Answer 50

50.  Choice C is the correct answer.  Patients have multiple nodules and a smoking history need to have malignancy ruled out.  Other etiologies of pulmonary nodules include:  hamartoma, infectious causes, vascular AV malformations, and Wegner's Granulamatosis.

Question 50

50.  Your patient is a 64 year old smoker that presents with a cough and multiple pulmonary nodules seen on chest x ray.  This patient has _________ until proven otherwise.

A.  An infectious process
B.  Vasculitis
C.  Malignancy
D.  Idiopathic pulmonary fibrosis

Answer 49

49.  Choice D is the correct answer.  Etiologies of bronchiectasis include:  foreign body aspiration, defective defense hosts, cystic fibrosis, Young's syndrome, rheumatic disease, dyskinetic cilia, allergic problems, bronchopulmonary aspergillosis, and cigarette smoking.

Question 49

49.  All of the following are potential etiologies for bronchiectasis except?

A.  Foreign body aspiration

B.  Cystic Fibrosis 

C.  Cigarette smoking

D.  Lupus

Answer 48

48.  Choice C is the correct answer.  This patient should be started on a controller.  She is using her rescue inhaler more than 2 times a week for a period of several weeks.  Prednisone would be appropriate for an asthma exacerbation.  Theophylline is not used much anymore due to high side effect profile and the need to do labs and potential toxicity.

Question 48

48.  Your patient is a 34 year old female asthmatic patient that presents to your office for a check up for asthma.  She reports using her rescue inhaler 3-4 times a week for the last 2 months.  She is not on any other medications.  Which of the following is the best management plan?

A.  Continue present care
B.  Prednisone 20 mg BID for 5 days.
C.  Start Advair
D.  Start Theophylline

Answer 47

47.  Choice D is the correct answer.  The etiology of pneumoconiosis is coal.