Pulmonology Board Exam Started: Jul 12, 2026 23:35 Page 7 of 57 Attempt #1299 Overall: 0 / 285 questions answered Question 31 / 285 Not answered In a rural clinic with limited resources: A 28-year-old has spontaneous unilateral pleuritic pain and absent breath sounds with hyperresonance. What is the likely diagnosis? A. Pneumothorax B. Pleural effusion C. Pulmonary fibrosis D. Lobar pneumonia E. Obesity hypoventilation Show Answer & Explanation Correct Answer: A 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 32 / 285 Not answered In a rural clinic with limited resources: 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 33 / 285 Not answered In a rural clinic with limited resources: 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 34 / 285 Not answered At a preventive-care consultation: 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 35 / 285 Not answered At a preventive-care consultation: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 461) A. Intramuscular injection into the mid-anterolateral thigh B. Subcutaneous injection into forearm C. Oral tablet D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: A Explanation: [Pulmonology] IM epinephrine into the mid-anterolateral thigh is first-line for anaphylaxis. Reference: World Allergy Organization Anaphylaxis Guidance. 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 7 of 57 Next → »