Lung Disease Quizzes & Trivia
Knowing the early warning signs of lung disease can help you receive treatment before the disease becomes serious or even life threatening. There are different types of lung diseases and we have just covered obstructive and...
Questions: 11 | Attempts: 241
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Sample QuestionA patient's chest radiograph shows diffuse interstitial disease and hilar adenopathy. Endoscopic examination shows a few slightly irregular areas on the bronchial mucosal surface and this is biopsied. Sections reveal several small granulomas within the bronchial mucosa but none is associated with central caseous necrosis. What is the best diagnosis?
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Questions: 5 | Attempts: 31
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Sample QuestionA 62-year-old man presents to your clinic for follow-up evaluation of shortness of breath and dry cough. His breathlessness on exertion started insidiously 6 months ago. Review of his evaluation reveals pulmonary function tests consistent with restriction and severely decreased diffusing capacity of the lung for carbon monoxide (DLCO). Highresolution computed tomography (HRCT) demonstrates bibasilar reticular abnormalities without ground-glass opacities or consolidation. A transbronchial lung biopsy was nondiagnostic. All serologies for connective tissue disease have been negative, and on repeat history today, the patient denies any past exposure to heavy metals, chemical toxins, molds, dusts, or asbestosis. On examination today, you note a resting O2 saturation of 88% on room air and bibasilar inspiratory crackles. There is no jugular venous distention, s3, or peripheral edema. Which of the following is the most likely diagnosis for this patient?
As always, the usual disclaimers apply...
Questions: 11 | Attempts: 23
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Sample QuestionRestrictive lung disease is also known as _______________________.
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Questions: 4 | Attempts: 12
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Sample QuestionA 38-year-old African-American man presents for follow-up after undergoing mediastinoscopy for evaluation of mediastinal lymphadenopathy. Biopsy revealed noncaseating granulomas consistent with sarcoidosis. You ordered a complete blood count, serum electrolyte measurement, serum calcium measurement, liver function tests, 24-hour urine calcium measurement, measurement of angiotensin-converting enzyme, and spirometry. Which of the following tests should be ordered at this time?
Lung Disease Questions and Answers
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A patient's chest radiograph shows diffuse interstitial disease and hilar adenopathy. Endoscopic examination shows a few slightly irregular areas on the bronchial mucosal surface and this is biopsied. Sections reveal several small granulomas within the bronchial mucosa but none is associated with central caseous necrosis. What is the best diagnosis?
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A 14-year-old boy with a 10 year history of asthma was admitted to the hospital for evaluation. He reported symptoms consistent with those of severe asthma, including awakening from sleep five to seven times per night. Present medications were high dose inhaled fluticasone and salmeterol. Lab exams showed total serum IgE level of 615 UI/mL (normal > 120). Which of the following treatments would be appropriate for this patient?
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A 76-year-male with a 70-pack-year history of smoking was admitted to the hospital with complaints of severe dyspnea and unproductive cough. Chest x-ray revealed barrel chest, small heart and overinflated lungs. No immunologic abnormalities were detected. Despite of adequate treatment, the patient expired of respiratory failure twelve hours after admission. Postmortem examination revealed over distended lungs that cover the front surface of the heart. Microscopic evaluation of the lung would most likely reveal which of the following changes?
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A 62-year-old man presents to your clinic for follow-up evaluation of shortness of breath and dry cough. His breathlessness on exertion started insidiously 6 months ago. Review of his evaluation reveals pulmonary function tests consistent with restriction and severely decreased diffusing capacity of the lung for carbon monoxide (DLCO). Highresolution computed tomography (HRCT) demonstrates bibasilar reticular abnormalities without ground-glass opacities or consolidation. A transbronchial lung biopsy was nondiagnostic. All serologies for connective tissue disease have been negative, and on repeat history today, the patient denies any past exposure to heavy metals, chemical toxins, molds, dusts, or asbestosis. On examination today, you note a resting O2 saturation of 88% on room air and bibasilar inspiratory crackles. There is no jugular venous distention, s3, or peripheral edema. Which of the following is the most likely diagnosis for this patient?
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A 68-year-old woman with known IPF presents to your offi ce for follow-up. She states that her lung breathing trouble seems to be about the same, but she has felt a little weaker lately. Today on examination, her O2 saturation is 93% on 2 L O2 by nasal cannula. Her lung examination again reveals coarse, Velcro-like inspiratory crackles at both bases. She does not have elevated jugular venous pressure or peripheral edema, but you do note clubbing. Her pulmonologist has recently been treating her lung disease with prednisone and azathioprine, but the patient is not sure if this is helping. You order an arterial blood gas, chest x-ray, pulmonary function testing, and a 6-minute walk test. Which of the following findings would be most predictive of further clinical deterioration of the patients disease?
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A 58-year-old male former smoker returns to your clinic for a follow-up appointment for IPF. On your initial evaluation, he reported several months of insidiously worsening shortness of breath and dry cough. He denied any significant previous exposures, and all serologies for connective tissue diseases were negative. HRCT demonstrated peripheral interstitial opacities with honeycombing and traction bronchiectasis. A surgical lung biopsy was consistent with usual interstitial pneumonia (UIP). For this patient, which of the following therapies has proven survival benefit?
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Restrictive lung disease is also known as _______________________.
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Restrictive Lung Disease can be described as _______________________.
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All of the following are true of intrinsic restrictive lung disease EXCEPT:
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A 38-year-old African-American man presents for follow-up after undergoing mediastinoscopy for evaluation of mediastinal lymphadenopathy. Biopsy revealed noncaseating granulomas consistent with sarcoidosis. You ordered a complete blood count, serum electrolyte measurement, serum calcium measurement, liver function tests, 24-hour urine calcium measurement, measurement of angiotensin-converting enzyme, and spirometry. Which of the following tests should be ordered at this time?
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A 37-year-old woman returns to your office for a follow-up visit. She was diagnosed with stage II sarcoidosis 1 year ago. She has required prednisone in moderate or high doses since that time; attempts to decrease the dose to below 30 mg daily have failed. She has gained over 20 lb and shows signs of glucose intolerance. She is adamant that she be weaned off steroids at this time. Of the following, which is the most appropriate step to take next in the management of this patient?
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A 47-year-old woman with systemic lupus erythematosus (SLE) presents to clinic complaining of chest pain, fever, and cough of 5 days duration. She denies having traveled recently or having been in contact with anyone who was sick. Her SLE manifestations have been primarily arthritis and mild lupus nephritis. She is not currently taking any medications, although she has taken prednisone for her nephritis in the past. The results of the physical examination are significant for a temperature of 100.9° F (38.2° C), a blood pressure of 95/50 mm Hg, and tachycardia (heart rate, 114 beats/min). Lung examination reveals inspiratory crackles at the bases. A chest x-ray shows diffuse infiltrates and a right-sided effusion. The patient is admitted to the hospital and undergoes thoracentesis. Which of the following thoracentesis findings would be consistent with a lupus effusion?
