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  #1  
Old 01-24-2013
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Arrow Billy Step 1 Questions # 103

A 60-year-old white man presents to his physician with a productive cough of a few months duration. The patient reports having three of these episodes over the past 2 years, with each episode lasting 4 months. On physical examination the patient is cyanotic, wheezing, and has crackles in the lungs upon auscultation. Lung biopsy reveals hypertrophy of mucussecreting glands in the bronchioles, with a Reid index >50%. Which of the following is associated with the most likely diagnosis?


(A) Air pollution
(B) Alcohol intake
(C) Cold climate
(D) Hypertension
(E) Intravenous drug abuse
(F) Seasonal allergies
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  #2  
Old 01-24-2013
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A. air pollution..
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Old 01-24-2013
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Quote:
Originally Posted by billy View Post
A 60-year-old white man presents to his physician with a productive cough of a few months duration. The patient reports having three of these episodes over the past 2 years, with each episode lasting 4 months. On physical examination the patient is cyanotic, wheezing, and has crackles in the lungs upon auscultation. Lung biopsy reveals hypertrophy of mucussecreting glands in the bronchioles, with a Reid index >50%. Which of the following is associated with the most likely diagnosis?


(A) Air pollution
(B) Alcohol intake
(C) Cold climate
(D) Hypertension
(E) Intravenous drug abuse
(F) Seasonal allergies
Air pollution
diagnosis- chr bronchitis
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  #4  
Old 01-25-2013
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Default A

A) Air pollution
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Old 01-25-2013
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Quote:
Originally Posted by billy View Post
A 60-year-old white man presents to his physician with a productive cough of a few months duration. The patient reports having three of these episodes over the past 2 years, with each episode lasting 4 months. On physical examination the patient is cyanotic, wheezing, and has crackles in the lungs upon auscultation. Lung biopsy reveals hypertrophy of mucussecreting glands in the bronchioles, with a Reid index >50%. Which of the following is associated with the most likely diagnosis?


(A) Air pollution
(B) Alcohol intake
(C) Cold climate
(D) Hypertension
(E) Intravenous drug abuse
(F) Seasonal allergies

I know it's chronic Bronchitis. Etiology of this are: smoking, air pollution, and infection.
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Old 01-26-2013
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Correct Answer A is correct

Although cigarette smoking is the most common cause of chronic bronchitis, air pollution is also associated with this diagnosis.
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