MCGQs on Interstitial lung disease Title:Silicosis/Clinical features/Interstitial Lung Disease 1. A 66-year-old man former rock miner presents with progressively worsening shortness of breath and nonproductive cough over the past 2 years. He has no other significant past medical history. On physical examination, he is a thin man who appears tachypneic at rest. His chest expansion is reduced and dry inspiratory rales are audible in the upper lobes bilaterally. The remainder of his examination is normal. A chest x-ray reveals multiple circumscribed 3-5 mm nodular opacities in the upper zones accompanied by calcified hilar lymphadenopathy. Which of the following is the MOST LIKELY diagnosis? a. Asbestosis, b. Aspergillosis *c, Silicosis 4d. Sarcoidosis e. Tuberculosis Title:Sarcoidosis/Diagnosis/Interstitial Lung disease 2. A 44-year-old lady presents with fatigue, weight loss, mild fever and cough for 6 weeks. There is lymphadenopathy. What is the MOST LIKELY diagnosis a, Idiopathic pulmonary fibrosis b. Carcinoma bronchus *c, Sarcoidosis d. Bronchopulmonary aspergillosis e. Idiopathic interstitial pneumonia Title:Interstitial Lung Disease/Classification/Respiratory disease 3. Which one of the following is NOT an example of Interstitial Lung disease? a, Sarcoidosis b. Idiopathic interstitial pneumonia c. Lymphangioleiomyomatosis *d, Lymphatic carcinomatosis e. Bronchiolitis Title:Interstitial Lung Disease/Classification/Respiratory disease 4, Which one of the following is NOT an Interstitial Lung disease? a, Sarcoidosis, b. Hypersensitivity pneumonitis c. Coal worker’s pneumoconiosis, *d, Chronic pulmonary emboli ¢. SilicosisTitle:Bronchiolitis obliterans/Aetiopathogenesis/Interstitial lung disease 5. Which of the following interstitial lung diseases is LEAST COMMONLY associated with smoking? a, Idiopathic pulmonary fibrosis b. Desquamative Interstitial pneumonitis c. Respiratory bronchiolitis-interstitial lung disease d. Byssinosis *e, Sarcoidosis