Pulmonology 5

A 68-year-old man with a 40-year history of smoking two packs of cigarettes per day presents with a two-week history of cough and new onset hemoptysis. Physical examination is unremarkable, but a chest x-ray reveals a 5-cm solid lesion in the left upper lung field. Which of the following is the most likely diagnosis?

A 67-year-old Caucasian female presents for the first time for a “flu shot”. She denies ever receiving the vaccine in the past. Which of the following is a contraindication to the trivalent influenza virus vaccine?

A 55-year-old man, who works as a stonecutter, has progressively worsening shortness of breath without cough, over a period of 6 months. He has never smoked. Exam shows a respiratory rate of 26/min and pulse of 116/min/regular. Lung exam is unremarkable. Which of the following is the most likely diagnosis?

A 35-year-old male is getting treatment for tuberculosis, he has complaints of peripheral neuropathy, what agent do you suspect is the cause?

Which of the following pneumoconiosis has an increased risk of tuberculosis infection?

When evaluating arterial blood gas results, which of the following test results is the best indicator that your patient is hyperventilating?

A 59-year-old woman with known chronic bronchitis now has increasing shortness of breath and productive cough. Exam shows a respiratory rate of 36/min, pulse 122/reg/min, and blood pressure 130/80 mm Hg right arm sitting. Central cyanosis, increased central venous pressure, rhonchi are auscultated, poor inspiratory effort, ascites and peripheral edema are noted. Which of the following is the most likely diagnosis?

Which of the following conditions is a risk factor for community acquired pneumonia caused by Staphylococcus aureus?

Which of the following childhood illnesses is considered infectious and isolation is recommended?

A 29-year-old man has a generalized seizure due to his known epilepsy history. One week later he comes to your office with malaise, fever, and purulent sputum. Chest radiograph shows infiltration in the right middle lobe with lung abscess. Which of the following is the most likely diagnosis?

Albuterol is a(an):

A common adverse effect of prednisone is:

Management options for the patient with chronic bronchitis include all of the following except?

A 50-year-old female is brought to the emergency room with a complaint of acute onset of shortness of breath approximately 24 hours ago. She reports that she was previously healthy. On examination, there is decreased tactile fremitus in the left lower lung field and dullness to percussion posteriorly. Breath sounds are decreased on the left. A Chest x-ray reveals blunting of the left costophrenic angle. Which of the following is the most likely diagnosis?

Which of the following represents an obstructive pattern of impairment during pulmonary function testing?

All of the following are risk factors for pulmonary thromboembolism except?

Which of the following is a characteristic of pulmonary hypertension?

Which of the following is a pathophysiologic characteristic of asthma?

All of the following are recommended for prevention of sudden infant death syndrome except?

Which of the following is the pathology of hyaline membrane disease?

Which of the following preventative treatments are indicated for individuals who have tested negative for tuberculosis in the past, but have recently tested positive with known or unknown exposure?

A 44-year-old female hospital worker presents with a productive, bloody cough that has persisted for several weeks. She also complains of fever, night sweats, anorexia, and weight loss. Auscultation of the chest reveals post-tussive rales. Based on the patient’s presentation and physical examination, the most appropriate diagnosis is:

A 48-year-old female presents to the emergency room with a tension pnuemothorax. Initial blood pressure is 140/90 mmHg. Prior to decompression with a large bore needle, the patient’s blood pressure falls to 70/40 mmHg, heart rate rises to 140 beats per minutes, and mental status becomes altered. Based on the presentation and patient’s condition, which of the following is the most likely diagnosis?

A 60-year-old male presents with shortness of breath, retrosternal chest pain, weakness, fatigue, cyanosis, and syncope. Auscultation of the chest reveals a systolic ejection click. Chest X-ray reveals enlarged pulmonary arteries. Based on the patient’s presentation, history, and test results, which of the following is the most accurate diagnosis?

A 48-year-old male presents with facial flushing, cough, hemoptysis, focal wheezing, and recurrent pneumonia. Bronchoscopy reveals a pink/purple, well-vascularized central lesion. Based on the patient’s presentation and test results, which of the following is the most appropriate diagnosis?

Which of the following treatment options would you suggest to treat a stable patient who has been diagnosed with low clot burden pulmonary embolism?

A 55-year-old male presents with a sudden high fever, difficulty swallowing, sore throat, and drooling. You performed a lateral soft tissue c-spine X-ray, which reveals the classic thumb sign indicating epiglottitis. Which of the following is the proper course of treatment?

A 60-year-old female who is being treated for pneumonia and a history of diabetes presents with a sudden high fever, difficulty swallowing, sore throat, and drooling. You need to rule out epiglottitis, which is a potentially life-threatening infection. Which of the following diagnostic procedures would you do immediately?

A 40-year-old HIV-positive male is diagnosed with pneumocystis pneumonia. Which of the following medications is appropriate for treatment of this disorder?

Which of the following radiographic procedures will allow you to differentiate croup from epiglottitis?