10. Pulmonary Path-5 Flashcards
A 38 year old man comes to his doctor complaining of shortness of breath. He is a non smoker and has no family history of lung disease. He works as granite cutter for a kitchen counter and decor manufacturer. In regards to this patient’s exposure history which condition does he has an increased risk of developing?
A. Pulmonary TB B. Pneumonia C. Bronchitis D. Lung Cancer E. Mesothelioma
RFA
Ans. Pulmonary TB- the patients work history of working with granite points towards silicosis which increases risk of TB due to crystalline silica inhibiting the ability of pulmonary macrophages to kill mycobacteria
B. Pneumonia- not associated
C. Bronchitis- linked to smoking
D. Lung Cancer- Asbestos
E. Mesothelioma-Asbestos
A 25 year old women comes to the doctor with complaints of chest pain and fatigue. She is a non smoker but has a family history of Pulmonary HTN. What is the mostly likely causes of her Pulmonary HTN?
A. Germline mutation in BMPR B. Mitral Stenosis C. Recurrent pulmonary emboli D. Prolonged left to right shunt E. Mitral Stenosis
RFA
Ans. The family history points to a genetic cause which is BMPR
the other choices are secondary causes of Pulm. HTN
A 65 y/o man just retired from coal mining in Northern Kentucky. He c/o SOB, dry cough and has crackles on auscultation of lungs. His CXR shows interstitial markings and he has impaired pulmonary function.
Which of the following is his diagnosis?
A. Anthracosis B. Simple CWP C. Complicated CWP D. Asbestosis E. Silicosis
SZ
Ans. C Complicated Coal Worker’s Pneumoconiosis
His age suggests and symptoms suggests that he has progressive massive fibrosis.
Anthracosis has no symptoms or changes on histo/CXR
Simple CWP has minimal fibrosis and aggregates of dust laden macrophages.
Which of the following is not a risk for pulmonary thromboembolism?
A. Recent travel B. BCP C.Burns D. Factor V E. HTN
SZ
Ans. E HTN
Pulmonary thromboembolism are mostly caused by stasis due to inactivity, endothelial damage, or hypercoagulation disorders.
