Pance Question Pulmonary Practice Questions And Answers Latest Study Solutions

A 14 yo healthy male presents to the ED complaining of an acute onset of unilateral chest pain and dyspnea that occurred without a precipitating event. Examination reveals unilateral chest expansion, decreased tactile femitus and decreased breath sounds. What is the most likely diagnosis? A: Atypical pneumonia B: Pericarditis C: Pulmonary Embolism D: Spontaneous pneumonthorax - D: spontaneous pneumonthorax A 17 yo girl with a history of CF presents with chronic cough productive of copious, foul smelling, purulent sputum. The patient is afebrile and the lung examination reveals crackles at the lung bases bilateral. What is the most likely diagnosis? A: asthma B: Bronchiectasis C: Bronchiolitis D: Pneumonitis - B: Bronchiectasis A 17 yo woman presents complaining of a nonproductive cough, postnasal drip, and nasal congestion. Examination reveals inflamed nasal turbinates, cobblestoning of the posterior pharynx, and diffuse bilateral end expiratory wheezes. Which lab test will provide the best inforamtion to assist in making the diagnosis? A: ABG B: CXR C: Peak Flow Measurements D: Spirometry - D: Spirometry A 19 yo female, post motor vehicle accident, is hospitalized with a femur fracture. She develops sudden onset of dyspnea, cough, and anxiety with retrosternal chest pain. On exam her pulse is 120, respirations 32, blood pressure 120/80. CXR shows mild bilateral atelectasis. ECG is normal. What is the most likely diagnosis? A: Pulmonary Embolus B: Pneumonia C: Pneumothorax D: Aortic Dissection - A: PEA 19 yo male college student presents with a 4 day history of fever, headache, sore throat, myalgia, malaise and a nonproductive cough. On exam you not an erythematous pharynx without exudate. The lung exam is unimpressive. A chest X-ray reveals a right lower lobe patchy pneumonia. Which is the most likely cause? A: mycoplasma B: klebsiella C: Strep. Pneumoniae D: staph - A: Mycoplasma A 25 yo male presents for preadmission testing to correct a ventral hernia. The PAT inculdes a CXR which reveals a signal, smooth, calcified, well defined node of 2 cm in diameter. What is the most appropriate next step in the management of this patient? A: obtain a CT scan B: obtain old films for comparison C: proceed directly to biopsy D: watchful waiting - B: obtain old films for comparision A 3 yo child presnts tot he emergency room with a seal-like cough along with rinorrhea for several days. Examination reveals an afebrile child who exhibits stridor with expiratory wheezing while at rest. What is the recommended treatment A: Im dexamethosome B: IM diphenhydramine C: nebulized albuterol D: Nebulized racemic epinephrine - D: Nebulized recemic epinephrine A 3 yo patient presents with sudden onset of coughing and wheezing that began at the dinner table this evening. Vital signs are pulse 120, respirations 26, temperature 98.6. You evaluate the patient and determine that the diagnosis is most likely a partial obstruction secondary to tracheal foreign body. What is the next step in the management of this patient? A: Chest pysiotherapy B: intubation C: Tracheostomy D: Bronchoscopy - D: Bronchoscopy A 32 yo African american woman with a histroy of erythema nodosum presents with nonspecific complaints such as fatigue and malaise. Based on the fact that she is a smoker with theses symptoms, aCXR is ordered which demonstrates bilateral hilar adenopathy. A transbronchial lunch biopsy recelas noncaseating granulomas. What is the most likely diagnosis? A: bronchogenic carcinoma B: mesothelioma C: sarcoidosis D: TB - C: Sarcoidosis