Kindle book: Systemic pathology questions

The 205 questions about cardiovascular pathology, hematopathology, and lung pathology, which have been previously published on this blog and on www.pathologyreviewforStep1.com, have been combined into one book, randomized within those three headings, and published on Amazon.

The book costs $0.99, however, from 02/24/2020 to 02/28/2020, the book will be available for free download. The book can be found at the below link.

https://www.amazon.com/Pathology-Review-Questions-Question-Systemic-ebook/dp/B084TWG86L/ref=sr_1_2?keywords=kemp%2C+pathology&qid=1581988430&sr=8-2

Questions 175-179: Lung pathology

Question 175

A 54-year-old male with a 5 year history of increasing shortness of breath presents to his family physician at his wife’s insistence for further testing. He has a 50 pack-year smoking history. Physical examination reveals a barrel chest, and auscultation of his chest reveals decreased breath sounds and occasional wheezes, but no crackles. A chest x-ray reveals a flattened diaphragm and increase lucency of the lung fields. Which of the following mechanisms played the greatest role in the primary development of his disease process?

A. Protease-anti-protease imbalance
B. Recurrent infections
C. Airway hypersensitivity to nicotine
D. Allergen enhancement of tissue fibrosis
E. Neoplastic infiltration of pulmonary parenchyma

Question 176

A 35-year-old male with a 2 year history of increasing shortness of breath presents to his family physician for evaluation. He has a 15 pack-year smoking history. Auscultation of his chest reveals decreased breath sounds and occasional crackles. Pulmonary function testing reveals a decreased FEV1/FVC ratio. Of the following, which set of parameters best describes his disease process involvement of the lungs?

Question 177

A 32-year-old male with a 1 year history of increasing shortness of breath presents to his family physician for evaluation. He has a 10 pack-year smoking history. Auscultation of his chest reveals decreased breath sounds and occasional crackles. Pulmonary function testing reveals a decreased FEV1/FVC ratio. Of the following conditions, which is this patient at greatest risk for?

A. Early-onset degenerative aortic stenosis
B. Amyloidosis of the heart
C. Adenocarcinoma of the gallbladder
D. Hepatocellular carcinoma
E. Glioblastoma multiforme

Question 178

A 19-year-old female college student is being seen in the emergency room for an episode of severe dyspnea. In the last 5 years, she has had to go to the emergency room 4 times for a similar episode. Vital signs include blood pressure of 123/80 mmHg, heart rate of 112 bpm, and respiratory rate of 30 bpm. During inspiration, her systolic blood pressure decreases by 15 mmHg. Physical examination reveals her to be in acute distress. Auscultation of the chest reveals wheezes. The underlying mechanism of her disease process is which of the following?

A. Type I hypersensitivity reaction
B. Type II hypersensitivity reaction
C. Type III hypersensitivity reaction
D. Type IV hypersensitivity reaction

Question 179

A 13-year-old female is brought to the emergency room by her parents as she has developed severe dyspnea, and they can see her using the muscles in her neck to help her breath. Her mother has a history of developing a rash after working outside on occasions. Her vital signs include blood pressure of 119/78 mmHg, heart rate of 115 bpm, and respiratory rate of 32 bpm. During inspiration, her systolic blood pressure decreases by 16 mmHg. Physical examination reveals her to be in acute distress. Auscultation of the chest reveals wheezes. Of the following, which histologic change is most likely present in the lungs?

A. Loss of pulmonary parenchyma
B. Numerous granulomas
C. Infiltrates of neutrophils
D. Infiltrates of plasma cells
E. Infiltrates of eosinophils