Q2 neoplasia

Q3 neoplasia

Q4 neoplasia

Q5 neoplasia

Q6 neoplasia

Respiratory cases 👇🏻 :

Q1. A 63-year-old man with small cell carcinoma of the left mainstem bronchus begins chemotherapy. During the treatment period, he becomes febrile and develops a productive cough. The temperature is 38.7°C respirations are 32 per minute, and blood pressure is 125/85 mm Hg. A CBC shows leukocytosis (WBC = 18,500/μL). The patient’s cough worsens, and he begins expectorating large amounts of foul smelling sputum. A chest X-ray shows a distinct cavity with an air/fluid level distal to the tumor area. Which of the following is the most likely diagnosis?
(A) Atelectasis
(B) Bronchiectasis
(C) Ghon complex
(D) Lobar pneumonia
(E) Pulmonary abscess

Q2.A 60-year-old alcoholic woman presents to the emergency room with fever, chills, and shortness of breath. The sputum is rusty-yellow and contains numerous neutrophils, red blood cells, and Gram-positive cocci. A chest X-ray shows diffuse haziness over both lungs. One week following admission, the patient develops empyema. This pulmonary condition is associated with the spread of bacterial infection to which of the following anatomic locations?
(A) Blood
(B) Bronchi
(C) Interstitial space
(D) Pericardium
(E) Pleural space

Q3. A 28-year-old woman with cystic fibrosis presents with increasing shortness of breath and production of abundant foul-smelling sputum. The sputum in this patient is most likely associated with which of the following pulmonary conditions?
(A) Atelectasis
(B) Bronchiectasis
(C) Empyema
(D) Pneumothorax
(E) Pyothorax

Q4. A 40-year-old woman with leukemia is treated with chemotherapy. During treatment she develops increasing cough and shortness of breath. A chest X-ray shows diffuse lung infiltrates. Sputum cultures are negative, and the patient does not respond to routine antibiotic therapy. An open lung biopsy is diagnosed by the pathologist as viral pneumonia. Which of the following histopathologic findings would be expected in the lungs of this patient?
(A) Clusters of epithelioid macrophages
(B) Confluent areas of caseous necrosis
(C) Fibrous scarring of lung parenchyma
(D) Hyaline membranes and interstitial inflammation
(E) Sheets of bacilli-filled macrophages

Q5. A 62-year-old woman is rushed to the emergency room following an automobile accident. She has suffered internal injuries and massive bleeding and appears to be in a state of profound shock. Her temperature is 37°C (98.6°F), respirations are 42 per minute, and blood pressure is 80/40 mm Hg. Physical examination shows cyanosis and the use of accessory respiratory muscles. A CT scan of the chest is normal on arrival. Her condition is complicated by fever, leukocytosis, and a positive blood culture for staphylococci (sepsis). Two days later, the patient develops rapidly progressive respiratory distress, and a pattern of “interstitial pneumonia” can be seen on a chest X-ray. Which of the following is the most likely diagnosis?
(A) Acute bronchiolitis
(B) Alveolar proteinosis
(C) Atelectasis
(D) Desquamative interstitial pneumonitis
(E) Diffuse alveolar damage

Q6. A 55-year-old man is admitted to the hospital with increasing shortness of breath and dry cough for the past few years. He smokes 1.5 packs of cigarettes and drinks about four bottles of beer a day. He is constantly “gasping for air” and now walks with difficulty because he becomes breathless after only a few steps. Prolonged expiration with wheezing is noted. Physical examination shows a barrel chest, hyperresonance on percussion, and clubbing of the digits. The patient’s face is puffy and red, and he has pitting edema of the legs. A chest X-ray discloses hyperinflation, flattening of the diaphragm, and increased retrosternal air space. Which of the following is the appropriate diagnosis?
(A) Asthma
(B) Chronic bronchitis
(C) Emphysema
(D) Hypersensitivity pneumonitis
(E) Usual interstitial pneumonia

بعد تكون الكيس طويلة وحدة من النصائح شوفو شنو المطلوب منكم ف نهاية الكيس وردو اقروها ودورو على الكلمة المفتاحية غالبا في معلومة مهمة تعطيك دلالة على الاجابة 💜 حنشرح الكيسس هذينا بكرة ان شاء الله ونزل أسئلة على git ، موفقين 💜💜

Q1 respiratory

Q2 respiratory