BRONCHIECTASIS

Question 1

Which of the following is the most common clinical manifestation of bronchiectasis?

A) Fever and chills
B) Persistent productive cough with thick sputum production
C) Chest pain and hemoptysis
D) Shortness of breath with wheezing and stridor

Answer 1

Persistent productive cough with thick sputum production

Question 2

What is commonly observed on pulmonary function tests in patients with bronchiectasis?

A) Normal airflow
B) Severe airflow obstruction
C) Mild to moderate airflow obstruction
D) Restrictive lung pattern

Answer 2

Mild to moderate airflow obstruction

Question 3

What characterizes an acute exacerbation of bronchiectasis?

A) Fever and pleuritic chest pain
B) Increased volume and purulence of sputum
C) Sudden onset of dyspnea and wheezing
D) Severe hypoxemia and cyanosis

Answer 3

Increased volume and purulence of sputum

Question 4

Which radiographic feature is consistent with bronchiectasis on a chest radiograph?

A) Diffuse bilateral infiltrates
B) Tram tracks indicating dilated airways
C) Pneumothorax and pleural effusion
D) Elevated hemidiaphragm and blunted costophrenic angle

Answer 4

Tram tracks indicating dilated airways

Question 5

Which imaging modality is the gold standard for confirming the diagnosis of bronchiectasis?

A) Chest X-ray
B) Chest CT
C) Pulmonary function tests
D) MRI of the chest

Answer 5

Chest CT

Question 6

Which of the following CT findings is characteristic of bronchiectasis?

A) Airway dilation with “tram tracks” or “signet-ring” sign
B) Ground-glass opacities and consolidation
C) Pleural plaques and fibrosis
D) Hilar lymphadenopathy and cavitary lesions

Answer 6

Airway dilation with “tram tracks” or “signet-ring” sign