Interstitial Lung Disease

Question 1

Symptoms of ILD

Answer 1

SOB
Exercise intolerance
Dry cough

Question 2

ILD is most commonly a/w

Answer 2

1. Idiopathic pulmonary fibrosis
2. Interstitial pneumonitis

Question 3

CXR findings in Idiopathic pulmonary fibrosis

Answer 3

Reticular nodular shadows

Question 4

Initial investigation for ILD

Answer 4

CXR
if not clear do HRCT

Question 5

Best/confirmatory test for ILD

Answer 5

Biopsy via bronchoscopy or open lung biopsy

Question 6

Cor pulmonale

Answer 6

Lung disease leading to right heart failure (oedema of legs)

Question 7

Spirometry shows which pattern in ILD

Answer 7

Restrictive i.e., FEV1 and FVC reduced

Question 8

Mx of idiopathic pulmonary fibrosis

Answer 8

Lung transplantation
Pirfenidone can be tried