Pulmonology Board Exam Started: Jul 13, 2026 04:08 Page 12 of 57 Attempt #1887 Overall: 0 / 285 questions answered Question 56 / 285 Not answered A 28-year-old has spontaneous unilateral pleuritic pain and absent breath sounds with hyperresonance. What is the likely diagnosis? A. Pleural effusion B. Pulmonary fibrosis C. Lobar pneumonia D. Obesity hypoventilation E. Pneumothorax Show Answer & Explanation Correct Answer: E Explanation: [Pulmonology] Acute pleuritic pain with unilateral absent breath sounds and hyperresonance suggests pneumothorax. Reference: British Thoracic Society Pleural Disease 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 57 / 285 Not answered 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. Acute COPD exacerbation where bronchodilators and selected antibiotics/steroids may be needed E. Tuberculosis proven Show Answer & Explanation Correct Answer: D 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 58 / 285 Not answered 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. Clinical pretest probability such as Wells score D. Sputum culture only E. Skin prick test Show Answer & Explanation Correct Answer: C 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 59 / 285 Not answered 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. COPD C. Asthma excluded by smoking alone D. Pulmonary edema E. Normal spirometry Show Answer & Explanation Correct Answer: B 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 60 / 285 Not answered A 24-year-old woman has episodic wheeze, cough at night, and reversible airflow obstruction after salbutamol. What is the best diagnosis? A. Asthma B. COPD C. Bronchiectasis D. Pulmonary embolism E. Pneumothorax Show Answer & Explanation Correct Answer: A 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 Cancel « ← Previous Page 12 of 57 Next → »