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Inhaled beclomethasone therapy in an asthmatic patient increases the risk for which of the following?
A 66-year-old woman with long standing history of CAD has a 1 week history of dyspnea without cough. Examination reveals bilateral rales and a right pleural effusion, the remainder of the exam is benign. Thoracentesis demonstrates a transudate. Which of the following is the most likely diagnosis?
The drug of choice for treating Pneumocystis jiroveci pneumonia (PJP) in a patient allergic to sulfa drugs is:
A 67 year-old male presents with shortness of breath, a chest x-ray reveals a pleural effusion in the left lung. A pleural effusion will most likely be exudative in which of the following underlying diseases?
Which of the following genetic abnormalities has been linked to chronic obstructive lung disease and liver cirrhosis in a 20 year old patient with no history of smoking?
A 57 year-old male presents with an acute exacerbation of COPD, he is admitted and given albuterol/ipratropium inhalation therapy, IV corticosteroids and oxygen. What additional medication will reduce the length of stay and improve overall morbidity and mortality of this hospital admission?
A pre-term newborn infant has respiratory distress syndrome. Which of the following is the primary pathophysiologic abnormality in this disorder?
An 18-year-old college freshman has flu like symptoms for a week, he comes to your office telling you he feels horrible and has never been so sick. Exam reveals clear lung sounds, low grade fever, and myringitis in the left ear. Which of the following is the suspected infecting organism?
A 32-year-old asthmatic on chronic steroids develops worsening cough and pulmonary infiltrates. The serum IgE is elevated. Chest x-ray shows an “air crescent sign”. Which of the following is the most likely diagnosis?
A short time after breaking up with her boyfriend, a 23 year old woman has acute dyspnea, perioral paresthesia and bilateral cramping of her hands. Arterial blood gas values include arterial pCO2 at 28 mm Hg and pH 7.48. Which of the following is the preferred initial therapy?
Which of the following tumors most commonly originates in the mediastinum?
The clinical presentation of a patient with a minor pulmonary thromboembolism does not include which of the following?
Which of the following is a clinical characteristic of laryngotracheitis?
Which of the following is the most common causative organism in bronchiolitis?
A 54-year-old male with a history of chronic alcoholism presents with a 2 day history of cough with purulent , currant jelly sputum, fever and chills. His past medical history is significant for hypertension that is uncontrolled. On examination he has a pulse rate of 112 beats per minute and respirations of 22 breaths per minute. His SaO2 is 93% on room air. On examination there is dullness to percussion, bronchial breath sounds and crackles heard in the left lower lung fields. Chest x-ray shows lobar consolidation in the left lower lobe. Which of the following is the most likely organism causing this patient’s illness?
What is the most common etiology of pulmonic stenosis?
Most mediastinal tumors are detected as a result of:
Which of the following is a clinical presentation of atypical pneumonia?
Which of the following is the most common causative organism for laryngotracheitis (croup)?
Which of the following is a complication from pertussis?
An 80-year-old male presents post right-hip arthroplasty with pleuritic chest pain, dyspnea, and hemoptysis. Electrocardiogram reveals tachycardia and non-specific ST-T wave changes. Chest X-ray reveals basilar atelectasis. Auscultation of the chest reveals crackles and accentuation of the pulmonary component of the second heart sound. Based on the patient’s presentation, history, and test results, which of the following is the most accurate diagnosis?
A normally healthy 45-year-old male presents with shortness of breath that is getting progressively worse. Chest X-ray reveals bilateral pleural effusions. Without knowing the underlying cause of the pleural effusions, which of the following is the proper course of treatment?
An 18-year-old male who was a victim of a motor vehicle accident presents to the emergency room with chest pain and shortness of breath. Chest X-ray reveals the accumulation of air in the pleural space with mediastinal shift to the left. Physical exam reveals impaired ventilation. Which of the following is the proper diagnosis?
A 55-year-old male presents with progressive dyspnea. The patient’s history reveals he worked in a coal mine for several years. Physical examination reveals inspiratory crackles. Chest X-ray reveals small opacities in the upper lung fields. Based on the patient’s presentation, history, and test results, which of the following is the most accurate diagnosis?
A 60-year-old male presents with progressive shortness of breath. Physical examination reveals inspiratory crackles, clubbing, and cyanosis. Chest X-ray reveals small opacities throughout the lung fields with calcified hilar lymph nodes. The patient’s history reveals he worked in a stone quarry for 35 years. Based on the patient’s presentation, history, and test results, which of the following is the most accurate diagnosis?
A 75-year-old man presents with shortness of breath that is becoming progressively worse. The man’s history, exam, and test results lead to a diagnosis of silicosis. In addition to oxygen therapy, which of the following is the proper course of treatment for this disorder?
A 59-year-old African-American female presents with chest discomfort, cough, and shortness of breath. In addition, the patient states she has an unusual lack of energy. Lab work reveals leukopenia, elevate derythrocyte sedimentation rate, and hypercalcemia. Chest X-ray reveals symmetrical bilateral hilar adenopathy. Based on the patient’s presentation, history, and test results, which of the following is the most accurate diagnosis?
A 62-year-old male who sustained multiple traumas as the result of a motor vehicle accident develops sudden, profound shortness of breath. The physical examination and radiographic findings lead to a diagnosis of adult respiratory distress syndrome. Which of the following is the proper course of treatment?
A prematurely born infant begins to exhibit typical signs of respiratory distress. Chest X-ray reveals air bronchograms, bilateral atelectasis that gives a “ground glass” appearance, and a domed diaphragm. Based on the patient’s presentation and test results, which of the following is the most accurate diagnosis?
The Bacille Calmette-Guerin vaccine is administered to prevent the occurrence of which of the following pulmonary disorders?