Pulmonology Board Exam Started: Jul 12, 2026 23:39 Page 5 of 57 Attempt #1349 Overall: 0 / 285 questions answered Question 21 / 285 Not answered At a preventive-care consultation: 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 22 / 285 Not answered At a preventive-care consultation: 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 23 / 285 Not answered In a rural clinic with limited resources: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 472) 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 24 / 285 Not answered In a rural clinic with limited resources: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? (Variant 473) A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Aspirin desensitization if benefits outweigh risks D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: C Explanation: [Pulmonology] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. 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 25 / 285 Not answered In a rural clinic with limited resources: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 474) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Pneumonia excluded D. Life-threatening asthma requiring urgent escalation E. No oxygen required Show Answer & Explanation Correct Answer: D Explanation: [Pulmonology] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. 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 5 of 57 Next → »