MRCP UK EXAMINATIONS

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ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
An autopsy of a patient, who had been working within 20 years the coal worker, revealed enlarged, slightly firm and hypoinflated lungs. At the gross investigation of the lungs sectional view multiple, round, grayish-black, diffuse nodules were discovered. Histological study showed nodules composed of concentric whorls of dense collagen fibers, some of them-with hyaline degeneration. What is the most likely disease?
A
Nodular form of silicosis
B
Miliary tuberculosis of lung
C
Bronchiectatic disease
D
Croupous pneumonia
Explanation: 

Detailed explanation-1: -Emphysema is a type of lung disease that causes breathlessness. Emphysema is usually caused by cigarette smoking. There is no cure, but the condition can be managed using medications and adjustments to lifestyle.

Detailed explanation-2: -The normal findings on the chest percussion are: Resonant percussion note: heard over a normal air-filled lung. Dull percussion note (the sound heard over solid tissues): over the liver in the right lower anterior chest and over the heart in the left anterior chest.

Detailed explanation-3: -Mucus thinners, such as mucolytics, are inhaled medications that help thin the mucus in the airways so you can cough it out of your lungs more easily. The three main types of mucus thinners are hypertonic saline, mannitol (Bronchitol®), and dornase alfa (Pulmozyme®).

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