Respiratory Question Set 1

A 69-years-old woman, chronic smoker for 20 years, admitted to the emergency department with a history sudden onset of pleuritic chest pain & breathlessness for 2 hours. She is a known case of hypertension, for which she took calcium channel blockers. She had a history of total hip replacement 20 days ago. On examination, she was cyanosed, vitals were: BP of 100/60 mmHg, Pulse rate of 82 beats/min, Respiratory rate of 30 breaths/min. Lung examination reveals guarding over the right lower lobe of the lung with a dull percussion note. A chest CT scan shows a focal, wedged-shaped, pleura-based triangular area of hemorrhage in the right lower lobe of lung. What is the most probable cause of her pulmonary lesion?

A 65 years old female presents with severe weight loss and weakness. Weakness is specifically more during climbing stairs and combing hair. The weakness improves after a brief exercise. She also has bladder problems for the past 4 weeks. He was given anticholinestrase agents with no signs of improvement. The most likely cause is?

A 35 year old male presents with hemoptysis. Chest x-ray reveals bilateral focal pulmonary consolidations. On further questioning, he admits to having hematuria. Urine analysis shows RBC casts and 400 ml of urine is excreted in 24 hr. The most likely cause in this patient is?

A 34 year old male presents with nocturnal cough and dyspnea. He is a smoker for the past 15 years and smokes about half pack a day. On examination of sputum showed charcot leyden crystals and curschmann spirals.

A newborn was delivered by emergency cesarean section at 32 weeks of gestational age. Because of fetus distress, grunting newborn is admitted to NICU. The tips of fingers and toes are blue on admission, which takes some time to improve upon oxygen supplementation. Chest x-ray is obtained, which shows ground glass appearance. Diagnosis of neonatal respiratory distress syndrome was made and upon surfactant supplementation, patient condition is improved. Which of the following sets of intrauterine hormonal levels in mother could have caused this condition of newborn?