At the patient with focal pneumonia near the root of lung at palpation of the chest can be obtained

a) Amplifying vocal fremitus on the affected side

b) Weakened vocal fremitus on the affected side

c) Vocal fremitus does not change

d) Vocal fremitus is absent

e) Amplifying vocal fremitus on the health side

Which syndrome can develop at the patient with central lung cancer?

a) emphisema;

b) pneumotorax;

c) obstructive atelectasis;

d) lobar consolidation;

e) northing from above.

Which syndrome can develop at the patient with peripheral lung cancer?

a) emphisema;

b) pneumotorax;

c) obstructive atelectasis;

d) lobar consolidation;

e) northing from above.

16. Auscultation signs of massive exudative pleurisy:

a. Diminished vesicular breathing and crackles

b. absent of breath sounds

c. unchanged breath sound

d. Pathological bronchial breathing

e. Diminished vesicular breathing and wheeze

Which investigation is obligatory for confirming pneumonia?

a. Sputum culture

b. Full blood analysis

c. X-ray examination

d. Bronchoscopy

e. Lung function test

Which properties does not transudate have?

  1. Light yellow color
  2. Protein = 30 g/l
  3. Negative Rivalt test
  4. 1-5 leucocytes and 2-6 mezoteliocytes
  5. All mentioned above

Which properties does exudate have?

  1. Comparative density > 1,018
  2. Protein > 30 g/l
  3. Positive Rivalt test
  4. 10-25 leucocytes and 2-6 mezoteliocytes
  5. All from above

Which investigation is the most informative for confirming lung cancer?

a. Sputum culture

b. Full blood analysis

c. X-ray examination

d. Bronchoscopy with biopsy

e. Computered tomography

Control questions

  1. What is classification of pneumonias?
  2. What is definition and etiology of community-acquired pneumonia?
  3. What are symptoms and signs of lobar and focal community-acquired pneumonia?
  4. Which features does atypical pneumonia have?
  5. What is classification and causes of pleurisies?
  6. What are symptoms and signs of the dry pleurisy?
  7. What are symptoms and signs of the exudative pleurisy?
  8. How pleural fluid should be investigated with laboratory methods?
  9. What types of lung cancer do you know?
  10. What are symptoms and signs of lung cancer?
  11. What is definition and causes of the pneumosclerosis?

Practical task that should be performed during practical training



6. Revealing and assessment of symptoms and signs of focal and lobar pneumonias

7. Revealing and assessment of symptoms and signs of pleurisies

8. Revealing and assessment of symptoms and signs of lung cancer

9. Revealing and assessment of symptoms and signs of pneumosclerosis

10. Assessment of the pleural fluid analysis


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