Pulmonology Board Exam Started: Jul 13, 2026 09:50 Page 18 of 57 Attempt #2520 Overall: 0 / 285 questions answered Question 86 / 285 Not answered A 65-year-old smoker with COPD and FEV1 35% of predicted. Most appropriate therapy: A. Smoking cessation counseling only B. Long-acting bronchodilators C. Short-acting bronchodilators on demand D. Oral corticosteroids chronically E. Lung transplant only Show Answer & Explanation Correct Answer: B Explanation: Long-acting bronchodilators are the backbone of COPD maintenance therapy and improve symptoms and outcomes. Reference: GOLD 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 87 / 285 Not answered A 50-year-old with acute dyspnea has high D-dimer and PE on CT pulmonary angiography. Most appropriate therapy: A. Observation B. Anticoagulation or thrombolysis depending on severity C. Antibiotics D. Bed rest only E. Diuretics Show Answer & Explanation Correct Answer: B Explanation: Anticoagulation is standard therapy; thrombolysis is considered for massive PE with hemodynamic compromise. Reference: American College of Chest Physicians 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 88 / 285 Not answered In an emergency department assessment: a 71-year-old woman presents with episodic wheeze and nocturnal cough. Relevant risk context includes recent viral illness. What is the most likely diagnosis? A. Community-acquired pneumonia B. Pulmonary embolism C. COPD exacerbation D. Idiopathic pulmonary fibrosis E. Acute asthma exacerbation Show Answer & Explanation Correct Answer: D Explanation: The pattern of episodic wheeze and nocturnal cough with risk factors such as recent viral illness is most consistent with Idiopathic pulmonary fibrosis. This answer best matches the expected diagnostic framework for 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 89 / 285 Not answered A 55-year-old with progressive dyspnea has reticular infiltrates on chest X-ray and reduced DLCO. Diagnosis is confirmed as usual interstitial pneumonia. Most appropriate therapy: A. No treatment needed B. Corticosteroids and immunosuppression C. Antibiotics D. Bronchodilators E. Oxygen when hypoxic Show Answer & Explanation Correct Answer: B Explanation: Corticosteroids and immunosuppressive agents may slow progression in some forms of ILD. Reference: American Thoracic Society 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 90 / 285 Not answered During ward handover: a 76-year-old man presents with fever with focal crackles. Relevant risk context includes recent viral illness. What is the most likely diagnosis? A. COPD exacerbation B. Acute asthma exacerbation C. Idiopathic pulmonary fibrosis D. Primary spontaneous pneumothorax E. Community-acquired pneumonia Show Answer & Explanation Correct Answer: A Explanation: The pattern of fever with focal crackles with risk factors such as recent viral illness is most consistent with COPD exacerbation. This answer best matches the expected diagnostic framework for 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 Cancel « ← Previous Page 18 of 57 Next → »