Developmental And Vascular Pulmonary Disease

5 Questions | Total Attempts: 233

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Developmental And Vascular Pulmonary Disease

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Questions and Answers
  • 1. 
    A 22-year-old Caucasian female presents with fatigue, cyanosis, progressing dyspnea, and pitting edema of the lower legs. She denies any history of previous respiratory or cardio-vascular diseases. Physical examination reveals left parasternal heave and accentuated second sound over the pulmonic valve; liver is slightly enlarged and tender. Echocardiography detects dilation of the right heart chambers with thickening of the right ventricle wall. Coagulation tests are within normal limits. Which of the following pathologic changes are most likely to be found within the pulmonary artery?
    • A. 

      Perivascular mononuclear infiltrates in the adventitia

    • B. 

      Saddle thromboembolus

    • C. 

      Multiple thromboemboli of the small branches

    • D. 

      Atherosclerotic plaques

  • 2. 
    The most likely cause of the morphological change seen in this pulmonary blood vessel is:
    • A. 

      Asthma

    • B. 

      Chronic alveolar lung disease

    • C. 

      Pulmonary saddle embolus

    • D. 

      Left-sided heart failure

  • 3. 
    68-year-old male, who suffered from congestive heart disease due to aortic stenosis, was brought to the ER with a sudden stabbing chest pain. Examination of the lungs revealed a pleural friction rub. The patient was admitted to the ICU and next day, after an episode of acute severe dyspnea and hemoptysis, he passed away. Postmortem examination of the lungs revealed the shown histologic changes. Which of the following is the most likely pathomorphologic diagnosis?
    • A. 

      Hemorrhagic bronchitis with hemorrhagic bronchopneumonia

    • B. 

      Hemorrhagic bronchopneumonia and postmortem clot within a branch of the pulmonary artery

    • C. 

      A pulmonary thromboembolus and liquefactive necrosis of the alveolar septa

    • D. 

      A pulmonary thromboembolus and coagulative necrosis of the alveolar septa

  • 4. 
    Which of the following is the most likely set of findings found in a patient with massive pulmonary thromboembolism of one hour duration?
    • A. 

      Bronchial breath sounds, normal EKG, abnormal CXR

    • B. 

      Bronchial breath sounds, abnormal EKG, and normal CXR

    • C. 

      Vesicular breath sounds, normal EKG, abnormal CXR

    • D. 

      Vesicular breath sounds, abnormal EKG, and normal CXR

  • 5. 
    A 9-year-old boy was identified in childhood as having an elevated sweat chloride. Though he appeared to be a normal term baby, his neonatal course was complicated by the development of meconium ileus. Throughout childhood he has experienced multiple increasingly severe bouts of pneumonia with a productive cough, often with Pseudomonas aeruginosa cultured from sputum. Based upon these findings, he is at greatest risk for development of which of the following pulmonary abnormalities?
    • A. 

      Adenocarcinoma

    • B. 

      Bronchiectasis

    • C. 

      Pleural plaques

    • D. 

      Pneumothorax

    • E. 

      Pneumocystis carinii pneumonia