Bronchiectasis

Question 1

Modality of choice for confirming bronchiectasis. (Harrison’s 19th edition, pp 1695)

Answer 1

Chest CT scan

Question 2

Most common clinical presentation of bronchiectasis. (Harrison’s 19th edition, pp 1695)

Answer 2

Persistent productive cough with thick and tenacious sputum.

Question 3

Symptom that suggest acute exacerbation of bronchiectasis. (Harrison’s 19th edition, pp 1695)

Answer 3

Changes in the nature of sputum production (volume and purulence)

Question 4

Refers to an irreversible airway dilation that involves the lung in either a focal or a diffuse manner. (Harrison’s 19th edition, pp 1694)

Answer 4

Bronchiectasis

Question 5

Classical categorization of bronchiectasis. (Harrison’s 19th edition, pp 1694)

Answer 5

Cylindrical or tubular
Varicose
Cystic

Question 6

Most common form of bronchiectasis based on the classical categorization. (Harrison’s 19th edition, pp 1694)

Answer 6

Cylindrical or tubular

Question 7

Refers to bronchiectatic changes in a lozalized area of the lung and can be a consequence of obstruction of the airway. (Harrison’s 19th edition, pp 1694)

Answer 7

Focal bronchiectasis

Question 8

Extrinsic causes of focal bronchiectasis. (Harrison’s 19th edition, pp 1694)

Answer 8

Lymphadenopathy compression

Parenchymal tumor compression

Question 9

Intrinsic causes of focal bronchiectasis. (Harrison’s 19th edition, pp 1694)

Answer 9

Airway tumor
Aspirated foreign body
Scarred/stenotic airway
Bronchial atresia

Question 10

Characterized by widespread bronchiectatic changes throughout the lung and often arises from an underlying systemic or infectious disease process. (Harrison’s 19th edition, pp 1694)

Answer 10

Diffuse bronchiectasis

Question 11

In bronchiectasis, this should be considered in treating refractory cases. (Harrison’s 19th edition, pp 1696)

Answer 11

Surgery
(Resection of a focal area of suppuration
Lung transplantation in advanced cases)

Question 12

Approaches used to enhance secretion clearance in bronchiectasis. (Harrison’s 19th edition, pp 1696)

Answer 12

Hydration
Mucolytic administration
Aerosolization of bronchodilators and hyperosmolar agents
Chest physiotherapy

Question 13

Use of anti-inflammatory therapy is recommended in what type of bronchiectasis. (Harrison’s 19th edition, pp 1696)

Answer 13

Infectious bronchiectasis