Pulmonology Board Exam Started: Jul 13, 2026 08:53 Page 17 of 57 Attempt #2422 Overall: 0 / 285 questions answered Question 81 / 285 Not answered In an outpatient specialty clinic: a 81-year-old man is evaluated for fever with focal crackles in the context of tobacco exposure. Which is the most appropriate next investigation? A. CT pulmonary angiography B. Spirometry with bronchodilator response C. D-dimer in low-risk pathway D. Chest X-ray E. Arterial blood gas analysis Show Answer & Explanation Correct Answer: C Explanation: D-dimer in low-risk pathway is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Pulmonology. Reference: ATS/ERS Interstitial Lung Disease Guidance 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 82 / 285 Not answered A 6-year-old child presents with recurrent episodes of cough and wheeze especially at night. Which is the most appropriate long-term control medication? A. Short-acting beta-2 agonists B. Inhaled corticosteroids C. Long-acting beta-2 agonists D. Leukotriene antagonists E. Theophylline Show Answer & Explanation Correct Answer: B Explanation: Inhaled corticosteroids are the gold standard for long-term asthma control in children and reduce airway inflammation. Reference: GINA Guidelines 2023 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 83 / 285 Not answered During ward handover: a 79-year-old woman has tachycardia with pleuritic pain and hypoxemia with risk profile of recent viral illness. After initial stabilization and assessment, what is the most appropriate management step? A. Guideline-based empiric antibiotics when indicated B. Inhaled corticosteroid-containing regimen C. Urgent needle decompression when unstable D. Therapeutic anticoagulation for confirmed PE E. Smoking cessation intervention Show Answer & Explanation Correct Answer: E Explanation: Smoking cessation intervention is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Pulmonology. Reference: GINA Global Strategy for Asthma (2024) 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 84 / 285 Not answered A 70-year-old with COPD presents with fever cough and purulent sputum. Sputum culture grows Streptococcus pneumoniae. What is the most appropriate antibiotic? A. Ampicillin B. Azithromycin C. Ceftriaxone D. Metronidazole E. Ciprofloxacin Show Answer & Explanation Correct Answer: C Explanation: Ceftriaxone provides excellent coverage for S. pneumoniae and is suitable for community-acquired pneumonia in elderly patients. Reference: Infectious Disease Society Guidelines 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 85 / 285 Not answered At a preventive-care consultation: a 24-year-old woman has progressive exertional dyspnea with dry cough with risk profile of recent viral illness. After initial stabilization and assessment, what is the most appropriate management step? A. Smoking cessation intervention B. Therapeutic anticoagulation for confirmed PE C. Bronchodilator plus short steroid course D. Inhaled corticosteroid-containing regimen E. Guideline-based empiric antibiotics when indicated Show Answer & Explanation Correct Answer: E Explanation: Guideline-based empiric antibiotics when indicated is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Pulmonology. Reference: GOLD COPD Report (2024); Pulmonology topic-specific current guideline update 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 17 of 57 Next → »