Patient, chronic smoker, present mainly with chronic productive cough, had signs of COPD, chest x-ray: Hyperinflation, increase bronchial markings, he is worker in sugar factory, PFTs showed obstructive pattern (low FEV1, Low FEV1/FVC ratio < 0.7). What is the cause of his disease?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة: B. Chronic bronchitis
A chronic smoker with a chronic productive cough and obstructive PFTs has chronic bronchitis (blue bloater: cough and sputum dominate). Increased bronchial markings fit bronchitis, while emphysema gives hyperlucent lungs with decreased markings. ILD would give a restrictive, not obstructive, pattern.
ليش كل خيار صح أو غلط
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A
ليش غلط
Emphysema shows hyperlucent lungs with decreased lung markings; this patient has increased bronchial markings and a chronic productive cough, which fit chronic bronchitis.
✓ Pulmonology 🫁.pdf · p. 11 -
B
ليش صح
Chronic bronchitis is defined by cough and sputum for at least 3 months in each of 2 consecutive years, matching this smoker with a chronic productive cough.
✓ COPD.pdf · p. 2 -
C
ليش غلط
ILD is restrictive: FEV1 and FVC fall together so the ratio stays normal. This patient has obstruction (low FEV1 and FEV1/FVC < 0.7).
✓ Pulmonology 🫁.pdf · p. 3
- المصدر
- Step Up To Medicine 6th Edition 2024 (COPD).pdf · p. 3
Pulmonology 🫁.pdf · p. 11 - المحاضرة
- COPD · Pulmonology · Module B
- ظهر في
- Respi bank