Pulmonology

Question 1

A 33 year old builder who renovates farm houses/barns is found to have strongly positive Aspergillus precipitins(IgG antibodies) in his blood and complains of haemoptysis. What is the most likely diagnosis?

Answer 1

Chronic pulmonary aspergillosis

Question 2

63 year old woman who is a lifelong smoker is diagnosed with non-small-cell lung cancer. What is the most likely/commonest presenting symptom?

Answer 2

Cough(45%)

This is followed by breathlessness (37%), haemoptysis(1/3), anorexia&weight loss(1/5). 15% can be asymptomatic.

Question 3

What is the most characteristic feature of small-cell bronchial carcinoma?

Answer 3

SIADH resulting in hyponatraemia(occurs in about 15%)