Self Assessment Quiz - Pulmonary 1


Case 1 (questions 1-3) | Case 2 (questions 4-6) | Case 3 (questions 7-9) | Case 4 (questions 10-11)

Case 1 (questions 1-3)

Question 1 - Single Best Answer

Our patient's CXR                                       Normal CXR
            

What is the significant finding on this patient˙s CXR?

A) Blunting of left costophrenic angle
B) Bilateral diffuse upper lobe interstitial densities along with patchy infiltrates
C) Prominent central or hilar pulmonary vessels


Question 2 - Single Best Answer

What is the most likely diagnosis in the above patient?

A) Trauma with aortic rupture
B) Pneumocystic carinii pneumonia
C) Aortic aneurysm


Question 3 - Single Best Answer

Which of the following is the most likely clinical scenario in the above patient?

A) 72 yo involved in a high speed motor vehicle accident in which the cars met in a head-on collision.
B) 65 yo with a history of hypertension, complaining of severe tearing chest pain radiating to the back.
C) 40 yo with a hx of Intravenous drug abuse (IVDA), and 3 week history of fevers, cough, and progressive shortness of breath.


Case 2 (questions 4-6)

Question 4 - Single Best Answer



What is the significant finding on the patient's above CXR?

A) Cephalization of blood flow
B) Increased lung volume
C) Right Lower Lobe consolidation
D) Enlarged pulmonary vessels


Question 5 - Single Best Answer

What is the most likely diagnosis in this patient?

A) Left ventricular failure
B) Right lower lobe pneumonia
C) Pulmonary emphysema
D) Mitral Stenosis


Question 6 - Single Best Answer

Which of following clinical scenario is most likely in this patient?

A) 45 yo with an acute myocardial infarction
B) 55 yo with acute onset of pleuritic chest pain in the right lung base, cough and fever.
C) 65 yo with 110 pk year smoking history and chronic cough
D) 60 yo with a hx of rheumatic heart disease, and atrial fibrillation.


Case 3 (questions 7-9)

Question 7 - Single Best Answer

            

What is the most significant finding on the above PA and lateral CXR?

A) Blunting of the left costophrenic angle.
B) Alveolar edema in the LLL
C) Opacity of the RML with air bronchograms
D) Widened Superior Mediastinum


Question 8 - Single Best Answer

What is the most likely diagnosis in the above patient?

A) Congestive heart failure
B) Left pleural effusion
C) Right Middle Lobe pneumonia
D) Thoracic aortic aneurysm


Question 9 - Single Best Answer

What is the most likely clinical scenario in the above patient?

A) 65 yo with severe chest pain radiating to the back
B) 72 yo with a hx of myocardial infarction (MI), increasing dypsnea on exertion, orthopnea and a 20 lb weight gain in the past week.
C) 35 yo with an onset of fevers, chills, productive cough, pleuritic chest pain and shortness of breath.
D) 44 yo with substernal pleuritic chest pains that are worse with laying down, and relieved by sitting up.


Case 4 (questions 10-11)



Question 10 - Best 2 Answers

This 50 yo patient presented with a 2 week history of persistent cough. Her CXR is shown above. What is the most accurate description of the CXR finding?

A) Focal infiltrate with air bronchograms
B) Mass lesion in the left upper lobe
C) Pleural effusion
D) Pulmonary edema

Question 11 - Best 2 Answers

What is the most likely diagnosis in the above patient?

A) Pneumonia
B) Lung cancer
C) Pleurisy
D) Congestive heart failure

  Updated: January 30, 19101