Pulmonology — MCQs

A 60-year-old man with a past history of smoking for 30 years (he stopped 3 years ago, prior to cardiac bypass surgery) is admitted with cough and mild hemoptysis. He is afebrile with no shortness of breath. Physical exam is negative except for rhonchi in the left upper lung zone on auscultation. What is the finding or abnormality most likely to occur with the lesion seen on the chest X-ray?

Which of the following conditions typically presents with an exudative pleural effusion?

Which of the following is NOT a common cause of acute exacerbation of COPD?

What is the most common cause of unilateral diaphragmatic paralysis?

A 55-year-old male presents with a history of hand swelling and shortness of breath. On examination, facial plethora and distended neck veins were noted. Which is the most probable structure involved to cause these symptoms?

A 45-year-old male with a history of alcohol abuse and periodontal disease presents with a spiking fever and chills. Physical examination reveals signs of lung consolidation. A chest x-ray shows a cavity in the right lower lobe with an air/fluid level. Based upon the clinical presentation, which of the following would be the most likely causative organism?

A 47-year-old female with a history of Antiphospholipid antibody syndrome, who has been non-compliant with warfarin, presents with deep vein thrombosis and dyspnea. She is hypotensive and tachypneic. CT of the chest shows a saddle embolus. She does not respond to heparin and fluids. Echocardiogram shows RV hypokinesis. Which of the following is the appropriate management?

Which of the following is the most potent stimulus for the development of cor pulmonale in patients with chronic obstructive pulmonary disease?

Which of the following is NOT true about sarcoidosis?

Serum angiotensin-converting enzyme may be raised in all of the following, except?