Pulmonology Board Exam Started: Jul 13, 2026 02:23 Page 10 of 57 Attempt #1650 Overall: 0 / 285 questions answered Question 46 / 285 Not answered During an emergency department assessment: A 70-year-old man with COPD has increased dyspnea, sputum volume, and sputum purulence. What does this suggest? A. Stable COPD only B. Acute asthma excluded by age C. Lung cancer diagnosis without imaging D. Tuberculosis proven E. Acute COPD exacerbation where bronchodilators and selected antibiotics/steroids may be needed Show Answer & Explanation Correct Answer: E Explanation: [Pulmonology] The cardinal symptoms of COPD exacerbation include increased dyspnea, sputum volume, and purulence; treatment depends on severity. Reference: GOLD COPD Report 2026. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 47 / 285 Not answered During an emergency department assessment: A 33-year-old woman has sudden pleuritic chest pain, dyspnea, tachycardia, and recent long-haul flight. What is the best initial risk assessment tool? A. Serum calcium only B. Peak flow diary C. Sputum culture only D. Clinical pretest probability such as Wells score E. Skin prick test Show Answer & Explanation Correct Answer: D Explanation: [Pulmonology] Suspected pulmonary embolism should be assessed using clinical pretest probability to guide D-dimer and imaging. Reference: ESC Pulmonary Embolism Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 48 / 285 Not answered During an emergency department assessment: A 67-year-old heavy smoker has chronic dyspnea and post-bronchodilator FEV1/FVC 0.62. What is the diagnosis? A. Restrictive lung disease B. Asthma excluded by smoking alone C. COPD D. Pulmonary edema E. Normal spirometry Show Answer & Explanation Correct Answer: C Explanation: [Pulmonology] Persistent post-bronchodilator airflow obstruction confirms COPD in an appropriate exposure history. Reference: GOLD COPD Report 2026. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 49 / 285 Not answered During an emergency department assessment: A 24-year-old woman has episodic wheeze, cough at night, and reversible airflow obstruction after salbutamol. What is the best diagnosis? A. COPD B. Asthma C. Bronchiectasis D. Pulmonary embolism E. Pneumothorax Show Answer & Explanation Correct Answer: B Explanation: [Pulmonology] Variable respiratory symptoms plus reversible expiratory airflow limitation support asthma. Reference: GINA Global Strategy for Asthma Management and Prevention 2025/2026. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 50 / 285 Not answered A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 411) A. Second-generation H1 antihistamine B. IM epinephrine for every isolated wheal C. Long-term oral steroid for all D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: A Explanation: [Pulmonology] Acute urticaria without anaphylaxis is treated with non-sedating H1 antihistamines. Reference: EAACI/GA2LEN/EuroGuiDerm/APAAACI Urticaria Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 10 of 57 Next → »