USMLE Forum Archives - USMLE Step 2 CK - pulmonology.
pulmonology.
HIV - 02-13-08 00:37
A 60-year-old Caucasian man is admitted to the hospital with an episode of bacterial pneumonia. Upon review of his past medical history, you notice that he has had three recent admissions within the past seven months for bacterial pneumonia. All the episodes were successfully treated with intravenous antibiotics. Previous chest x-ray comparisons reveal that the infiltrate always occurs at the right middle lobe and leaves a persistent scar. The scar was not noted on the chest x-ray prior to the episodes of pneumonia. He has a 50-pack year history of smoking. He quit smoking 10 years ago.
Which of the following is the most useful test to confirm the diagnosis in this patient?
A. Sputum for cytology and AFB staining
B. Bronchoalveolar lavage for hemosiderin laden macrophages
C. Flexible bronchoscopy
D. Immunoglobulin levels
E. High resolution CT scan
HIV - 02-13-08 00:37
A 60-year-old Caucasian man is admitted to the hospital with an episode of bacterial pneumonia. Upon review of his past medical history, you notice that he has had three recent admissions within the past seven months for bacterial pneumonia. All the episodes were successfully treated with intravenous antibiotics. Previous chest x-ray comparisons reveal that the infiltrate always occurs at the right middle lobe and leaves a persistent scar. The scar was not noted on the chest x-ray prior to the episodes of pneumonia. He has a 50-pack year history of smoking. He quit smoking 10 years ago.
Which of the following is the most useful test to confirm the diagnosis in this patient?
A. Sputum for cytology and AFB staining
B. Bronchoalveolar lavage for hemosiderin laden macrophages
C. Flexible bronchoscopy
D. Immunoglobulin levels
E. High resolution CT scan
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#3
Re: pulmonology. zoah2005 - 02-16-08 11:14 E.
I think this is a pt with bronchiectasis with recurrent pneumonias
#4
Re: pulmonology. laparotomy - 02-28-08 11:53 
posted by HIV on 02-13-08 00:37
A 60-year-old Caucasian man is admitted to the hospital with an episode of bacterial pneumonia. Upon review of his past medical history, you notice that he has had three recent admissions within the past seven months for bacterial pneumonia. All the episodes were successfully treated with intravenous antibiotics. Previous chest x-ray comparisons reveal that the infiltrate always occurs at the right middle lobe and leaves a persistent scar. The scar was not noted on the chest x-ray prior to the episodes of pneumonia. He has a 50-pack year history of smoking. He quit smoking 10 years ago.
Which of the following is the most useful test to confirm the diagnosis in this patient?
A. Sputum for cytology and AFB staining
B. Bronchoalveolar lavage for hemosiderin laden macrophages
C. Flexible bronchoscopy
D. Immunoglobulin levels
E. High resolution CT scan
A 60-year-old Caucasian man is admitted to the hospital with an episode of bacterial pneumonia. Upon review of his past medical history, you notice that he has had three recent admissions within the past seven months for bacterial pneumonia. All the episodes were successfully treated with intravenous antibiotics. Previous chest x-ray comparisons reveal that the infiltrate always occurs at the right middle lobe and leaves a persistent scar. The scar was not noted on the chest x-ray prior to the episodes of pneumonia. He has a 50-pack year history of smoking. He quit smoking 10 years ago.
Which of the following is the most useful test to confirm the diagnosis in this patient?
A. Sputum for cytology and AFB staining
B. Bronchoalveolar lavage for hemosiderin laden macrophages
C. Flexible bronchoscopy
D. Immunoglobulin levels
E. High resolution CT scan
E definately
#6
Re: pulmonology. babbu5508 - 06-29-10 02:53 E. High resolution CT scan...in a patient who is a past smoker with recurrent episodes of pulmonary infections,you should rule out bronchiectasis
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