MedEd Resp1 Cases Incomplete

Question 1

59F 
smokes 30 packs/year. progressive SOB 
productive cough. O/E: audible wheeze
a) pulmonary oedema
b) asthma
c) pneumonia
d) Idiopathic pulmonary fibrosis
e) COPD

Answer 1

COPD

Question 2

27F  Afrocaribbean origin 
SOB over the last few months, increasingly harder to exercise
O/E: tender, erythematous nodules on both her shins
a) asthma
b) sarcoidosis
c) pneumonia
d) Idiopathic pulmonary fibrosis
e) PE

Answer 2

sarcoidosis

Question 3

30M acute breathlessness
O/E resp rate 25 bpm, good air entry in all fields 
ECG: R axis deviation 
a) pneumothorax
b) pulmonary oedema
c) pneumonia
d) pleural effusion
e) PE

Answer 3

PE

Question 4

62M. 8 month history exertional dyspnoea + non-productive cough

a) sarcoidosis
b) bronchogenic carcinoma
c) pulmonary oedema
d) idiopathic pulmonary fibrosis
e) COPD

Answer 4

IPF

Question 5

70F
fevers, SOB, R pleuritic CP
O/E: reduced expansion and dull percussion on R side
a) pneumothorax
b) bronchogenic carcinoma
c) pneumonia
d) pleural effusion
e) pulmonary oedema

Answer 5

pneumonia

fevers and pleuritic CP