HARRISON’S HOUR QUESTIONS

Chapter 311: Occupational and Environmental Lung Disease

1. In general, small linear opacities on chest radiographs are seen in which of the following?
A. Silicosis
B. Coal worker’s pneumoconiosis
C. Asbestosis
D. Both A and B

2. Which of the following is the most common cancer associated with asbestos exposure?
A. Mesothelioma
B. Laryngeal cancer
C. Lung cancer
D. Skin cancer

3. Crazy paving pattern in HRCT is seen in which of the following conditions?

A. Byssinosis
B. Coal Worker’s Pneumoconiosis
C. Asbestosis
D. Silicosis

4. This occupational disease is associated with chronic granulomatous disease similar to

sarcoidosis:
A. Byssinosis
B. Silicosis
C. Chronic beryllium disease
D. Asbestosis

5. Situation: A 41/M was brought to the ER accompanied by a company nurse. History reveals
that the patient is working in a refrigerator manufacturing company when few hours prior
to consult, one of the refrigerator units suddenly exploded.
Which of the following toxic chemical agents might affect the patient's lungs due to this
occupational exposure?
A. Nitrogen dioxide
B. Hydrogen sulfide
C. Cadmium fume
D. Sulfur dioxide

CHAPTER 162: Urinary Tract Infections, Pyelonephritis, and Prostatitis

1. A 26/F presents with complaints of dysuria. She denies having fever, chills, nausea, or
vomiting; however, she states that she has had multiple UTIs in the past and that her
present symptoms are similar to past UTI symptoms. She has no other medical history.
Factors independently associated with pyelonephritis in young healthy women include the
following except:
A. Diabetes
B. Maternal history of UTI
C. Incontinence
D. UTI in the previous two years

2. Which of the following distinguishes pyelonephritis from cystitis?

A. CVA tenderness
 B. Fever
C. Dysuria
D. Flank pain

3. Emphysematous pyelonephritis is a particularly severe form of the disease that is associated

with the production of gas in renal and perinephric tissues and occurs almost exclusively in:
A. Diabetic patients
B. Hypertensive patients
C. Immunocompromised patients
D. Patients with nephrolithiasis

4. Collateral damage refers to the adverse ecologic effects of antimicrobial therapy, including
killing of the normal flora and selection of drug-resistant organisms. Drugs used for UTI that
have a minimal effect on fecal flora include the following except:
A. Pivemcillinam
B. Fosfomycin
C. Nitrofurantoin
D. Ciprofloxacin

5. For pregnant women with overt pyelonephritis, which of the following is the standard of
care?
A. Oral Nitrofurantoin with IV Cephalosporin
B. IV Ampicillin with Aminoglycoside
C. IV Quinolone with Oral Nitrofurantoin
D. IV Beta-lactam therapy +/- Aminoglycosides