HY USMLE Q #867 – Pathology

A 29-year-old woman comes to the physician for a 5-month history of mild wheezes on expiration and occasional dry cough. She has no past medical history. Vitals are normal. Serum ALP, ALT, and AST are mildly elevated. Chest x-ray shows mediastinal nodularity.

Which of the following is most likely to be seen in this patient?

  Constriction of the terminal bronchioles
  Hyper-proliferation of plasma cells
  Increased hydroxylase activity
  Increased serum parathyroid hormone
  Increased Reid index