Pulmonology Board Exam Started: Jul 13, 2026 01:34 Page 9 of 57 Attempt #1537 Overall: 0 / 285 questions answered Question 41 / 285 Not answered In a rural clinic with limited resources: 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 42 / 285 Not answered During morning rounds: 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. Skin prick test E. Clinical pretest probability such as Wells score Show Answer & Explanation Correct Answer: E 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 43 / 285 Not answered At a preventive-care consultation: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 466) 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 Question 44 / 285 Not answered During an emergency department assessment: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 417) A. Subcutaneous injection into forearm B. Intramuscular injection into the mid-anterolateral thigh C. Oral tablet D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: B 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 Question 45 / 285 Not answered During an emergency department assessment: 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 Cancel « ← Previous Page 9 of 57 Next → »