USMLE Forum Archives - USMLE Step 2 CK - Im respiratory
Im respiratory
HIV - 01-13-08 20:53
A 26-year-old Caucasian male comes to the physician because of severe productive cough for the past two months. He also complains of occasional blood in sputum, and dyspnea for the last three weeks. His past medical history is significant for otitis media, two episodes of pneumonia, and sinusitis. He and his wife were recently worked up for infertility. Physical examination shows crackles in the left upper lobe. Chest x-ray shows dilated and thickened airways and irregular peripheral opacities in the left upper lobe. Which of the following is the most appropriate test to make the diagnosis of his condition?
A) Sweat chloride test
B) DNA studies
C) Pulmonary function tests
D) Semen analysis
E) Bronchoscopy
HIV - 01-13-08 20:53
A 26-year-old Caucasian male comes to the physician because of severe productive cough for the past two months. He also complains of occasional blood in sputum, and dyspnea for the last three weeks. His past medical history is significant for otitis media, two episodes of pneumonia, and sinusitis. He and his wife were recently worked up for infertility. Physical examination shows crackles in the left upper lobe. Chest x-ray shows dilated and thickened airways and irregular peripheral opacities in the left upper lobe. Which of the following is the most appropriate test to make the diagnosis of his condition?
A) Sweat chloride test
B) DNA studies
C) Pulmonary function tests
D) Semen analysis
E) Bronchoscopy
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#2
Re: Im respiratory InSitu - 01-13-08 21:30 I am looking at the age and find this question to want to trick us.
#4
Re: Im respiratory radhamesramos - 01-29-08 13:18 besides the trick about the age...good case and very well developed
#5
Re: Im respiratory ammulufy - 06-30-10 21:45 Probably d ptnt has developed COPD as reflected by recurrent pnemonias....Hence I wud like to confirm it wid pulmonary function tests to assess d severity....derfore I go wid C.
#6
Re: Im respiratory babbu5508 - 07-07-10 22:06 A) Sweat chloride test cystic fibrosis can be diagnosed before birth by genetic testing, or by a sweat test in early childhood.
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