Audio Qbank – Q64 – A 62M with worsening productive cough

 

A 62-year-old woman comes to the GP because of a 2-year history of gradually worsening productive cough. Over-the-counter antitussive agents have not been effective. She has been smoking two packs of cigarettes daily for 40 years. Her vitals are: temperature 98.7F, HR 70, RR 16, BP 130/80. Chest auscultation demonstrates diffuse wheezing across both lung fields. Which of the following types of cells is most likely to be abnormal in this patient?

  Alveolar endothelial cells
  Alveolar macrophages
  Clara cells
  Pseudostratified columnar epithelial cells
  Type I pneumocytes
  Type II pneumocytes

Cut-to-the-chase Answer (0:49):

HY USMLE Answer (3:55):