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A woman who is HIV infected has 7 mm induration from a tuberculin skin test. Radiography of the chest is normal. Which of the following is the preferred management?
A 54-year-old man has asthma for which inhaled albuterol is prescribed. Which of the following is the mechanism of action of this medication?
A 22-year-old man with asthma has a 2 week history of worsening dyspnea, cough productive of brownish plugs, and malaise. Blood pressure 120/80 mm Hg, pulse 90/min/regular, and respirations 18/min. Scattered wheezes are heard. Chest radiography shows bilateral upper lobe infiltrates. Serum IgE level is elevated. Which of the following is the most likely diagnosis?
A patient works as a zoo keeper and presents with shortness of breath, flu like symptoms and he also has chest pain with deep breathing that feels better when he leans forward. Bilateral hilar adenopathy is seen on chest X-ray. What is the treatment of choice for his condition?
A 46-year-old woman has a 2 week history of worsening dyspnea and dry cough. Sarcoidosis is diagnosed. Which of the following is the most likely cause of the dyspnea?
A pre-term newborn infant has transient tachypnea of the newborn. Which of the following is the primary pathophysiologic abnormality in this disorder?
A 26-year-old man with asthma has a 2 week history of worsening dyspnea, cough productive of brownish plugs, and malaise. Vitals are stable. Scattered wheezes are heard. Chest radiography shows bilateral upper lobe infiltrates. CBC shows severe neutropenia, you suspect pulmonary aspergillosis what lab test will be positive?
A 47-year-old homeless man presents to the primary care clinic complaining of fever, weight loss, anorexia, night sweats and a chronic cough that recently became productive of purulent sputum that is blood streaked. Examination reveals a chronically ill and malnourished patient. Which of the following chest x-ray findings supports your suspected diagnosis?
Patients with long-term exposure to silica, coal dust, and asbestos may develop which of the following as complications?
A 51-year-old man has hypercortisolism caused by ectopic ACTH production from a small cell carcinoma of the lung. Which of the following is the most likely abnormal laboratory value to be noted?
A 58-year-old male returns from a 5 day business convention with anorexia, malaise, and a minimal cough that is nonproductive. He has a fever of 103.7 F, respirations are 26/min, and pulse rate 99 bpm. Exam reveals dry oral membranes and rales over the right base. Chest x-ray shows bilateral pulmonary infiltrates. Serum sodium is 124 mEq/L. The most probable diagnosis is:
A 33-year-old woman who has never smoked and has never been on oral contraceptives has had 2 episodes of pulmonary embolism in the past year. Presence of which of the following is the most likely underlying cause of the embolism?
A 70-year-old woman has a 2 week history of worsening dyspnea without cough, fever or hemoptysis. Examination shows decreased tactile fremitus and absent breath sounds over the lower half of the right posterior chest. Chest radiography demonstrates a right pleural effusion. Which of the following is the preferred initial management?
An 18-year-old woman has asthma, she has been doing well on her albuterol inhaler but is now having nighttime episodes of wheezing once or twice a week. What agent should be added to her regimen?
Isoniazid therapy is initiated in a 17-year-old man in treatment of latent tuberculosis. Which of the following is the most appropriate counseling during the therapy?
A chest x-ray of a patient with emphysema might show all of the following except:
A 72-year-old female with a history of emphysema presents with steadily worsening symptoms. She complains of increasing dyspnea, weight loss of 10 pounds over the past month, and occasional cough with minimal sputum production. Her symptoms are worse at night. She is presently taking tiotropium. On examination she appears to be in moderate distress, has pursed lip breathing, and has a respiratory rate of 20/minute. Her Sa02 is 92% on room air. Her breath sounds are decreased. Her heart exam is normal, however there is 2+ pitting edema of the lower extremities. A chest x-ray shows hyperinflation and no other findings. Her ECG shows findings consistent with right ventricular hypertrophy. Which of the following treatments would be most appropriate for this patient at this time?
Which of the following is a characteristic chest x-ray finding in a patient with pulmonary hypertension?
When performing pleurocentesis, the maximum amount of fluid removed at one time should not exceed:
In terms of prevention of bronchogenic carcinoma, the single most important factor is:
Persistent fever following treatment for bacterial pneumonia is suggestive of:
Which of the following is considered a risk factor for sudden infant death syndrome?
Characteristics of sleep apnea syndrome include all of the following except:
The most common technique used to aid in the detection of small pleural effusions is:
The therapeutic mainstay for interstitial lung disease includes which of the following?
Chronic bronchitis is defined as:
A 34-year-old female who is 37 weeks pregnant presents to the emergency room with a complaint of sudden onset of pleuritic chest pain and shortness of breath. On examination she appears to be in moderate distress. Her respirations are 24 breaths per minute and her pulse rate is 122 per minute, and her Sa02 is 92% on room air. Her lungs are clear to auscultation, and there is mild tenderness and edema to her left calf. An ECG is performed and shows sinus tachycardia. Which of the following tests should be performed next?
Which of the following is the greatest risk factor for the development of chronic obstructive pulmonary disease?
Of the following diagnostic studies, which may be diagnostic for pulmonary thromboembolism?
A 22-year-old female presents to the emergency room with acute onset of ipsilateral chest pain and shortness of breath. Chest X-ray reveals a large pneumothorax. Current vitals are stable with 96% O2 sat on room air. After starting the patient on supplemental oxygen, which of the following is the proper course of treatment?