[CHEST AND LUNGS & SKIN - RECALLS] By Mario and Luigi
1. Which of the following causes acute and
chronic cough:
a. Asthma
b. Pleural effusion
c. Interstitial fibrosis
d. Pneumothorax
e. A and B
2. Most likely mechanism of cough caused by
Cigarette smoking?
a. Irritation of the airway
b. Decreased lung compliance
c. Inflammation of the airway
d. Inflammatory reaction
e. A and B
3. A patient with pleural effusion is manifesting
dry cough, the underlying mechanism of
cough is most likely:
a. Increased pressure
b. Decreased lung compliance
c. Irritation of airway
d. Inflammatory reaction
e. A and B
4. A 49 year old, F, consults at the doctor’s
clinic because of cough for more than 5
months now. She said that she usually
coughs after meal and when she lay down.
She is sometimes awakened in the middle of
the night because of cough and DOB. Cough
is productive of watery whitish secretion. The
most likely cause of the cough is:
B. Gastro esophageal regurgitation
5. 25 y/o M, frequently clearing his throat, cough
with occasional mucoid sputum, more frequent at
night. PE: Normal. Cough is most likely caused by:
D. Chronic Sinusitis
6. Which of the ff is a complication of cough?
A. Rib fraction
7. A barky cough would suggest a pathology in the:
A. Glottis
8. Following condition is causes acute onset and
chronic progressive DOB except:
A. Severe anemia
9. A 49 y/o male, has been coughing for more than 3
yrs and most likely in the morning with sputum, with
INJECTED PHARYNX the most likely cause is:
B. Cigarrete Smoking
10. 17 y/o F med student brought to the ER with
HIGH GRADE FEVER without other symptoms, her
respiration pattern will present as:
A. Hyperpnea (fast and deep)
11. 63 y/o female was found unconscious, and at
the... she was noted to have very fast and deep
breathing with fruity breath; her abnormal breathing
pattern is most likely:
C. Kussmaul’s respiration
12. An IV drug user consulted at the ER because of
hemoptysis and DOB but denies any fever and
cough, the most likely cause of hemoptysis is:
E. Vasculitis
13. 15 y/o male was admitted due to pneumonia,
several medicines was given and he improved,
however at the 5th hospital day he developed
shallow breathing and ABG severely marked PACO2,
most likely secondary to muscle weakness, drug that
most likely caused the sudden change:
D. Amikacin / Amikin
14. Kussmaul breathing is usually observed in
patients with:
E. Diabetic ketoacidosis
15. 15 y/o female was rushed to the ER d/t severe
retrosternal pain, when nitroglycerin was given to
the patient, the chest pain was relived. Chest pain is
felt when she takes something cold. She is most
likely suffering from:
E. Esophageal spasm
16. A 17 y/o male student complained of DOB after
moving a wooden cabinet. The most likely cause of
his difficulty of breathing is:
B. Pneumothrorax
17. The most common cause of hemoptysis is:
C. Bronchiectasis
18. Airway lesion that may cause hemoptysis:
D. bronchogenic carinoma
 [CHEST AND LUNGS & SKIN - RECALLS] By Mario and Luigi

19. Patient with heart failure will usually complain D. Epiglottis

of:
A. Dyspnea 34. Hamman’s sign is present in:
B. Orthopnea B. Pneumomediastinum
A&B
35. Normal breath sounds heard at the interscapular
20. Patient with chronic cough with one sided lesion area:
of the lung will have: B. Bronchovesicular
C. Trepopnea
36. On auscultation of the chest, the most likely
21. Pneumoconiosis is due to exposure to: heard breath sound is:
B. Coal A. Vesicular breath sound

22. Bagasse is associated in exposure to:
C. Sugar cane
23. Primary malignancy of pleura is associated with
close and prolong exposure to:
A. Asbestos
24. Psittacosis is a lung infection spread from :
B. Parrot (can be pigeon)
25. Lagging of the chest can be determined by:
A. Palpation
37. Dullness upon percussion of the chest d/t
absence of breath sound will suggest:
D. Plural effusion and fibrothorax
38. Movement of secretions in the bronchi would
produce:
B. Ronchi
39. Bronchovesicular to bronchial breath sound with
shifting to the mediastinum in the same side implies
that:
B. Atelectasis

26. The level of the diaphragm is determined by: 40. Bronchophony is heard in patient with:
C. Percussion B. Pneumonia

27. Bifurcation of the trachea is projected at the 41. Upon inspection of the beast, it is best to ask the
anterior chest wall at the: patient to:
C. Sternal angle of Louis B. Sit

28. Reference use to identify the posterior rib is: 42. Orange peel of the breast is due to:
C. inferior angle of the scapula A. Lymphatic obstruction

29. Findings of examination of anterior chest reflect 43. Which of the following would decrease the risk
mainly the palpation of: of breast cancer?
A. Upper lobe E. breast feeding

30. Normal breath sounds that is heard in the 44. Mammography is recommended in screening of
manubrium is: breast CA as early as:
A. Bronchial breath sound B. 35 y/o

31. Tactile fremitus is usually decreased in which of 45. Malignant breast mass tend to be:
the following pathology: C. Hard
B. Asthma
46. Self-examination of the breast is recommended
32. Bilateral hyper resonance on percussion is as early as:
expected in: B. 20 y/o
E. Emphysema

33. Stridor is a manifestation of:

 [CHEST AND LUNGS & SKIN - RECALLS] By Mario and Luigi

47. On inspection of the breast, finding of weeping

lesion in the nipple would suspect: 8. Oncholysis is associated with the following.
B. Paget’s disease B. cirrhosis
48. The recommended technique for self and clinical
9. Dried residue in the surface of the lesion?
breast examination is:
C. Vertical
B. Crust

49. Which of the following increase the BRCA1 and 2 10. 160/90
mutation: D. Stage 2 HPN
A. >=2 relatives with a diagnosis of breast CA before
age 50, and >= 1 is a first degree relative. 11. Breathing pattern with
crescendo/decrescendo type with intervals of
50. The best time to examine the breast is: apnea
D. 7th day of menstrual cycle A. Cheyne Stokes breathing
SKIN
12. Example of familial condition.
1. 36 year old fisherman married with prolong
B. PTB
on and off fever with a recent travel to an
endemic area should be inquired and the
13. Calculating the BMI of the patient.
info will be added to?
D. wt in kilo/ ht in meters squared
C. personal and social history
14. What is the OB score if the patients LMP is
2. 57 yr. old heavy smoker have several
May 15, 2014. Today July 08, 2014. Pre-
confinement because of DOB. 2 hours prior to
pragnancy (single term), 2nd(Twin Premature),
admission he experiences DOB for which he was
3rd (Single term).
admitted again. The previous admission will be
B. G4P3 2104
placed in
C. Interval history
15. quality of pain in Tension head ache
C. Compressing
3. 50 yr. old patient complains of loss of balance
the bp should be taken in
16. type of bleeding associated with massive
D. A and B (supine and Upright)
bleeding in esophageal varicose
A. hematemesis
4. A patient complaining of DOB all are sign of
respiratory distress except.
17. The type of quality of pain that maybe
D. Tachycardia
referable to the GUT is?
A. Colicky pain
5. Acrocyanosis is evident in the ff. EXCEPT
D. Palberal Conjuctiva
18. Bleeding from external hemorrhoids is
describe as
6. vesicle in cluster is typical of
B. Hematochezia
B. Chicken Pox
19. A flat circumscribed lesion measuring more
7. Physical finding include cool dry skin with
than 0.5cm
rough texture. Which of the following would be
C. Patch
the cause of the mentioned signs.
C. Hypothyroidism
 [CHEST AND LUNGS & SKIN - RECALLS] By Mario and Luigi

20. fluid filled lesion measuring more than 0.5

cm diameter, fluid is visible and translucent is
A. Bullae

21. An example of a lesion that has an excess

epidermal cells produced by abnormal
keratinization and shedding
C. Seborrhea

22. type of lesion with focal loss of dermis and

epidermis ex. chancre
B. Ulcer

23. all are secondary lesion except

C Bullae

24. The following are called skin appendages

except. D. none

25. melanin and keratin are found in

A. outer cornuem

26. true about skin turgor

A. decrease in vomiting

27. Jaundice is the yellowish discoloration of

the skin because of the following conditions.
D. A and B (Hemolysis and Viral Hepatitis)

28. Pallor is due to the following conditions.

C. decrease blood flow

29. decorticate rigidity

A. upper arm are flexed and elbow and wrist
are also flexed

30. Brocha’s aphasia due to the lesion in the

posterior inferior frontal lobe resulting in.
E. ALL(Non-fluent speect, writing is impaired,
reading comprehension intact)