A woman is being seen at the clinic. Her clinic notes are missing and the only results available are lung function tests. Her date of birth is also missing from the report. FEV1 0.4 (1.2–2.9 predicted) Total lung capacity 7.3 (4.4–6.8 predicted) Corrected transfer factor 3.3 (4.2–8.8 predicted) Which disease can be suspected From these results?
A 64 year old woman with ankylosing spondylitis presents with cough, weight loss and tiredness. Her chest x-ray shows longstanding upper lobe fibrosis. Three sputum tests stain positive for acid fast bacilli (AFB) but are consistently negative for Mycobacterium tuberculosis on culture. Which of the following is the most likely causative agent?
A 20 year old woman presents to the hospital with sharp, left-sided chest pain and shortness of breath. On examination her pulse is 101 beats per minute and blood pressure is 124/61 mmHg. She is seen to be mildly breathless at rest but her oxygen saturation on air was 98%. CXR reveals a left pneumothorax with a 4 cm rim of air visible. Which management strategy is appropriate in this patient?
A 39 year old man was admitted with an exacerbation of asthma. He responded to treatment but the medical intern was concerned that Aspergillus fumigatus was cultured from his sputum. Subsequently arranged serum total, IgE level was elevated at 437 ng/ml (normal 40-180 ng/ml), RAST to Aspergillus fumigatus was class III, Aspergillus fumigatus precipitins were negative. What would be the most appropriate management step in this patient?
A 28 year old woman presents with lethargy, arthralgia and cough. Over the past three weeks she has also developed painful erythematous nodules on both shins. Respiratory examination is normal. A chest x-ray is performed which is reported as follows: Bilateral mediastinal nodal enlargement. No evidence of lung parenchymal disease. Normal cardiac size. Given the likely diagnosis, what would be the most appropriate course of action?
A 63 year old man with known allergic bronchopulmonary aspergillosis presents to the A&E Department with an exacerbation. Which therapy represents the most appropriate management?
A 66-year-old man with newly-diagnosed small cell carcinoma discusses his further treatment options with the team of doctors. Which statement is incorrect about small cell carcinoma?
A 23 year old female is admitted with acute severe asthma. Treatment is initiated with 100% oxygen, nebulised salbutamol and ipratropium bromide nebulisers and IV hydrocortisone. There is no improvement despite initial treatment. What is the next step in management?
A 57 year old homeless man presents with fever and a productive cough which has green sputum with streaks of blood. A chest x-ray reveals consolidation in the right upper lobe with evidence of cavitation. He is a known alcoholic. What is the most likely causative agent?
Which one of the following paraneoplastic features is less likely to be seen in patients with squamous cell lung cancer?