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WorksheetsRespiratory System Quiz
Total questions: 20
Worksheet time: 10mins
According to the classification by duration, how long does an acute cough last?
Less than 3 weeks
3-8 weeks
More than 8 weeks
Less than 1 week
A patient presents with a cough that has lasted for 5 weeks. According to the classification by duration, how would you categorize this cough?
Acute
Subacute
Chronic
Recurrent
Through which nerve does the afferent pathway of the cough reflex arc travel to reach the cough center?
Vagus nerve
Optic nerve
Sciatic nerve
Olfactory nerve
Where is the cough center located in the cough reflex arc?
Medulla
Cerebellum
Spinal cord
Thalamus
Which of the following is a common cause of subacute cough?
Post-infectious cough
Smoking
Gastroesophageal reflux disease (GERD)
Nonasthmatic eosinophilic bronchitis
Asthma is a common cause of which type(s) of cough?
Only subacute cough
Only chronic cough
Both subacute and chronic cough
Neither subacute nor chronic cough
Compare and contrast the causes of subacute and chronic cough. What is one cause that is unique to chronic cough and not found in subacute cough?
Rhinitis
Asthma/COPD exacerbation
Upper airway cough syndrome (UACS)
Post-infectious cough
Which of the following is considered a "red flag" symptom during the initial clinical evaluation of a patient with chronic cough?
Productive cough
Hemoptysis
Use of ACE inhibitors
Spirometry results
During the initial clinical evaluation of chronic cough, which imaging modality is recommended for all cases?
MRI
Chest X-ray
Ultrasound
PET scan
A patient presents with chronic cough and night sweats. According to the initial clinical evaluation, what should be considered next?
Ignore the symptoms
Consider the presence of a red flag and investigate further
Prescribe cough suppressants immediately
Only review medication history
Which of the following conditions is included in Upper Airway Cough Syndrome (UACS)?
Postnasal drip
Asthma
Bronchitis
Pneumonia
What is a characteristic symptom that may be absent in patients with Upper Airway Cough Syndrome (UACS)?
Overt nasal symptoms ("silent drip")
Chest pain
Fever
Sore throat
Which of the following is NOT a recommended treatment for Upper Airway Cough Syndrome (UACS)?
Intranasal steroids
Antihistamines (oral or intranasal)
Treat underlying rhinitis/sinusitis
Antibiotics for bacterial pneumonia
A patient presents with a chronic cough but lacks overt nasal symptoms. What is a possible diagnosis and what is the reasoning behind it?
Upper Airway Cough Syndrome (UACS); UACS may lack overt nasal symptoms ("silent drip")
Asthma; Asthma always presents with wheezing
Bronchitis; Bronchitis never presents with cough
Pneumonia; Pneumonia always presents with fever
A patient presents with a persistent cough but no other symptoms. What strategic diagnostic approach could you use to determine if this is cough-variant asthma?
Prescribe antibiotics immediately
Perform spirometry or methacholine challenge
Recommend bed rest
Advise increased fluid intake only
What is the diagnostic method for Nonasthmatic Eosinophilic Bronchitis?
Chest X-ray
Sputum eosinophilia and response to ICS
Spirometry
Blood culture
Which of the following is an appropriate treatment for Nonasthmatic Eosinophilic Bronchitis?
Antibiotics only
ICS ± Montelukast
Oral corticosteroids only
Antihistamines
What is the initial approach to diagnosing GERD according to the provided material?
Clinical evaluation
MRI scan
Blood test
Ultrasound
GERD symptoms may sometimes be silent because:
Because acid reflux does not always stimulate vagal receptors, making symptoms less noticeable and requiring careful clinical evaluation and possible pH monitoring for accurate diagnosis.
Because GERD always presents with severe symptoms, making diagnosis straightforward.
Because GERD is unrelated to acid reflux, so symptoms are never present.
Because GERD only affects the skin, so symptoms are visible.
Which condition is treated empirically with ICS according to the diagnostic approach?
Asthma
GERD
Diabetes
Hypertension
