Assistant Pofessor in Pulmonary Medicine – Medical Education

PROVISIONAL ANSWER KEY
Question Paper Code: 66/2019/OL
Category Code: 011/2019
Exam: Assistant Pofessor in Pulmonary Medicine
Medium of Question: English
Date of Test 01-01-2020
Department Medical Education
Alphacode A
Question1:-Which among the following is a marker for Type II alveolar epithelial cells
A:-Caveolin 1
B:-Aquaporin 5
C:-Carboxypeptidase M
D:-Alkaline phosphatase
Correct Answer:- Option-D
Question2:-Regarding cervical rib, which among the following is FLASE
A:-It is bilateral in 80% of cases
B:-Symptom due to compression are more prevalent in males
C:-More common on the left side
D:-The production of symptoms bears no relation to the size of the rib
Correct Answer:- Option-B
Question3:-Which among the following group is least likely to progress to active tuberculosis once infected with tubercle
bacilli
A:-Patients on TNF alpha inhibitors
B:-Silicosis
C:-Post jejunoileal bypass
D:-Post renal transplant patients
Correct Answer:- Option-A
Question4:-Which among the following antibiotics has got good penetration to respiratory secretions
A:-Cephalosporins
B:-Vancomycin
C:-Macrolides
D:-Carbapenems
Correct Answer:- Option-C
Question5:-Which among the following Immunohistochemistry marker is not useful in diagnosing lung adenocarcinoma is
A:-LeuM1
B:-Napsin A
C:-Surfactant protein A
D:-TTF-1
Correct Answer:- Option-A
Question6:-All the following are mast cell mediators EXCEPT
A:-Tryptase
B:-Chymase
C:-Elastase
D:-Collagenase
Correct Answer:- Option-D
Question7:-Difference between the alveolar and pleural pressures is termed as
A:-Transthoracic pressure
B:-Transpulmonary pressure
C:-Trans alveolar pressure
D:-Trans bronchial pressure
Correct Answer:- Option-B
Question8:-As per the 2019 WHO guidelines on drug resistant Tuberculosis treatment, all the following are highly effective
and strongly recommended for inclusion in all oral longer regimens EXCEPT
A:-Levofloxacin
B:-Bedaquiline
C:-Ethionamide
D:-Linezolid
Correct Answer:- Option-C
Question9:-The minute ventilation above which route of airflow switches from predominately nasal to oronasal breathing is
A:-10L/min
B:-16L/min
C:-24L/min
D:-30L/min
Correct Answer:- Option-D
Question10:-Regarding honeycomb spaces in usual interstitial pneumonia (UIP) all are true EXCEPT
A:-Results from parenchymal remodeling with formation of new airspaces
B:-Have thickened and irregular walls
C:-There will be destruction of normal airspaces
D:-They have abundant and well collagenized connective tissue
Correct Answer:- Option-C
Question11:-Regarding Bedaquiline which is FALSE
A:-Belongs to the diarylquinoline class
B:-Targets the rpoB gene encoding the subunit c of the ATP synthase of Mycobacterium tuberculosis
C:-Binds to the oligomeric and proteolipic subunit c of mycobacterial ATP synthase
D:-Bedaquiline is rapidly absorbed orally
Correct Answer:- Option-B
Question12:-About Riociguat which is true
A:-Stimulator of soluble guanylate cyclase (sGC)
B:-Inhibitor of soluble guanylate cyclase (sGC)
C:-Stimulator of Cyclic GMP (cGMP)
D:-Inhibitor of cyclic GMP (cGMP)
Correct Answer:- Option-A
Question13:-SERAPHIN trial is related to management of
A:- Lung Cancer
B:-Idiopathic pulmonary fibrosis
C:-COPD
D:-pulmonary arterial hypertension
Correct Answer:- Option-D
Question14:-“Differentiation syndrome” is an adverse event seen during treatment with
A:-Gefitinib
B:-All-trans retinoic acid
C:-Paclitaxel
D:-Docetaxel
Correct Answer:- Option-B
Question15:-Searles and Mckendry diagnostic criteria is used to detect pulmonary involvement due to
A:-Bleomycin
B:-Cyclophosphamide
C:-Methotrexate
D:-Actinomycin D
Correct Answer:- Option-C
Question16:-Predictive postoperative lung function should be estimated for patients with and FEV1 or DLco less than
A:-80% of predicted
B:-60% of predicted
C:-50% of predicted
D:-40% of predicted
Correct Answer:- Option-A
Question17:-Intraoperative risk factors associated with the development of postoperative pulmonary complication is least
for
A:-Hip surgery
B:-Head and neck surgery
C:-Neurosurgery
D:-Thoracic surgery
Correct Answer:- Option-A
Question18:-In Tsuboi classification of tumor-bronchus relationship, when the bronchus is compressed, narrowed, and
displaced by the tumor, but the bronchial mucosa is intact will be categorized as which pattern
A:-Type I
B:-Type II
C:-Type III
D:-Type IV
Correct Answer:- Option-C
Question19:-Flexible fiber optic bronchoscopy was pioneered by
A:-Gustav Kilian
B:-Ikeda
C:-Schieppati
D:-Wang
Correct Answer:- Option-B
Question20:-In order to maintain procedural competence for medical thoracoscopy, minimum number of procedures to be
performed yearly by operator should be
A:-2
B:-5
C:-8
D:-10
Correct Answer:- Option-D
Question21:-Anti TB drug which can cause metallic taste
A:-Bedaquilline
B:-Delamanide
C:-Fluroquinolone
D:-both A and C
Correct Answer:- Option-C
Question22:-Acid fastness is a property of all of the following organisms except
A:-Rhodococcos
B:-Legionella micadadei
C:-Cryptococcus
D:-Isospora
Correct Answer:- Option-C
Question23:-Treatment of LTBI can reduce the risk of progression to active disease by abou ——–%
A:-30%
B:-60%
C:-80%
D:-90%
Correct Answer:- Option-B
Question24:-The cut off value (confirmed by repeat ECG) of QTcF value above which all the QTc prolonging
drugs should be discontinued.
A:-440ms
B:-470ms
C:-500ms
D:-520ms
Correct Answer:- Option-C
Question25:-TB meningitis should be treated with first line ATT for at least—— months
A:-6
B:-9
C:-12
D:-15
Correct Answer:- Option-B
Question26:-Regarding starting DRTB drugs in a HIV infected patient, pick the wrong statement
A:-Unlike drug sensitive pulmonary tuberculosis, ART should be started along with DRTB drugs.
B:-HIV infected DRTB patients without the benefit of ART may experience mortality rates exceeding 90%
C:-For servere IRIS syndrome prednisolone is the recommended drug.
D:-For all new HIV co infected patients recommended ART is FDC of TLE (Tenofovir, Lamivudine and Efavirenz)
Correct Answer:- Option-A
Question27:-Pick the incorrect statement regarding tubercular pleural effusion
A:-Pleural fluid ADA values less than 40 U/L virtually rules out tuberculosis
B:-ADA activity correlates with CD4+ T lymphocyte cell infiltration in the pleura and pleural fluid
C:-Haemolysed blood in fluid sample may cause false over estimation of ADA
D:-ADA1:ADA2 ratio less than 0.45 is highly suggestive of tuberculosis
Correct Answer:- Option-C
Question28:-The non tubercular mycobacterium proposed to have an etiological relationship with Crohns disease is
A:-M.interjectum
B:-M.avium subsp. Paratuberculosis
C:-M.intracellulare
D:-M.chimaera
Correct Answer:- Option-B
Question29:-Regarding VAT (ventilator associated tracheobronchitis) pick the wrong statement
A:-It can be associated with fever and purulent tracheal secretions
B:-There is absence of new infiltrate on chest X-ray
C:-Non antibiotic treatment is recommended
D:-Most common organism implicated is pneumococcus
Correct Answer:- Option-D
Question30:-Which of the following is a extracellular functioning PRR(Pattern Recognition Receptor)
A:-TLR 6
B:-TLR 3
C:-NLR
D:-RIG-l
Correct Answer:- Option-A
Question31:-The pneumonia which is often associated with bullous myringitis
A:-Mycoplasma pneumonia
B:-Pneumococcal pneumonia
C:-Staphylococcal pneumonia
D:-Legionella pneumonia
Correct Answer:- Option-A
Question32:-False positive beta-D glucan assay is seen with all except.
A:-Intra Venous Immunoglobulin
B:-Intra Venous Piperacillin-Tazobactam
C:-Pseudomonas bacteraemia
D:-Intra Venous Ringer lactate
Correct Answer:- Option-D
Question33:-Which of the following is not true regarding Anthrax
A:-It is also called Brad Ford disease
B:-There is no human to human transmission
C:-Causative agent is a large, square ended gram negative bacilli
D:-Widening of the mediastinum or prominence of hilar modes is the earliest radiological finding
Correct Answer:- Option-C
Question34:-In cystic fibrosis select the wrong statement
A:-The first genetic marker that was found to be linked to cystic fibrosis was Paraoxanase
B:-60% of patients have meconium ileus as the initial manifestation
C:-In CF pancreatic insufficiency a malabsorption coefficient of > 7% is considered abnormal
D:-T5 polymorphism expressed with R117H result in CBAVD
Correct Answer:- Option-B
Question35:-All the above are features of Lofgren’s syndrome except
A:-Erythema nodosum
B:-Bilateral hilar adenopathy
C:-Polyarthritis
D:-Lupus pernio
Correct Answer:- Option-D
Question36:-HRCT pattern consistent with idiopathic pulmonary fibrosis are all except
A:-Peribronchovascular predominance
B:-Subpleural basal predominance
C:-Honeycombing
D:-Reticular abnormality
Correct Answer:- Option-A
Question37:-The drug recommended for the treatment of idiopathic pulmonary fibrosis
A:-Corticosteroid
B:-Nintedanib
C:-N acetyl cysteine
D:-Azathioprine
Correct Answer:- Option-B
Question38:-GAP score is used as a mortality predictor in which condition?
A:-ldiopathic pulmonary fibrosis
B:-COPD
C:-Asthma
D:-None of the above
Correct Answer:- Option-A
Question39:-Reversed halo sign is seen in all conditions except
A:-Cryptogenic organising pneumonia
B:-Mucormycosis
C:-ldiopathic pulmonary fibrosis
D:-Pulmonary infarction
Correct Answer:- Option-C
Question40:-The usual time frame for the development of radiation pneumonitis is
A:-1 week to 1 month
B:-within 2 weeks
C:-6 weeks to 6 months
D:-None of the above
Correct Answer:- Option-C
Question41:-Causes of acute respiratory distress in SLE patient is
A:-Community acquired pneumonia
B:-Acute lupus pneumonitis
C:-pulmonary embolism
D:-All of the above
Correct Answer:- Option-D
Question42:-Caplan syndrome is seen in
A:-Rheumatoid arthritis
B:-Systematic lupus erythematosus
C:-Systemic sclerosis
D:-Polymyositis dermatomyositis
Correct Answer:- Option-A
Question43:-The most common ILD pattern in systemic sclerosis is
A:-Usual interstitial pneumonia
B:-Non-specific interstitial pneumonia
C:-Cryptogenic organising pneumonia
D:-Diffuse alveolar damage
Correct Answer:- Option-B
Question44:-Birbeck granules is seen in
A:-Systemic sclerosis
B:-systemic lupus erythematosus
C:-Sjogren’s syndrome
D:-Langerhans cell histiocytosis
Correct Answer:- Option-D
Question45:-Black pleura sign is seen in
A:-Pulmonary alveolar haemorrhage
B:-Langerhans cell histiocytosis
C:-Lymphangioleiomyomatosis
D:-Pulmonary alveolar microlithiasis
Correct Answer:- Option-D
Question46:-The most common antimicrobial agent that causes pulmonary fibrosis
A:-Azithromycin
B:-Ciprofloxacin
C:-Nitrofurantoin
D:-cefepime
Correct Answer:- Option-C
Question47:-Most common genetic mutation seen in cystic fibrosis is
A:-ΔF508
B:-R117H
C:-G551D
D:-R227H
Correct Answer:- Option-A
Question48:-Oral drug ivacaftor is used in the treatment of
A:-Lymphangioleiomyomatosis
B:-Pulmonary alveolar proteinosis
C:-Cystic fibrosis
D:-Sarcoidosis
Correct Answer:- Option-C
Question49:-Vanishing lung syndrome is seen in which condition
A:-Systemic sclerosis
B:-bullous lung disease
C:-diaphragm palsy
D:-pulmonary alveolar proteinosis
Correct Answer:- Option-B
Question50:-All are used in tobacco smoking cessation except
A:-Nicotine replacement therapy
B:-Bupropion
C:-varenicline
D:-e-cigarette
Correct Answer:- Option-D
Question51:-Empey’s index is
A:-FEV1:PEFR ratio
B:-FEV1/FVC ratio
C:-FEV1/MMEF ratio
D:-MMEF/FVC ratio
Correct Answer:- Option-A
Question52:-Diagnostic criteria for obesity hypoventilation syndrome include all except
A:-BMI>30 kg/`m^(2)`
B:-Daytime Pa`CO_(2)` >45mmHg
C:-Daytime Pa`O_(2)` <60mmHg D:-Sleep disordered breathing Correct Answer:- Option-C Question53:-Which of the following feature is not a part of the Well's Score for predicting the probability of Pulmonary Embolism? A:-HR>100
B:-Haemoptysis
C:-Age>50
D:-Malignancy
Correct Answer:- Option-C
Question54:-Which among the following is not true regarding Pulmonary veno occlusive disease?
A:-Pulmonary Hypertension
B:-Radiographic evidence of pulmonary edema
C:-Raised PAWP
D:-Lymphatic dilatation at the lung bases and pleura
Correct Answer:- Option-C
Question55:-McConnells sign is a sonologic sign diagnostic of :
A:-Lung cancer
B:-Pleural effusion
C:-Pneumothorax
D:-Pulmonary embolism
Correct Answer:- Option-D
Question56:-What is the most likely cause of pulmonary aneurysm?
A:-Mycotic
B:-Behcet disease
C:-Traumatic
D:-Congenital
Correct Answer:- Option-A
Question57:-Curacao diagnostic criteria is used to diagnose which of the following?
A:-Henoch-Schönlein purpura
B:-Wegner’s granulomatosis
C:-Christmas disease
D:-Hereditary hemorrhagic telengectasia
Correct Answer:- Option-D
Question58:-A flow volume loop is showing plateauing of the inspiratory loop only. The most likely cause is:
A:-Fixed extra-thoracic obstruction
B:-Variable extra-thoracic obstruction
C:-Fixed intra-thoracic obstruction
D:-Variable intra-thoracic obstruction
Correct Answer:- Option-B
Question59:-A patient with severe COPD enters a respiratory rehabilitation program. This is most likely to improve:
A:-ABG’s
B:-Survival
C:-Exercise tolerance
D:-Spirometry
Correct Answer:- Option-C
Question60:-Fatal asthma attacks are best predicted by:
A:-Onset in childhood
B:-Increased bronchodilator use
C:-Smoking
D:-Atopy
Correct Answer:- Option-B
Question61:-According to GOLD Guidelines 2019, Inhaled steroids are not considered beneficial if AEC is less than
A:-400
B:-300
C:-200
D:-100
Correct Answer:- Option-D
Question62:-Which of the following parameters would be needed to calculate a patient’s BODE index?
A:-Pre bronchodilator FEV1%
B:-Height
C:-Resting PaO2
D:-VO2Max
Correct Answer:- Option-B
Question63:-Which of the following is likely to be positive in a case of Follicular bronchiolitis?
A:-Anticyclic citrullinated peptide antibody
B:-Liver-kidney microsomal type 1 (LKM-1) antibody
C:-ACE
D:-Anti DS antibody
Correct Answer:- Option-A
Question64:-In a case of COPD with pulmonary hypertension (Mean PAP 50 mm Hg), which is the best form of treatment?
A:-Sildenafil
B:-Bosentran
C:-Epoprostenol
D:-None
Correct Answer:- Option-D
Question65:-Which among the following is the most pathognomic radiologic sign of ABPA?
A:-Central bronchiectasis
B:-High attenuation mucus
C:-Gloved finger sign
D:-Fleeting shadows
Correct Answer:- Option-B
Question66:-Which among the following pattern of calcification in a SPN is considered to increase likelihood of malignancy?
A:-Popcorn
B:-Diffuse
C:-Stippled
D:-Laminated
Correct Answer:- Option-C
Question67:-According to current TNM classification of Non Small Cell Ca lung, a tumor of size 6 cm in right upper lobe with
a satellite nodule of 1 cm in the same lobe, subcarinal lymph node and pleural fluid cytology positive belongs to which stage?
A:-T2N1M1a
B:-T3N1M1a
C:-T2N2M1b
D:-T3N2M1a
Correct Answer:- Option-D
Question68:-Which of the following IHC stains is most useful for identifying adenocarcinoma of pulmonary origin from
metastatic lesions?
A:-Calretinin & CK5/6
B:-Synaptophysin & chromogranin
C:-Thyroid transcription factor & thyroglobulin
D:-P63
Correct Answer:- Option-C
Question69:-Which is the commonest cell type of scar carcinoma?
A:-Squamous cell carcinoma
B:-Adeno carcinoma
C:-Small cell carcinoma
D:-Large cell carcinoma
Correct Answer:- Option-B
Question70:-Positive predictors of response to EGFR targeted therapy in lung cancer include all the following except:
A:-Asian ethnicity
B:-Never smokers
C:-Adenocarcinoma
D:-K-ras mutations
Correct Answer:- Option-D
Question71:-Pemberton’s sign is used to demonstrate which disease?
A:-Pulmonary embolism
B:-Pleural effusion
C:-Retrosternal goiter
D:-Pancoast tumour
Correct Answer:- Option-C
Question72:-Most common location for ectopic parathyroid tumour is
A:-Anterior mediastinum
B:-Posterior mediastinum
C:-Chest wall
D:-None of above
Correct Answer:- Option-A
Question73:-Calcification in mediastinal neuroblastoma is
A:-Rare
B:-Seen in 50%
C:-Seen in 80%
D:-Usually do not calcify
Correct Answer:- Option-C
Question74:-In castlemans disease HHV 8 is implicated in patho genesis of
A:-Multicentric disease
B:-Unicentric disease
C:-Both
D:-Not associated
Correct Answer:- Option-A
Question75:-Which of following statements regarding Solitary fibrous tumour of pleura are true
A:-Also called benign mesothelioma
B:-Asbestos is a known etiologic factor
C:-Even in malignant cases carries good prognosis
D:-Hypoglycaemia is seen in upto 40%
Correct Answer:- Option-B
Question76:-In USG assessment of pleural effusion, effusion is assessed as moderate if
A:-Within the area covered by 3.5 MHz curvilinear probe
B:-Between the range of one to two probes
C:-Between the range of one to three probes
D:-Between the range of two to four probes
Correct Answer:- Option-B
Question77:-Which of the following USG finding is a definite sign of pneumothorax
A:-Absence lung slide
B:-Absence of lung pulse
C:-Presence of lung point
D:-Presence of A lines
Correct Answer:- Option-C
Question78:-Which is the worst prognostic indicator among the following regarding parapneumonic effusion
A:-Pleural fluid pH ≤7.2
B:-Pleural fluid LDH>3 times normal upper limit of serum LDH
C:-Presence of moderate effusion
D:-Pleural fluid polymorphonuclear elastase level ≥ 1500 µg/ml
Correct Answer:- Option-B
Question79:-Regarding TNM staging of malignant mesothelioma, which of the following is T3
A:-Tumour invading ipsilateral chest wall muscle
B:-Tumour invading ipsilateral cervical tissue
C:-Tumour invading ipsilateral diaphragm
D:-Tumour invading pericardium
Correct Answer:- Option-A
Question80:-Explosive pleuritis is
A:-Rupture of an abscess into pleural cavity causing sudden development of pyopneumothorax
B:-Rupture of infected bulla causing sudden development of pyopneumothorax
C:-Rapid development of pleural effusion despite minimal pneumonia in Streptococcus pyogens infection
D:-Rapid development of pleural effusion in miliary tuberculosis
Correct Answer:- Option-C
Question81:-Obesity hypoventilation syndrome is defined as
A:-BMl ≥ 30kg/m2 and daytime awake PaCO2 ≥ 45mm Hg
B:-BMl ≥ 35kg/m2 and daytime awake PaCO2 ≥ 45mm Hg
C:-BMl ≥ 30kg/m2 and daytime awake PaCO2 ≥ 55mm Hg
D:-BMl ≥ 35kg/m2 and daytime awake PaCO2 ≥ 50mm Hg
Correct Answer:- Option-A
Question82:-Regarding fluid resuscitation in septic shock which of the following statement is correct
A:-Normal saline is the most preferred crystalloid
B:-Colloids like Hydroxyethyl starch is preferred to maintain intravascular volume
C:-Normal saline is preferred over Ringer lactate
D:-When large volume is infused, normal saline may cause renal damage
Correct Answer:- Option-D
Question83:-Which statement is most accurate regarding pneumococcal vaccine
A:-All persons ≥ 65 years should receive PPSV23
B:-All persons ≥ 65 years should receive PCV13
C:-All persons ≥ 65 years should first receive PPSV23 followed by PCV13
D:-All persons ≥ 65 years should first receive PCV13 followed by PPSV23
Correct Answer:- Option-D
Question84:-Long term ventilation is defined as requirement of daily ventilator support for more than
A:-6 weeks
B:-3 months
C:-4 months
D:-6 months
Correct Answer:- Option-B
Question85:-Clinical pulmonary infection score is considered to be positive if it is equal to or more than
A:-4
B:-5
C:-6
D:-7
Correct Answer:- Option-C
Question86:-K complex is
A:-Well delineated negative sharp wave followed by a positive component lasting at least 0.5 sec duration
B:-Well delineated negative sharp wave followed by a positive component lasting less than 0.5 sec duration
C:-Well delineated positive sharp wave followed by a negative component lasting at least 0.5 sec duration
D:-Well delineated positive sharp wave followed by a negative component lasting less than 0.5 sec duration
Correct Answer:- Option-A
Question87:-Regarding CPAP titration in OSA, which of the following statement is correct
A:-Optimal titration reduces RDI to <5 per hour for at least 15-min duration and should include supine REM sleep that is not continually interrupt by spontaneous arousals or awakenings B:-Optimal titration reduced RDI to <5 per hour for at least a 30-min duration and should include supine REM sleep that is not continually interrupted by spontaneous arousals or awakenings C:-Optimal titration reduced RDI to <5 per hour for at least a 1 hour duration and should include supine REM sleep that is not continually interrupted by spontaneous arousals or awakenings D:-Optimal titration reduces total respiratory disturbance to less than 10 in 3 hours of sleep and should include supine REM sleep that is not continually interrupted by spontaneous or awakenings Correct Answer:- Option-A Question88:-Which one of the following anticoagulant can be used without initial parenteral anticoagulation in pulmonary thromboembolism A:-Dabigatran B:-Rivaroxaban C:-Vit K antagonists D:-Apixaban Correct Answer:- Option-B Question89:-As per ACCP guidelines, in patients with a first venous thromboembolism that is an unprovoked proximal DVT of the leg or pulmonary embolism and who have a high bleeding risk, duration of anticoagulation is A:-3 months B:-6 months C:-12 months D:-24 months Correct Answer:- Option-A Question90:-Recommended dose of talc for pleurodesis in malignant effusion is A:-2-3 gms B:-3-4 gms C:-4-6 gsm D:-6-7 gsm Correct Answer:- Option-C Question91:-Which of the following is NOT a preferred recommendation for prevention of ventilator associated pneumonia A:-Drainage of sub-glottic secretions B:-Elevation of head end of bed C:-Closed suction of endotracheal tube D:-Early tracheostomy Correct Answer:- Option-D Question92:-Regarding NIV use, which of the following statement is wrong A:-Fluid overload commonly contributes to NIV failure in patients with OHS B:-Forced diuresis may be useful to prevent NIV failure in patients with OHS C:-NIV should not be used in patients with acute asthma exacerbations and AHRF D:-In patients with non-CF bronchiectasis with AHRF, NIV should not be tried Correct Answer:- Option-D Question93:-Weaning from mechanical ventilation is prolonged if the time duration is more than A:-3 days B:-5 days C:-7 days D:-10 days Correct Answer:- Option-C Question94:-Which among the following is an indication for veno venous ECMO A:-Hypoxemic respiratory failure in patients with a high risk of mortality (patients with PaO2/FlO2 < 100mm Hg with FIO2 > 90% and Murray score of 2)
B:-Hypoxemic respiratory failure in patients with a high risk of mortality (patients with PaO2/FiO2 < 80 mm Hg with FlO2 > 90% and Murray score of 3 to 4)
C:-Hypoxemic respiratory failure in patients with a high risk of mortality (patients with PaO2/FlO2 < 100mm Hg with FIO2 > 60% and Murray score of 3 to 4)
D:-Hypoxemic respiratory failure in patients with a high risk of mortality (patients with PaO2/FlO2 < 80mm Hg with FIO2 > 60% and Murray score of 2 to 3)
Correct Answer:- Option-B
Question95:-Which of the following statement about clinical effect of obesity on ARDS is correct?
A:-Risk of developing ARDS is decreased in obese patients
B:-Risk of developing ARDS is increased in obese patients
C:-Mortality from ARDS is increased in obese patients
D:-Obesity has no effect on outcome of ARDS
Correct Answer:- Option-B
Question96:-According to ATS guidelines which among the following is the preferred option for microbiologic diagnosis of
VAP
A:-Noninvasive sampling with semiquantitative cultures
B:-Invasive sampling with quantitative cultures
C:-Noninvasive sampling with quantitative cultures
D:-Mini BAL culture
Correct Answer:- Option-A
Question97:-Patients with scoliosis will have significant ventilator impairment if the Cobb angle is more than
A:-60 degrees
B:-75 degrees
C:-90 degrees
D:-100 degrees
Correct Answer:- Option-D
Question98:-In patients with acute type 1 respiratory failure, Oxygen flow should be adjusted to maintain SpO2 around
A:-88-92%
B:-94-98%
C:-90-94%
D:-92-95%
Correct Answer:- Option-B
Question99:-Which among the following is not a feature of nicotine withdrawal
A:-Tachycardia
B:-Restlessness
C:-Increased appetite or weight gain
D:-Difficulty concentrating
Correct Answer:- Option-A
Question100:-As per surviving sepsis campaign, for resuscitation of a patient with septic shock, which of the following
recommendation is correct
A:-At least 20mL/kg of IV crystalloid fluid be given within the first 4 hours
B:-At least 20mL/kg of IV crystalloid fluid be given within the first 3 hours
C:-At least 30mL/kg of IV crystalloid fluid be given within the first 4 hours
D:-At least 30mL/kg of IV crystalloid fluid be given within the first 3 hours
Correct Answer:- Option-D