Audio Qbank – Q104 – A 59M with progressive shortness of breath

 

A 59-year-old man comes to the physician because of a one-month history of progressive shortness of breath with minimal activity. His vitals are: temperature 98.7F, RR 15, HR 78, BP 130/80. Physical examination shows clubbing. Spirometry shows a normal FEV1/FVC and decreased lung capacity. CXR shows a reticular pattern. Which of the following pathologic changes is most likely in this patient?

 

  Alveolar septum destruction
  Bronchiolar constriction
  Bronchiolar dysplasia
  Bronchiolar mucous secretion
  Interstitial fibrotic change

 

Cut-to-the-chase Answer (0:43):
HY USMLE Answer (3:38):