Audio Qbank – Q81 – A 22M with dry cough for a few years

A 22-year-old man has had two episodes of bacterial pneumonia and sinusitis since middle school. He went camping last year at his friend’s lake house and had floaty stools which were managed successfully with metronidazole. He complains of a dry cough the past few years, notably in the winter. Which of the following best explains his pulmonary findings?

 

  Decrease in musculature of the airways
  Gastroesophageal reflux disease
  Helminth infection
  Increased activation of mast cells
  Non-caseating granulomatous inflammation

 

Cut-to-the-chase Answer (0:51):
HY USMLE Answer (5:21):