EMQs in Clinical Medicine.pdf - Peshawar Medical College

32 Respiratory medicine
15 Chest radiograph pathology
A
B
C
D
E
F
pneumonia
silicosis
bronchiectasis
aspergillosis
mesothelioma
cryptogenic fibrosing
alveolitis
G
H
I
J
K
M
chronic obstructive pulmonary
disease (COPD)
carcinoma of bronchus
tuberculosis
berylliosis
sarcoidosis
extrinsic allergic alveolitis
For each scenario below, give the most likely cause for the clinical findings. Each
option may be used only once.
1 A 28-year-old African–Caribbean man presents with dry cough and progressive
shortness of breath. His chest radiograph shows bilateral hilar lymphadenopathy.
2 The chest radiograph of a 13-year-old boy with cystic fibrosis has tramline and
ring shadows.
3 A 65-year-old dockyard worker presents with weight loss and shortness of
breath. He is clubbed and cachectic. His chest radiograph shows pleural calcification
and a lobulated pleural mass.
4 A 40-year-old woman presents with gross clubbing and progressive shortness of
breath. Examination reveals fine end-inspiratory crackles. Her chest radiograph
shows a ground-glass appearance of the lung.
5 A 65-year-old smoker presents with shortness of breath. On the chest
radiograph, eight ribs can be seen anteriorly above the diaphragm on each
side of the chest in the mid-clavicular line.
Answers: see page 42.