Massive hemoptysis
D. Chronic cough and decline of lung function
12. What is the most common complication of
infectious bronchiectasis?
A. Decline of lung function
B. Microbial resistance to antibiotics (p1985)
C. Massive hemoptysis
D. Chronic cough and decline of lung function
13. All of the following are possible
suppressive treatments, except
A. Administration of oral antibiotics (3 rd gen Cephalosporin)
daily for 1-2weeks per month
B. Administration of macrolide antibiotic daily or three times per
week.
C. Inhalation of aerosolized antibiotics (30 days on, 30 days off)
D. Intermittent administration of IV antibiotics.
13. All of the following are possible
suppressive treatments, except
A. Administration of oral antibiotics (3 rd gen Cephalosporin)
daily for 1-2weeks per month(p 1985)
B. Administration of macrolide antibiotic daily or three times per
week.
C. Inhalation of aerosolized antibiotics (30 days on, 30 days off)
D. Intermittent administration of IV antibiotics.
THANK YOU.

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