Anatomic Pathology - Resp

Question 1

A 55-year-old man was found to have an abnormal chest X-ray at an employment medical check. He was well and had no respiratory symptoms or signs. He smoked ten cigarettes per day and had been heavily exposed to asbestos when working in a shipyard 30 years previously. Which abnormality is most likely to be seen on his chest X-ray?
Question 1Select one:

a.
Mesothelioma

b.
Bronchial carcinoma

c.
Calcified pleural plaques

d.
Diffuse pleural thickening

e.
Asbestosis

Answer 1

Calcified pleural plaques

Question 2

Patients with significant asbestos exposure are most at risk of what?

Question 2Select one:

a.
Tuberculosis

b.
Mesothelioma

c.
Pneumonia

d.
Bronchogenic carcinoma

Answer 2

Bronchogenic carcinoma

Question 3

A 63-year-old male presents to his GP with shortness of breath and a dry cough which have become progressively worse over the past 10 months. On auscultation rales are heard over the bases of both lungs. He had worked as a boilermaker for almost all his life and had exposure to asbestos. He is not a smoker.

What do you expect to see on the chest x-ray of this man?

Question 3Select one:

A.
An opacity in the right upper lobe

B.
Bilateral diaphragmatic pleural plaques and honey comb change

C.
Enlarged hilar lymph nodes and calcification

D.
Lobar consolidation

E.
An abscess-like cavity

Answer 3

Bilateral diaphragmatic pleural plaques and honey comb change