JCU MB4 Term 1 Week 5 (Pneumonia/Asthma/Restrictive Lung Disease)

1

39-year-old male, history of dyspnoea and non-productive cough for 6 weeks. Lung biopsy shown. What is the diagnosis?

Interstitial Pneumonia


2

Which of the following is useful in assessing the severity of COPD?


3

32-year-old female presented with "recurrent bronchitis". You suspect bronchial asthma, though there are no rhonchi. Which of the following would be the most appropriate test to diagnose it?


4

42-year-old, chronic smoker with COPD for 20 years presents with worsening dyspnoea and right-sided heart failure since 3 months. Lung gross specimen shown. What is the diagnosis?

Honeycomb lung


6

39-year-old male, history of dyspnoea and non-productive cough for 6 weeks. CXR shown. What is the diagnosis?

Interstitial pneumonia CXR


7

58-year-old mining worker with history of chronic dyspnoea. Lung gross specimen shown. What is the diagnosis?

Nodular Silicosis


8

42-year-old male smoker, history of dyspnoea. Lung gross specimen shown. What are the arrows pointing to?

Centrolobular emphysema


9

42-year-old male chronic smoker, history of dyspnoea. Lung gross specimen shown. What is the diagnosis?

Centrilobular emphysema


10

42-year-old male smoker, history of fever for 2 weeks with dyspnoea. Lung gross specimen is shown. What is the diagnosis?

Bronchopneumonia with abscess


11

45-year-old male with history of dysponea. Bronchial biopsy shown. What is indicated between the arrows?

Mucous gland hyperplasia


12

28-year-old male, history of chronic dyspnoea. Close-up lung gross specimen shown. What is the diagnosis?

Panacinar emphysema


13

Blue discolouration in a "blue bloater" is due to...


14

34-year-old male, smoker, history of fever for 6 days. Lung biopsy shown. What is the diagnosis?

Bronchopneumonia


15

34-year-old male AIDS patient, recent fever, chest infection not responding to usual antibiotics. Sputum microscopy shown. What is the pathogen?

Candida in sputum


16

29-year-old male, high fever, cough, dyspnoea. Sputum gram stain shown. What is the probably type of pneumonia?

Streptococcus Pneumoniae in sputum


17

Peter is a 58-year-old and is a non-smoker. He suffers aspiration of gastric contents during cardiac resuscitation. Over the next 10 days he develops a non-productive cough and fever. A chest radiograph reveals a 4cm diameter mass with an air-fluid level in the right lung. A sputum gram stain reveals mixed flora. What is the most likely diagnosis?


18

34-year-old male, high fever. Gross lung specimen shown. What is the diagnosis?

Lobar pneumonia


19

54-year-old male, on ventilator in ICU. Develops fever and chest infiltrates. Sputum gram stain shown. What is the diagnosis?

Sputum - gram-negative bacilli (Klebsiella)


20

28-year-old smoker, history of fever for 6 weeks with weight loss and haemoptysis. Lung gross specimen shown. What is the diagnosis?

Miliary Tuberculosos


21

A 54-year-old woman which chronic emphysema presents with cough and dyspnoea. Her BP is 126/64mmHg, pulse 82/min and RR 24/min. On lung examination, there are loud expiratory wheezes and rhonchi. The CVS examination is normal. Which of the following results would most likely be expected if arterial blood gas analysed?


22

39-year-old male, chronic smoker, high fever. Gross lung specimen shown. What is the type of pneumonia?

Bronchopneumonia


23

56-year-old male with decreased lung capacity develops sudden severe dyspnoea. Close-up of gross specimen shown. What is the most likely cause?

Bullous emphysema