CLS215 COUGH AND DYSPNEA EXAM WITH
DETAILED ANSWERS(NEWEST 2025
VERSION).
Your patient feels fine, other than a persistent cough, and has normal
breath sounds, fremitus and percussion in his left lung but the lower 2/3 of
the right lung the percussion is dull and the fremitus is increased. Your
most likely diasgnosis is:
A: COPD
B: Pneumonia
C: Pleural effusion
D: Pneumothorax
E: None of the above - CorreCt Answers -B
A patient with TB, a pulmonary abscess or a lung tumor is likely to suffer
from
A: passive atelectasis
B: traction atelectasis
C: obstructive atelectasis
D: compressive atelectasis
E: adhesive atelectasis - CorreCt Answers -D
Which of the following is least likely to be a finding in pneumothorax?
A: Hyperresonant percussion
B: Decreased tactile fremitus
,C: Ipsilateral Tracheal deviation
D: Asymmetric diaphragmatic excursion and thoracic expansion
E: All of these are very likely - CorreCt Answers -C (contralateral)
T/F: Wheezing lung sounds will rule out pulmonary embolism - CorreCt
Answers -T
T/F: According to the Well's Score for DVT, an alternative diagnosis to DVT
would take 2 points away from the pretest probability. - CorreCt Answers -T
Which of the following statements about the D-Dimer is False?
A: The Fibrin degradation product (FDP) is what is being assessed in a
blood test
B: it helps with ruling out pulmonary embolisms, not ruling it in
C: It is sensitive but not specific
D: All of these are true - CorreCt Answers -D
Ventral septal defect would have what kind of heart sound?
A: holosystolic murmur
B: holodiastolic murmur
C: systolic click
D: diastolic click - CorreCt Answers -A
T/F: QFT-G has a higher specificity for diagnosing TB for those who
received the BCG vaccination or with previous non TB mycobacteria
exposure. - CorreCt Answers -T
, For those who have no known risk factors for TB, what would be considered
a positive PPD?
A: >3mm
B: >5mm
C: >10mm
D: >15 mm
E: >20mm - CorreCt Answers -D
T/F: PPI use will increase the risk for CAP or other URTI - CorreCt
Answers -T
If a lung cancer tumor presses against a nerve of the SNS, you'll likely see
what presentation?
A: Horner's syndrome: ptosis, myosis, anhydrous, enolphlamos
B: Pancoast syndrome: pain and numbness along ulnar nerve
C: Superior vena cava syndrome: elevated JCV, edema, vision loss,
headache
D: Ectopic hormone production like ACTH - CorreCt Answers -A
If a lung cancer tumor presses against the brachial plexus, you'll likely see
what presentation?
A: Horner's syndrome: ptosis, myosis, anhydrous, enolphlamos
B: Pancoast syndrome: pain and numbness along ulnar nerve
C: Superior vena cava syndrome: elevated JCV, edema, vision loss,
headache
DETAILED ANSWERS(NEWEST 2025
VERSION).
Your patient feels fine, other than a persistent cough, and has normal
breath sounds, fremitus and percussion in his left lung but the lower 2/3 of
the right lung the percussion is dull and the fremitus is increased. Your
most likely diasgnosis is:
A: COPD
B: Pneumonia
C: Pleural effusion
D: Pneumothorax
E: None of the above - CorreCt Answers -B
A patient with TB, a pulmonary abscess or a lung tumor is likely to suffer
from
A: passive atelectasis
B: traction atelectasis
C: obstructive atelectasis
D: compressive atelectasis
E: adhesive atelectasis - CorreCt Answers -D
Which of the following is least likely to be a finding in pneumothorax?
A: Hyperresonant percussion
B: Decreased tactile fremitus
,C: Ipsilateral Tracheal deviation
D: Asymmetric diaphragmatic excursion and thoracic expansion
E: All of these are very likely - CorreCt Answers -C (contralateral)
T/F: Wheezing lung sounds will rule out pulmonary embolism - CorreCt
Answers -T
T/F: According to the Well's Score for DVT, an alternative diagnosis to DVT
would take 2 points away from the pretest probability. - CorreCt Answers -T
Which of the following statements about the D-Dimer is False?
A: The Fibrin degradation product (FDP) is what is being assessed in a
blood test
B: it helps with ruling out pulmonary embolisms, not ruling it in
C: It is sensitive but not specific
D: All of these are true - CorreCt Answers -D
Ventral septal defect would have what kind of heart sound?
A: holosystolic murmur
B: holodiastolic murmur
C: systolic click
D: diastolic click - CorreCt Answers -A
T/F: QFT-G has a higher specificity for diagnosing TB for those who
received the BCG vaccination or with previous non TB mycobacteria
exposure. - CorreCt Answers -T
, For those who have no known risk factors for TB, what would be considered
a positive PPD?
A: >3mm
B: >5mm
C: >10mm
D: >15 mm
E: >20mm - CorreCt Answers -D
T/F: PPI use will increase the risk for CAP or other URTI - CorreCt
Answers -T
If a lung cancer tumor presses against a nerve of the SNS, you'll likely see
what presentation?
A: Horner's syndrome: ptosis, myosis, anhydrous, enolphlamos
B: Pancoast syndrome: pain and numbness along ulnar nerve
C: Superior vena cava syndrome: elevated JCV, edema, vision loss,
headache
D: Ectopic hormone production like ACTH - CorreCt Answers -A
If a lung cancer tumor presses against the brachial plexus, you'll likely see
what presentation?
A: Horner's syndrome: ptosis, myosis, anhydrous, enolphlamos
B: Pancoast syndrome: pain and numbness along ulnar nerve
C: Superior vena cava syndrome: elevated JCV, edema, vision loss,
headache
