| Question | Answer | Extra Info |
| 58yo man with non-productive cough and fever 38.9C. CXR reveals 4cm diameter mass with an air-fluid level in the right lung. Sputum gram stain is mixed flora. DDx? | |
| _______ _______ is responsible for more than 90% of lobar pneumonias. | |
| ______ obstruction is associated with resorption atelectasis. | |
| Organization of fibrinous exudates leads to intra-alveolar fibrosis in this condition. | |
| A 65yo has productive cough and difficulty breathing. He is positive for encapsulated gram+ diplococci (strep pneumoniae). The patient's dyspnea is due to? | |
| Abscesses resulting from aspiration of infective material are more common on the _____ side. | |
| CMV infections: in individuals over 15 years of age the _______ route is the dominant mode of transmission, but spread may also occur via respiratory secretions & fecal-oral route. | |
| Virus that causes SARS. | |
| Mycoplasma pneumoniae infection sweeps through children's summer camp. If you were to examine the children's lungs, what would you most likely find? | |
| 60yo chronic alcoholic has an elevated WBC with a left shift. A bronchoalveolar lavage is performed. Which organism is most likely present? | |
| 75yo man with fever and purulent sputum in hospital. Neutrophils and proteinacious exudate in bronchi, bronchioles, and alveoli. Many gram negative bacilli. Most likely diagnosis? | |
| 65yo smoker with hemoptysis. Biopsy shows SCLC. What sodium lab finding is present? | |
| | Question | Answer | Extra Info |
| 40yo woman has bilateral pleural effusions and enlargement of hilar lymph nodes. Thoracentesis is cloudy fluid with protein concentration= 4.5 g/dL. Cause? | |
| 35yo man with recurring pneumonia. CXR shows a perihilar mass, bronchoscopy shows a polypoid lesion. Histology- nests and cords of cells with 'salt & pepper' chromatin. | |
| 68yo man- CXR shows interstitial markings and CT of the chest shows a peripheral density encasing the left lung. Etiologic factor? | |
| ___% of lung cancers occur in active smokers or those who stopped recently. | |
| 60yo man with 70 pack year history of smoking. CXR shows hyperlucent lung fields, cavitary lesion near the hilus and hilar adenopathy. DDx? | |
| 75yo woman with tumor cells that are positive for chromogranin, neuron-specific enolase, synaptophysin, and high molecular weight cytokeratin intermediate filaments. | |
| 60yo woman is disoriented and agitated. Lab tests show hyponatremia, normal serum osmolality, and normal glucose. What is the explanation for her neurologic symptoms? | |
| 65yo man with 90 pack year history of smoking and dies of septicemia. Autopsy reveals bronchi microscopically demonstrate mucus gland hypertrophy. What is the clinical course? | |
| 70yo man with enophthalmos, meiosis, anhidrosis, ptosis. Patient also has chest pain, right upper lobe opacification. What condition is likely to be present? | |
| 68yo shipyard worker with dyspnea. Sputum cytology show rare ferruginous bodies, but no parenchymal masses. Normal FEV1/FVC ratio. DDx? | |
| 66yo roofer has a history of resected colon cancer. He complains of dyspnea. Pleural tap has acinar (glands) structures composed of atypical cells with large hyperchromatic nuclei | |
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