A 68-year-old male presented with chronic cough for 10 years. Recently

1.【单选题】A 68-year-old male patient was admitted to hospital, because of progressive cough, fatigue and intermittent bloody sputum for 10 months. In recent 3 months, the property of cough has became irritative, and the amount of bloody sputum has increased. The patient was a smoker for more than 30 years. The radiograph showed a shadow in the area of left hilar. What is the most possible diagnosis for this patient? 选项：A、BronchiectasisB、Bronchogenic carcinomaC、Pulmonary tuberculosisD、Lung abscessE、Pneumonia

2.Irritating cough is the most common ( ) 选项： A、Chronic bronchitis B、Bronchiectasis C、Bronchial tumor D、Tuberculosis E、Emphysema

3.If a person quits smoking, he/she can expect to benefit from all of the following EXCEPT:选项： A:Diminshed risk for lung cancer B:Reversal of emphysematous changes C:Abatement of chronic bronchitis D:Lower risk for lung infections E:Decreased risk for lung cancer in close family members

4.If a person quits smoking, he/she can expect to benefit from all of the following EXCEPT: 选项： A、Diminished risk for lung cancer B、Reversal of emphysematous changes C、Abatement of chronic bronchitis D、Lower risk for lung infections E、Decreased risk for lung cancer in close family member

5.If a person quits smoking, he/she can expect to benefit from all of the following EXCEPT:选项： A:Diminished risk for lung cancer; B:Reversal of emphysematous changes; C:Abatement of chronic bronchitis; D:Lower risk for lung infections; E:Decreased risk for lung cancer in close family member

6.The most significant symptom for diagnosis of acute lung abscess is 选项： A、Chills and fever B、Cough a lot of pus C、Total white blood cells and neutrophils increase D、Sputum common bacteria culture positive

7.The most common type of activated lung tuberculosis in adult is 选项： A、Focal pulmonary tuberculosis B、Infiltrative pulmonary tuberculosis C、Chronic fibrous-cavernous pulmonary tuberculosis D、Caseous pneumonia E、Tuberculoma

8.Which of the following is not the common symptom of tuberculosis() 选项： A、low fever, night sweats B、cough C、hemoptysis D、chest pain E、massive purulent sputum

9.32/F, cough productive of mucoid sputum for 1w, fever for 3 days.The patient shown below most likely has: () 选项： A、A large left pleural effusion B、A large right pneumothorax C、Atelectasis of the left lung D、Pneumonia in the left lung E、Unilateral pulmonary edema

10. A 52-year-old man has a fever and cough productive of thick, gelatinous sputum that worsens over 4 days。 On physical examination, his temperature is 38。2° C。 On auscultation of the chest, diffuse crackles are heard at the right lung base。 Laboratory studies show WBC count, 13,240/mm3 with 71% segmented neutrophils, 8% bands, 15% lymphocytes, and 6% monocytes。 A sputum gram stain shows gram-negative bacilli with mucoid capsules。 His condition improves after a course of gentamicin therapy。 Which of the following complications of this infection is he most likely to develop? 选项： A:Abscess formation B:Adenocarcinoma C:Bullous emphysema D:Cavitary granulomas E:Gas gangrene

11.An 86-year-old male complains of cough and blood in his sputum for the past two days. On admission, his temperature is 103°F. Physical examination reveals rales in his right lung, and x-ray examination shows increased density in the right middle lobe. A sputum smear shows many Gram-positive cocci, confirmed by sputum culture as penicillinase-producing Staphylococcus aureus. Which of the following agents should be given ?选项： A:Ampicillin; B:Carbenicillin; C:Mezlocillin; D:Ticarcillin; E:Oxacillin

12.Some lung diseases (such as emphysema, asthma, chronic bronchitis, and infections) can make the lungs contain too much air and take longer to empty. These lung diseases are called obstructive lung disorders.

13.A teenage boy came to the clinic with his parents because of a cold he got two weeks ago. He still has copious coughing with profuse phlegm. He also had a fever and chills, a headache, and chest congestion but no sweating. His tongue has a white coating and the pulse is slippery. What is the most likely diagnosis for this patient? 选项： A:Contraction of wind cold with phlegm congestion B:Phlegm heat invading the lung C:Chronic lung deficiency D:Lung deficiency caused by Kidney deficiency

14.A 20-year-old, previously healthy man is jogging one morning when he trips and falls to the ground. He suddenly becomes markedly short of breath. On examination in the emergency room there are no breath sounds audible over the right side of the chest. A chest radiograph shows shift of the mediastinum from right to left. A chest tube is inserted on the right side, and air rushes out. Which of the following underlying diseases is most likely to have produced this complication?选项： A:Asthma; B:Bronchiectasis; C:Centriacinar emphysema; D:Chronic bronchitis; E:Distal acinar emphysema

15.Male,21years old,right side chest pain,dyspnea,hemoptysis for 1hour after trauma.When the patient was riding in the high-speed bus 1hour ago,due to emergency braking,his right chest hit the seat back,and he immediately felt severe pain in his right chest,hemoptysis and dyspnea.Subsequently,the dyspnea gradually worsened and he was sent to the hospital immediately.Physical examination:T37.3℃,P128times/min,R30times/min,BP92/60mmHg.Conscious,cyanotic,with a marked left deviation of the trachea.Right thoracic distension,light tenderness,no bone friction,percussion was a drum sound.Breath sounds disappear.Chest X-ray:obvious subcutaneous emphysema of the chest,compression of the right lung by more than 90%,obvious mediastinal left shift,no fracture of the auxiliary bone,clear bilateral costal diaphragm Angle.What is the diagnosis of this patient?()

16.The clinical manifestations of lung cancer include选项： A:long term cough, cough, white foam sputum; B: Hemoptysis, expectoration; C: Cough rusty phlegm \; D: Irritating cough and blood in sputum; E:Epistaxis, painless hard nodule under the tip of mastoid process

17.A 53-year-old man, who has been smoking for the past 35 years at a two-pack-a-day rate, visits his physician for a cough that will not go away, and for difficulty in breathing. A chest X-ray rules out cancer, but does display an increased anterior–posterior (AP) diameter, flattened diaphragms, and “air trapping.” The patient is told that his condition will not improve, and that he needs to stop smoking to stop the progression of the disease. At the molecular level, this disease is due to which one of the following? 选项： A:Enhanced trypsin activity in the lung B:Decreased trypsin activity in the lung C:Enhanced α1-antitrypsin activity in the lung D:Decreased α1-antitrypsin activity in the lung E:Enhanced reduction of sulfhydryl groups in the lung F:Decreased reduction of sulfhydryl groups in the lung

18.Which of the following chest disorders is least likely to result in the appearance of air bronchograms on the chest radiograph? 选项： A:Pulmonary edema B:Pneumothorax C:Pneumonia D:Lung consolidation

19.（） has many names such as COLD and COAD, etc. Here COLD stands for chronic obstructive lung disease while COAD is an acronym for chronic obstructive airway disease. It is a lung disorder in which problem of breathing occurs when airways are narrowed. 选项： A:Emphysema B:Asthma C:Chronic Obstructive Pulmonary Disease D:Pneumonia

20.2. In deficiency of lung-Yin the cough is productive of sputum or productive of scant sputum that is viscid or blood-streaked. ( )

21. The cardinal symptom of chronic bronchitis is a persistent cough productive of sparse ( ). 选项： A: mucus B: blood C: secretion D: sputum

22.Which of the following is not consistent with the characteristics of small cell lung cancer? 选项： A: More men than women; B:Most of them occur in middle-aged and old people; C: It usually occurs in the peripheral part of the lung; D:The cancer cells were small, spindle shaped or lymphocyte like; E: It belongs to APUD tumor

23.Which of the following is a chest wall disease that causes chest pain 选项： A: Lung cancer B: Intercostal neuropathy C: Spontaneous pneumothorax D: Pleural tumors E: Pleurisy

24.A 65-year-old female has a 15-year history of chronic productive cough and a 10-year history of dyspnea, and her condition worsened 2 days ago. She is diagnosed with COPD in the acute exacerbation stage. Which of the following can be detected on physical examination? 选项： A:Barrel chest; B:Decreased breathing sounds; C:Sporadic crackles and rhonchi; D:Deepened breathing; E:Dullness to percussion