USMLE Forum Archives - USMLE Step 3 - Respiratory q3
Respiratory q3
zkadhem - 05-19-09 11:05
Q.3. A 28-year-old man presents with chronic cough and sputum production. He
requires about four courses of antibiotics per year. He has a history of frequent
respiratory infections as a child including chronic sinusitis, which has required several
surgical drainage procedures. A chest CT shows thickening and dilatation of
peripheral airways in the lower lobes compatible with bronchiectasis. He is married
but has no children. He works in a grain storage facility as a manager. Your
evaluation would include all of the following studies except
A. Aspergillus precipitins
B. Serum immunoglobulin levels
C. Nasal mucosal biopsy with electron microscopy
D. Sweat chloride level
E. Serum protein electrophoresis
zkadhem - 05-19-09 11:05
Q.3. A 28-year-old man presents with chronic cough and sputum production. He
requires about four courses of antibiotics per year. He has a history of frequent
respiratory infections as a child including chronic sinusitis, which has required several
surgical drainage procedures. A chest CT shows thickening and dilatation of
peripheral airways in the lower lobes compatible with bronchiectasis. He is married
but has no children. He works in a grain storage facility as a manager. Your
evaluation would include all of the following studies except
A. Aspergillus precipitins
B. Serum immunoglobulin levels
C. Nasal mucosal biopsy with electron microscopy
D. Sweat chloride level
E. Serum protein electrophoresis
The correct answer and explanation will be available after you answer.
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#3
Re: Respiratory q3 meduploader - 05-20-09 15:42 My answer is: a.
Aspergillus precipitins for allergic bronchopulmonary aspergillosis
(ABPA)
#18
Re: Respiratory q3 babbu5508 - 07-07-10 13:15 My answer is: a.
the patient likely has immotile ciliary syndrome or Kartagener Syndrome (KS), is a rare, ciliopathic, autosomal recessive genetic disorder that causes a defect in the action of the cilia lining the respiratory tract (lower and upper, sinuses, Eustachian tube, middle ear) and fallopian tube.
#28
Re: Respiratory q3 mockingbird - 06-30-11 12:34 My answer is: c.
This patient has Cystic fibrosis.
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