Audio Qbank – Q63 – A 74M with annular scarring on CXR

 

A 74-year-old man with alcoholism recently recovered from a pulmonary infection in which he was treated with clindamycin. Chest x-ray today shows a region of annular scarring in the right lower lobe. Vitals are: temperature 98.6F, HR 60, RR 12, BP 117/75. Damage to which of the following has most likely precluded restoration of this patient’s normal pulmonary tissue architecture?

  Basement membranes
  Capillary endothelial cells
  Clara cells
  Type I pneumocytes
  Type II pneumocytes

Cut-to-the-chase Answer (0:45):

HY USMLE Answer (6:37):