A 35-year-old man presents with hemoptysis, chest pain, and weight loss. Tuberculin test shows 20 mm. Histopathology shows caseating granuloma with epithelioid cells and Langhans giant cells. The dominant immune mechanism is...

Soal McQ Kedokteran

Quiz
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Education
•
Professional Development
•
Hard
Andis Wulandari
Used 1+ times
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54 questions
Show all answers
1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
CD8+ T cell activation causing alveolar cell lysis
IL-4 and IL-13 production increases mucus and bronchoconstriction
CD4+ Th1 activation, increased IFN-γ and TNF-α
Eosinophil activation and histamine release (type I)
Alternative complement pathway activation
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 40-year-old woman experiences shortness of breath for 2 months. CXR shows ILD. Pulmonary function?
Normal
Pulmonary vascular disorder
Chest wall abnormality
ILD
Asthma
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 50-year-old man presents with cough and dyspnea. HRCT shows fibrosis. FEV1/FVC is normal, TLC is decreased, VC is decreased, DLCO is decreased.
Obstructive
Emphysema
Mixed
Restrictive
Normal
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 45-year-old man with diabetes and advanced pulmonary TB, BTA (+), TCM: MTB detected, Rif R (-). Treatment options?
2RHZE/4HR repeat
6 Bdq-Lfx-Lnz-Cfz-Cs / 14 Lfx-Lnz-Cfz-Cs
20 Mfx-Lnz-Cfz-Cs-Dlm
4KTD + levofloxacin
4-6 Bdq-Lfx-Cfz-Hdt-Z-E-Eto / 5 Lfx-Cfz-Z-E
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 32-year-old man presents with chronic cough, chest pain, HRCT shows perilymphatic nodules, GGO. Biopsy shows non-caseating granuloma. Diagnosis?
Pneumoconiosis
Sarcoidosis
IPF
DIP
Hypersensitivity pneumonitis
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 66-year-old man presents with dyspnea for 3 weeks, chest pain, weight loss. CXR shows homogeneous opacity. Thoracic ultrasound shows effusion. Diagnostic examination?
Bronchoscopy
Transthoracic biopsy
VATS
Pleural biopsy
Mediastinoscopy
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 45-year-old man presents with a cough for 3 months, high IgE, eosinophils increased, provocation test positive. Immune mechanism?
Th1 → IFN-γ
Alveolar autoantibodies
Th2 → IL-4, IL-5, IL-13
Classical complement pathway
Dysfunctional macrophages
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