A 23-year-old female is presenting with a chronic productive cough of large volume sputum of variable color (white to yellow green). In addition, she had been short of breath for the last few years. Her condition doesn't change when she is an environment full of dust, smokes of perfumes. She does not have any allergic disease. She is not smoker. Her parents recall that she had a bad chest infection when she was a child. Physical exam; patient had clubbing. What is the most likely diagnosis is? i. Bronchial asthma j. Chronic obstructive pulmonary disease k. Bronchiectasis l. Pulmonary embolism m. Lung cancer
سؤال مجاني 8 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Bronchiectasis
Chronic cough with large-volume purulent sputum, a non-smoker with clubbing, and a severe childhood chest infection (post-infectious cause, e.g. pneumonia/pertussis) is classic bronchiectasis. Asthma is excluded by the lack of triggers and atopy, and COPD by her age and non-smoking status. Lung abscess and TB would be more acute/systemic (fever, weight loss), not a years-long picture since childhood.
ليش كل خيار صح أو غلط
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A
ليش صح
Bronchiectasis presents with chronic cough, large amounts of mucopurulent sputum and dyspnea, and infections (like her bad childhood chest infection) can cause it by damaging the bronchial walls.
✓ Step Up To Medicine 6th Edition 2024 (Bronchiectasis).pdf · p. 2 -
B
ليش غلط
Asthma is not among the listed causes of clubbing (lung cancer, IPF, bronchiectasis, lung abscess, empyema), which she has.
✓ Pulmonology 🫁.pdf · p. 35 -
C
ليش غلط
Nail clubbing is not specific to COPD; it usually suggests a comorbidity such as bronchiectasis, pulmonary fibrosis or lung cancer.
✓ COPD.pdf · p. 4
- المصدر
- Step Up To Medicine 6th Edition 2024 (Bronchiectasis).pdf · p. 2
Atelectasis & bronchiectasis.pdf · p. 5
Atelectasis & bronchiectasis.pdf · p. 6 - المحاضرة
- Other Lung Diseases (ILD, Bronchiectasis, Lung Cancer) · Pulmonology · Module B
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- Respi bank