MK

Internal medicine 5th year

1. First stage of sarcoidosis according to CXR is characterized by:

a/ no abnormal findings in CRX

b/ bihilar and mediastinal lymphadenopathy, reticulonodular infiltrates

c / bilateral pulmonary infiltrates

d/ bihilar and mediastinal lymphadenopathy

e/ all answers correct

Correct answer : d

Source: Harrison's Principles of Internal Medicine, 17th Edition, chapter 322, pp.2136-2137

MK

2. Löfgren syndrome, a type of acute sarcoidosis, is characterized by:

a/ fever and tender red nodules (erythema nodosum)

b/ erythema nodosum and joint pains

c/ fever, arthritis, erythema nodosum, bihilar lymphadenopathy in CXR

d/ fever and bihilar lymphadenopathy in CXR

e/ arthritis and bihilar lymphadenopathy in CXR

Correct answer : c

Source: Harrison's Principles of Internal Medicine, 17th Edition, chapter 322, pp.2136

3. Acute extrinsic allergic alveolitis (hypersensitivity pneumonitis) is characterized by:

a/ dry cough, dyspnoea, fever, arthritis, chest tightness, flu-like illness

b/ tachypnoe, tachycardia and wet rales

c/ pulmonary symptoms withdraw within days or weeks without any special treatment

d/ all above answers are incorrect

e/All answers are correct

Correct answer : e

Source: Harrison's Principles of Internal Medicine, 17th Edition, chapter 249, pp. 1607-1608

4. Increased lymphocytes in BALF (up to 40%) and shift in CD4+/CD8+ ( > 3,5) is present in:

a/ extrinsic allergic alveolitis

b/ sarcoidosis

c/ idiopathic interstitial pneumonia

d/ chronic obstructive pulmonary disease

e/ pulmonary tuberculosis

Correct answer: b

Source: Harrison's Principles of Internal Medicine, 17th Edition, pp. e298

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