A patient is found to have a pleural effusion, a sample of the fluid is taken and sent to the laboratory for testing. The report states the patient has an exudate fluid [over 30g/L of protein], which is the most likely cause of this patients pleural effusion?

A) Left ventricular failure.
B) Metastatic breast cancer.
C) Superior vena cava obstruction.
D) Liver cirrhosis.
E) Hypothyroidism.

A young man developed sudden shortness of breath and a sharp pain during inspiration while playing basketball. He presented to A&E and the above chest x-ray was taken. What is the most likely diagnosis?

A) Tension pneumothorax.
B) Acute asthma attack.
C) Pulmonary embolus.
D) Spontaneous pneumothorax.
E) Hyperventilation secondary to panic attack.

This is a PA chest x-ray is of a 19 year old female, showing extensive abnormalities of the lung parenchyma, most pronounced by the central tram-track opacities. Apart from respiratory symptoms, what else is she likely to present with?

A) Obesity.
B) Diarrhoea.
C) Hypertension.
D) Tremor.
E) Recurrent epistaxis. 

Which of the following is not seen on this chest x-ray?

A) Right sided pneumothorax.
B) Left sided pleural effusion.
C) Obliteration of left hilum.
D) Breast shadow.
E) Patient is rotated to the right.

Which of the following types of malignancy is least likely to metastasise to the lung?

A) Breast
B) Bone
C) Thyroid
D) Renal
E) Hepatic

Which of the following statements best defines a fibroadenoma:

A) Smooth, spherical or elliptical mass.
B) Firm and lumpy mass with large lobules.
C) Can present at any age, but more common in old age.
D) Often associated with lactation.
E) Warm and erythematous mass.