Audio Qbank – Q77 – A 44M with Hodgkin disease

A 44-year-old man with a history of Hodgkin disease treated with radiation presents to the GP for a six-month history of progressively worsening shortness of breath. Spirometry is performed and shows a greater than predicted maximal expiratory flow. Which of the following best explains these findings?

  Greater alveolar collapse due to fibrosis
  Hyperinflation of the pulmonary parenchyma

  Radial traction on the airways
  Vasodilation secondary to hypercapnia
  Vasodilation secondary to hypoxia

Cut-to-the-chase Answer (0:43):

HY USMLE Answer (3:51):