Internal-Medicine

Questions: 38–44 247
Figure 12–2.
Figure 12–3.
(A)
(B)
(C)
(D)
(E)
pneumonia, left lower lobe
atelectasis, left lower lobe
PE
tuberculosis
sarcoidosis
43. A 40-year-old man is seen for an insurance
assessment. He has no past medical history
and feels well. His compete physical examination
is normal. His biochemistry, complete
blood count (CBC), ECG, and urinalysis are
also normal. His CXR is abnormal and presented
in Fig. 12–3. Which of the following is
the most likely diagnosis?
(Fig. 12–4). The eosinophil count is normal.
Which of the following is the most appropriate
initial diagnostic test?
(A)
(B)
(C)
(D)
(E)
lung biopsy
humerus bone biopsy
CT scan of chest
bronchoscopy
pulmonary function tests
(A)
(B)
(C)
(D)
(E)
hamartoma of the lung
tuberculous granuloma of the left apex
osteochondroma of the left 4th rib
bronchogenic carcinoma
pulmonary metastases
44. A 21-year-old man has a nonproductive cough,
shortness of breath, and chest pain, which
changes with breathing. He also has pain in
the left arm. On examination, there is tenderness
over the left shoulder, heart sounds are
normal, and the lungs are clear. CXR reveals a
lytic lesion in the left humerus and reticulonodular
opacities in the upper and middles lobes
Figure 12–4.