EXAM 1 QUESTIONS AND VERIFIED
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Assessment and Diagnosis of ILD - ✔✔✔ Correct Answer > Assessment
of ILD
Subjective and objective findings in patients with ILD include:
-Shortness of breath
-Non-productive cough
-Hypoxia
-Fine crackles, especially during exertion
ILD should be considered in any patient presenting with subacute or
chronic, progressive shortness of breath and/or a non-productive
cough, especially if they have a history of:
-Occupational or animal exposure, excluding dogs and cats
-Connective tissue disease
-Chest irradiation
,-Taking amiodarone, nitrofurantoin, or methotrexate
Assessment and Diagnosis of ILD - ✔✔✔ Correct Answer > Diagnosis of
ILD
Diagnosis of ILD is made based on exposure history which includes the
patient's current and past occupations as well as hobbies. Ask about
exposure to animals, especially birds; medication history, including the
use of illicit drugs (methamphetamines, marijuana, smoking crack
cocaine and ask about any prior radiation treatment. A chest-x-ray will
reveal a honey-comb pattern.
There are 4 key tests to definitively diagnose ILD:
1. High resolution chest computed tomography
2. Pulmonary function tests (normal or slightly low FEV1, low FVC,
normal or elevated FEV1/FVC ratio and reduced lung volumes); these
values represent restrictive lung disease
3. Bronchoalveolar lavage
4. Lung biopsy
Choose the drugs that are commonly associated with development of a
medication-induced interstitial lung disease (ILD): - ✔✔✔ Correct
Answer > Drugs that are commonly associated with development of a
medication-induced interstitial lung disease (ILD):
Methotrexate
Amiodarone
,Nitrofurantoin
This statement is true. Interstitial lung disease refers to any disease
affecting the pulmonary interstitium and typically excludes infectious
and neoplastic diseases. - ✔✔✔ Correct Answer > Interstitial lung
disease refers to any disease affecting the pulmonary interstitium and
typically excludes infectious and neoplastic diseases
False
ILD does not include infectious and neoplastic lung etiologies. - ✔✔✔
Correct Answer > Interstitial lung disease (ILD) includes infectious and
neoplastic lung diseases.
Choose the types of interstitial lung diseases (ILD) that are commonly
associated with smoking: - ✔✔✔ Correct Answer > Associated with
smoking:
Respiratory bronchiolitis-interstitial lung disease
Desquamative interstitial pneumonia
Pulmonary Langerhans cell histiocytosis
False
Fine crackles are noted instead of rhonchi. - ✔✔✔ Correct Answer > A
subjective finding in interstitial lung disease is rhonchi in the upper
posterior airways.
, This statement is true. The symptoms that are common to all types of
interstitial lung disease are shortness of breath and non-productive
cough. - ✔✔✔ Correct Answer > The symptoms that are common to all
types of interstitial lung disease are shortness of breath and non-
productive cough.
This statement is true. The four key diagnostic tests for interstitial lung
disease are pulmonary function tests, high resolution CT scan,
bronchoalveolar lavage and lung biopsy. - ✔✔✔ Correct Answer > The
four key diagnostic tests for interstitial lung disease are pulmonary
function tests, high resolution CT scan, bronchoalveolar lavage and lung
biopsy.
The most diagnosed interstitial lung diseases are:
Radiation pneumonitis
Pneumoconioses
Hypersensitivity Pneumonitis - ✔✔✔ Correct Answer > Choose the
interstitial lung diseases that are the most diagnosed:
This statement is false. Non-productive would be true. - ✔✔✔ Correct
Answer > An objective finding in a patient with ILD include productive
cough.
This statement is true. The honey-comb pattern is found on chest x-ray
of individuals with ILD. - ✔✔✔ Correct Answer > The characteristic