Deck 27: Interstitial Lung Diseases

Question 1

Cryptogenic organizing pneumonia (COP) is associated with:
1) COPD.
2) connective tissue disease.
3) infection.
4) toxic gas inhalation.

A)1, 3
B)2, 4
C)2, 3, 4
D)1, 2, 3

Answer 1

2, 3, 4

Question 2

What is the most common pulmonary complication associated with systemic lupus erythematosus (SLE)?

A) Bronchospasm
B) Pleurisy
C) Atelectasis
D) Diaphragmatic dysfunction

Answer 2

Pleurisy

Question 3

Which of the following Americans would be the most likely to get sarcoidosis?

A) A 27-year-old African-American female
B) A 60-year-old African-American male
C) A 45-year-old Caucasian female
D) A 60-year-old Hispanic male

Answer 3

A 27-year-old African-American female

Question 4

Which of the following is the largest group of agents associated with drug-induced interstitial lung disease?

A) Anticancer agents
B) Cardiovascular agents
C) Antibiotics agents
D) Antiinflammatory agents

Question 5

Which of the following are associated with an increased DLCO?

A) Goodpasture's syndrome and idiopathic pulmonary hemosiderosis
B) Goodpasture's syndrome and Churg-Strauss syndrome
C) Churg-Strauss syndrome and LAM
D) Idiopathic pulmonary hemosiderosis and COP

Question 6

The diffusing capacity of a patient with coal worker's pneumoconiosis or silicosis would be expected to be:

A) normal.
B) increased.
C) decreased.
D) variable based on the age of the patient.

Question 7

What major pathologic and structural changes are associated with asbestosis?
1) Fibrocalcific pleural plaques
2) Excessive bronchial secretions
3) Bronchospasm
4) Mediastinal shift

A)1, 3
B)2, 4
C)1, 2, 3
D)2, 3, 4

Question 8

Chest assessment findings in a patient with ILD would include:
1) pleural friction rub.
2) increased vocal fremitus.
3) vesicular breath sounds.
4) hyperresonant percussion note.

A)1, 2
B)2, 3
C)1, 3, 4
D)2, 3, 4

Question 9

Which of the following are anatomic alterations of the lungs that may be found with the chronic stage of interstitial lung disease (ILD)?
1) Honeycombing
2) Edema
3) Interstitial thickening
4) Granulomas

A)1, 3
B)2, 4
C)2, 3, 4
D)1, 3, 4

Question 10

Which of the following is not considered an interstitial lung disease?

A) Asbestosis
B) Sarcoidosis
C) Staphylococcus
D) Silicosis

Question 11

Which of the following chest radiograph findings would be associated in a patient with ILD?
1) Pleural effusion
2) Honeycombing
3) Cavity formation
4) Increased translucency

A)1, 4
B)2, 3
C)1, 2, 4
D)1, 2, 3

Question 12

Which of the following are associated with lymphangioleiomyomatosis (LAM)?
1) Recurrent chylothoraces and recurrent pneumothoraces.
2) Increased airway obstruction.
3) Postmenopausal women are primarily affected.
4) Airway smooth muscle is affected.

A)1, 3
B)1, 2, 4
C)2, 3, 4
D)1, 2, 3

Question 13

A patient has just been diagnosed with Wegener's granulomatosis. Her long-term prognosis is:

A) excellent, with full recovery expected.
B) fair, with recovery expected after proper treatment.
C) guarded; recovery is possible after proper treatment.
D) poor; it is considered a fatal disease.

Question 14

Which ILD is a smoking-related condition characterized by star-shaped nodules in the midlung?

A) PLCH
B) LIP
C) BOOP
D) CWP

Question 15

What is another name for rheumatoid pneumoconiosis?

A) Goodpasture's syndrome
B) Caplan's syndrome
C) Churg-Strauss syndrome
D) Sjögren's syndrome

Question 16

Which of the following organs can be affected by systemic scleroderma?
1) Skin
2) Reproductive organs
3) Lungs
4) Brain

A)1, 3
B)2, 4
C)1, 2, 3
D)2, 3, 4

Question 17

What category of medications is commonly prescribed to manage interstitial lung disease?

A) Antibiotics
B) Mucolytics
C) Corticosteroids
D) Diuretics