Enviromental Lung Disease

Question 1

Increased risk of developing TB

Answer 1

silicosis

Question 2

miners and industrial workers

Answer 2

silicosis

Question 3

eggshell calcification

Answer 3

silicosis

Question 4

shipyard workers, pipe fitters, insulators

Answer 4

asbestosis

Question 5

linear streaking at lung BASES

Answer 5

asbestosis

Question 6

presence of ferruginous bodies in tissues

Answer 6

asbestosis

Question 7

patients who smoke and develop asbestosis are more likely to develop what dx down the road?

Answer 7

lung cancer

Question 8

Abrupt onset with headache, fever, dry cough; labs show chlamydiae

Answer 8

psittacosis

Question 9

Farmers Lung is the most common form

Answer 9

hypersensitivity pneumonitis

Question 10

Can mimic paroxysmal nocturnal dyspnea because it can onset 4-8 hrs after exposure

Answer 10

hypersensitivity pneumonitis

Question 11

Plasma cells with noncaseating granulomas

Answer 11

hypersensitivity pneumonitis

Question 12

Usually reversible if offending antigen is removed from the patient’s environment

Answer 12

hypersensitivity pneumonitis

Question 13

common along the river valley regions

Answer 13

histoplasmosis

Question 14

contact with bird or bat droppings

Answer 14

histoplasmosis

Question 15

This can disseminate in HIV patients

Answer 15

histoplasmosis

Question 16

What is a complication of histoplasmosis?

Answer 16

enlarged mediastinal lymph nodes that can compress the great vessels

Question 17

Treated with tetracycline

Answer 17

pssitorasis

Question 18

treated with itraconazole

Answer 18

histoplasmosis