Audio Qbank – Q69 – A 43F with shortness of breath

 

A 43-year-old woman presents to the GP with a three-month history of shortness of breath. Examination shows ulnar deviation of the left wrist and Boutonniere and Swan-neck deformities. Her condition is managed by a rheumatologist with ibuprofen, prednisone, methotrexate, and etanercept. Which of the following might be expected in this patient?

  Decreased serum bicarbonate
  Increased DLCO
  Kerley B lines

  Normal FEV1/FVC
  Paradoxical splitting of S2

Cut-to-the-chase Answer (0:29):

HY USMLE Answer (4:03):