NMD Clerks Shifting Exam
Name__________________________________
Date___________________________________
Score: _________________________________
PART I
BRONCHIAL ASTHMA
1.
What is the major risk factor for asthma?
a. Gender
b. Atopy
c. Obesity
d. Smoking
2. What is the most common allergen that triggers asthma?
a. Grass Pollen
b. Fungal Spores
c. Cockroaches
c. Dermatophagoides species
3. What is the mainstay of treatment of all types of asthma?
a. ICS
b. SABA
b. LABA
d. LAMA
4. What is the spirometry result of patient with asthma?
a. FVC/FEV1 ratio >70%
b. FVC/FEV1 ratio <70%
c. FEV1/FVC ratio > 70%
d. FEV1/FVC ratio < 70%
5. Reversibility of item #4 is demonstrated by _________ 15 minutes
after an inhaled SABA or 2-4 weeks of oral corticosteroids.
a. FEV1 increases by >12% and 200 ml
b. FEV1 increases by >12% or 200 ml
c. FEV1 decreases by >12% or 200 ml
d. FEV1 decreases by >12% and 200 ml
14. What immediate management will you give in this patient upon
arrival at the ER?
a. 2Decho
b. IV diuretics
c. Salbutamol Nebulization
d. Start on LMWH
15. How many major criteria and minor criteria does the patient fulfilled
based on Framingham scoring with the available information gathered
at the ER?
a. 4 Major 3 Minor b. 4 Major 4 Minor
c. 5 Major 4 Minor d. 5 Major 5 Minor
PULMONARY TUBERCULOSIS
16. Which of the following location of PTB is considered to be the most
infectious form?
a. CNS
b. Colon
c. Larynx
d. Spine.
17. All of the following are cardinal TB symptoms or signs of at least 2
weeks duration, except?
a. Cough
b. Unexplained fever
c. Night sweats
d. Hemoptysis
18. What is the gold standard in the diagnosis of PTB?
a. Chest X-ray
b. AFB
c. TB GeneXpert
d. Culture
19. All of the following are essential laboratory tests done prior to the
initiation of treatment of PTB, except?
a. ALT
b. FBS
c. BUN
d. Uric Acid
20. What is the regimen given for patients with CNS TB?
a. 2HRZE 10HR
b. 2HRZE 4HR
c. 2HRZE 8HR
d. 2HRZE 6HR
COPD
6. Supplemental oxygen should be administered if the resting oxygen
saturation in COPD patients is less than?
a. 100%
b. 94%
c. 90%
d. 88%
7. Only three interventions have been demonstrated to improve
survival of patients with COPD. These include the following, except?
a. Smoking cessation
b. Oxygen therapy
c. Bronchodilators
d. Lung Volume Reduction surgery
8. Which of the following symptoms of COPD is the LEAST common?
a. Cough
b. Sputum production
c. Exertional dyspnea
d. Fatigue
9. Which of the following is considered an important prognostic factor
in COPD and is the basis for the GOLD classification?
a. Airflow obstruction
b. Diffusing capacity
c. Presence or absence of SOB
d. Smoking pack-years
10. What is the GOLD Stage characterized by spirometry result of
FEV1/FVC <0.7 and FEV1 >/= 50% but <80% predicted?
a. I
b. II
c. III
d. IV
21. Which of the following drugs can cause joint pains?
a. Pyrazinamide
b. Ethambutol
c. Rifampicin
d. Isoniazid
PNEUMONIA
22. This phase of pneumonia involves neutrophil influx and bacteria
are occasionally seen in the pathologic specimen.
a. Edema
b. Red hepatization
c. Gray hepatization
d. Resolution
23. Which of the following antibiotics is used for CAP-LR patient with
stable co-morbid?
a. Amoxicillin and clindamycin
b. Clarithromycin
c. Cefuroxime and azithromycin
d. Ceftriaxone and azithromycin
24. The following are the discharge criteria for pneumonia during the
24 hours before discharge, except?
a. Temp 36-37.5
b. RR 16-24 per minute
c. SBP more than 90mmhg
d. Pulse rate less than 120 bpm
25. Which antibiotic has an anti-pseudomonal coverage for patients
with CAP-HR?
a. Ceftriaxone
b. Ceftazidime
c. Ertapenem
d. Vancomycin
HEART FAILURE
11 Which of his symptoms is considered a late manifestation of heart
failure??
a. Exertional Dyspnea
b. Fatigue
c. Cough
d. Orthopnea
12. All of the following drugs are the mainstay therapy of patients with
heart failure, except?
a. Spironolactone
b. Valsartan
c. Carvedilol
d. Verapamil
For Questions 13-15: A 69-year old male came at the ER with
complains of fatigue, exertional dyspnea especially when taking a bath
and walking around the bed, 3-pillow orthopnea, daytime cough, PND,
and bilateral lower extremity edema. Upon PE, he had distended neck
veins with crackles on both lung fields, with decrease breath sounds on
mid-to base with wheezing on both lung fields. Increase in dullness on
percussion on the RUQ of abdomen was noted. BP 100/60, HR
99bpm, o2 sat 95% RR 30 bpm and T 36C. He has history of coronary
artery disease last 2012. Upon workup noted bilateral pleural effusion,
pulmonary congestion and LV cardiomegaly. PROBNP revealed
>35,000.
13. Based on the NYHA classification, what is the functional capacity
of the patient?
a. I
b. II
c. III
d. IV
DIABETES MELLITUS
26. All of the following are the criteria for diagnosis of Diabetes
Mellitus, except?
a. HbA1c more than or equal to 6.5%
b. FPG more than or equal to 126 mg per dL
c. 2 hour plasma glucose during 75-g OGTT more than or
equal to 200 mg per dL
d. RBS more than or equal to 200 mg per dL
27. All of the following are risk factors for DM, except?
a. PCOS
b. Gestational DM
c. Hypertension
d. HDL more than 35
28. Which of the following demographic profile does metformin is
considered for prevention of T2DM especially those who are
prediabetic?
a. BMI of 30
b. Age 65 years old
c. Women with prior GDM
d. Decreasing Hba1C due to lifestyle modification
29. Which of the following types of hypoglycemic agents is
contraindicated in patients with heart failure?
a. Dapaglifozin
b. Glicazide
c. Pioglitzone
d. Linagliptin
30. All of the following hypoglycemic agent can promote weight loss,
except?
a. Insulin
b. Biguanides
c. GLP 1 receptor antagonists
d. Alpha-glucosidase inhibitors
HYPERTENSION
40. All of the following are first line agents for hypertension, except?
a. Losartan
b. Carvedilol
c. Amlodipine
d. Hydrochlorothiazide
Part II
Give the generic name of the following drugs:
41. Symbicort
_______________________
42. Berodual
_______________________
43. Lipitor
_______________________
44. Jardiance
_______________________
45. Norvasc
_______________________
46. Atenurix
_______________________
47. Augmentin
_______________________
48. Monurol
_______________________
49. Glucophage
_______________________
50. Dolcet
_______________________