Respiratory Quiz #23, Pneumoconioses and Mesothelioma  

1. A 72-year-old male presents with progressive dyspnea and a productive cough. He has a history of working in shipbuilding for over 30 years. Chest X-ray reveals pleural thickening and calcified plaques on the diaphragm. His lung function tests show a restrictive pattern. Which of the following conditions is most likely responsible for his clinical presentation?

Question 1 of 5

2. A 58-year-old male, who worked for 20 years in a coal mine, presents with a cough and shortness of breath. A chest X-ray shows small, rounded opacities predominantly in the upper lobes. Pulmonary function tests reveal a mixed obstructive and restrictive pattern. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 64-year-old male presents with chest pain, dyspnea, and weight loss. He has a history of working in construction and demolition of old buildings. Chest CT scan shows a unilateral pleural effusion and pleural thickening that encases the lung. Biopsy of the pleura reveals malignant cells. Which of the following is the most likely diagnosis? 

Question 3 of 5

4. A 49-year-old male presents with progressive shortness of breath. He has a history of working in the sandblasting industry. Chest X-ray shows large opacities in the upper lobes, and pulmonary function tests reveal a restrictive pattern. Which of the following materials he was exposed to is most likely responsible for his condition? 

Question 4 of 5

5. A 55-year-old male, who worked as an aerospace engineer, presents with dyspnea on exertion and a dry cough. Chest imaging reveals diffuse infiltrates, and lung biopsy shows non-caseating granulomas. Pulmonary function tests indicate a restrictive lung disease. Which of the following exposures is most likely responsible for his condition? 

Question 5 of 5


 

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