Exam 26: Interstitial Lung Disease

Which of the following medications has been shown to be useful in the treatment of almost all interstitial lung diseases?

What auscultatory finding is most consistent with the diagnosis of interstitial lung disease (ILD)?

A 45 year-old patient with sarcoidosis complaints of being unable to perform his daily house chores due to shortness of breaths despite continued oxygen therapy of 2 L/min via a nasal cannula. You would recommend which of the following to the patient?

A patient is exposed a second time to an antigen and subsequently seeks medical attention with sudden shortness of breath, chest pain, fever, chills, malaise, and a cough that may be productive of purulent sputum. Which of the following is the most likely source for the antigen?

Exacerbations of silicosis are most often treated with what medication?

What is the most common treatment for patients with idiopathic pulmonary fibrosis (IPF)?

What use, other than prognostic value, can serial pulmonary function tests provide for the management of interstitial lung disease patients?

For what reason do patients with interstitial lung disease most commonly seek medical care?

You are called to attend to an ER patient complaining of shortness of breath and severe dyspnea on exertion. Patient history is significant for a 30-year-pack smoking history, dry nonproductive cough, and occasional pedal edema. CXR findings are not remarkable except for mild cardiomegaly. You want to rule out ILD versus obstructive lung disease. Results for pulmonary function testing are shown below. These results are consistent with:

What treatment is most useful in preventing subsequent right-sided heart failure in a patient with interstitial lung disease?

What disease process is associated with much higher risk of tuberculosis?

Which of the following indicates the typical chest radiographic findings of a patient with silicosis?

What is the primary pathologic change that occurs in interstitial lung disease?

What is the only therapy shown to prolong life in patients with end-stage, particularly fibrotic interstitial lung disease (ILD)?

It is determined that a patient has silicosis. What profession is he most likely to have worked at?

In simple coal worker's pneumoconiosis, a chest radiograph that is characterized by multiple small nodular opacities on the chest x-ray film is most likely to be associated with what clinical presentation?

In interstitial lung disease, which of the following mechanisms contributes to impaired gas exchange? 1) Depression of respiratory drive 2) Diffusion defect 3) Shunt 4) Ventilation/perfusion mismatch

What is the most common radiographic finding in the chest film of a patient with sarcoidosis?

Which of the interstitial lung diseases is directly tied to exposure to first- and secondhand tobacco smoke?

The disease seen in interstitial lung disease is primarily a/an _____ process.