Pulm Exam II b

E3Q26 Which of the following is the most consistent w moderate persistent asthma?

E3Q31 Which of the following test is the gold standard (definitive diagnostic test) in a pt suspected of having a PE?

E1Q24 A 44 y/o M pt involved in a motor vehicle accident. On p/e he has JVD w decreased pulses only on inspiration. There are decreased breath sounds on the entire R side. Heart sounds are muffled. Which of the following is the most appropriate step?

E2Q63 a 45 y/o M is being evaluated for a chronic cough. A CXR is obtained, which shows honeycombing consistent w idiopathic pulmonary fibrosis. Which of the following pulmonary function test findings is most consistent w restrictive pulmonary disease?

E4Q74 Which of the following describes the mechanism of action of nedocromil?

E4Q35 A 40 y/o M presents w rapid onset of fever, chills, productive cough and chest tightness occurring 4-8 hrs after working a new job. On P/E there is the presence of inspiratory crackles. A lung biopsy shows micronodular interstitial involvement w poorly formed non-caseating granulomas. Which of the following if the pt's most likely occupation?

E6Q96 A pt is given IV magnesium for status asthmaticus. Which of the following would be seen if the pt develops hypermagnesia as a complication of the tx for asthma?

E2Q83 A 54 y/o M presents w hemoptysis and cough. He complains of intermittent episodes of wheezing, diarrhea, flushing and tachycardia. A bronchoscopy reveals a purple, well vascularized central lesion. Which of the following is the most likely dx?

E5Q26 Which of the following is the most common physical exam finding in a pt w suspected acute PE?

E3Q5 a 33 y/o M presents to the ED w intermittent R sided pleuritic chest pain. The chest pain is not positional. There is dullness to percussion, decreased breath sounds and decreased fremitus all on the right side. An ECG shows no ST elevation or T wave changes. Which of the following is the most appropriate management of this pt?

E4Q86 Which of the following is considered the first line long term management for mild persistent asthma?

E1Q64 A 40 y/o F presents w b/l anterior shin redness that is tender to palpation. She is also complaining of eye pain and redness as well as the insidious onset of a non productive cough. A CXR is performed and shows b/l hilar lymphadenopathy. You notice a rash on her face consistent w lupus pernio. Which of the following describes the basic pathophys. of the suspected dx?

E6Q24 A 70 y/o M sandblaster presents to your office w progressive SOB especially w exertion. Which of the following CXR is most commonly associated w this clinical presentation based on his occupation?

E1Q42 A 55 y/o M presents w a persistent cough. A CT scan of the chest shows the lack of tapering if the bronci and bronchial wall thickening. PFT's show decreased FEV1 and a decreased FEV1/FVC ratio of 65%. What is the most likely dx?

E2Q24 A 36 y/o W w no past medical hx presents to the ED w sudden onset of sudden left sided chest pain and SOB. She denies any trauma but states she recently drove 24 hrs from Florida to NY in her car. She is on oral contraceptive pills and she smokes a half pack of cigarettes/day. Her vitals are: Temp 98.6, HR 128, RR 26, O2 sat 92% ORA. Her P/E is unremarkable. Which of the following is the most appropriate trx?

E6Q21 Which of the following is the most common chemotherapeutic agent that can also be used intrapleurally for pleurodesis in a pt w recurrent malignant pleural effusion?

E6Q37 A 40 y/o african american W with a 4 month hx of non productive cough presents to the clinic w progressive SOB. A CXR is obtained and shows b/l hilar lymphadenopathy. Which of the following is the following is the management choice for this pt?

E2Q84 A 60 y/o M w a 50 pack per year hx of smoking is evaluated for recent unintentional weight loss. A biopsy of a small mass found on CXR is consistent w squamous cell carcinoma w no evidence of METS. Which of the following is recommended management of choice?

E2Q51 Pulmonary fibrosis and thyroid disorders are classic side effects of which of the following medications?

E2Q33 A 33 y/o M has been complaining of progressive SOB w exertion. P/E reveals pursed lip breathing, increased AP diameter, decreased fremitus, hyperresonance to percussion and decreased breath sounds. CXR shows darkened lung fields and flattened diaphragm. Upon questioning the pt, he says he never smoked or lived w smokers. Which of the following tests would most likely show the etiology of his symptoms?

E2Q46 A 66 y/o M w chronic bronchitis has symptoms consistent w cor pulmonale. Which of the following medications have been shown to reduce overall mortality?

E5Q25 A 57 y/o M w no signifcant past medical or smoking hx was found to have an incidental peripheral mass on CXR. Biopsy of the lesion shows a malignancy. Based on the pts hx, which of the following is the most likely dx?

E6Q66 A 28 y/o M presents to the clinic w a 3 month hx of persistent, nonproductive cough and SOB that is worsened one exertion. CXR are positive for b/l hilar lymphadenopathy. Which of the following biopsies are consistent w the suspected dx?

E1Q4 Which of the following is increased in pts w emphysema-dominant COPD?

E3Q87 Which of the following is considered the best management for acute exacerbations of COPD?