The previous question:

A patient with asthma presents with a productive cough and breathlessness. A Chest X-ray reveals loss of volume in
the left hemithorax and there appears to be an opacity behind the heart shadow and the left hemidiaphragm is
obscured. Which of the following is the most likely cause?
Your answer was Pneumonia which is incorrect
Mucous plugging correct answer
Pneumonia
Pleural effusion
Pulmonary Embolus
Normal variant
Explanation:
The findings on CXR are indicative of a left lower collapse. In asthma there is excessive mucous production
which can lead to obstruction and lobar collapse. In pneumonia you would expect to see an area of
consolidation. The Xray findings are not inkeeping with a pleural effusion of pulmonary embolus.
Question category: Respiratory
Change question category Past Papers Progress Page (/progress)
Tweet Recommend 551 Send
Free MRCP Revision
(http://widgets.amazon.co.uk//Amazon-My-Favorites-Widget/)
(http://www.amazon.co.uk/PACES-
MRCP-Clinical-Cases-
Guides/dp/0443103704/ref=as_li_tf_mfw?
&linkCode=wey&tag=re0a8-21)
PACES for the MRCP: with 250 Clinical Cases, 2e (
(http://www.amazon.co.uk/PACES-MRCP-Clinical-
Cases-Guides/dp/0443103704/ref=as_li_tf_mfw?
&linkCode=wey&tag=re0a8-21)
Tim Hall MB ChB FRCP MRCGP DipClinEd FHEA (Paper
(http://www.amazon.co.uk/PA CES-MRCP-Clinical-Cases-
Guides/dp/0443103704/ref=as_li_tf_mfw?
&linkCode=wey&tag=re0a8-21)
18.00
(http://www.amazon.co.uk/product-
(http://www.amazon.co.uk/Clinical-
Medicine-Oxford-Specialty-
Training/dp/0199578680/ref=as_li_tf_mfw?
&linkCode=wey&tag=re0a8-21)
Clinical Medicine for the MRCP PACES Pack (Oxfor
(http://www.amazon.co.uk/Clinical-Medicine-Oxford-
Specialty-Training/dp/0199578680/ref=as_li_tf_mfw?
&linkCode=wey&tag=re0a8-21)
Gautam Mehta, Bilal I qbal, Deborah Bowman (Paperback
(http://www.amazon.co.uk/Clinical-Medicine-Oxford-Specialty-
Training/dp/0199578680/ref=as_li_tf_mfw?
&linkCode=wey&tag=re0a8-21)
46.74
(http://www.amazon.co.uk/product-
Privacy (http://rcm-eu.amazon-adsystem.com/e/cm/privacy-policy.html/ref=as_li_tf_mfw?o=2&linkCode=wey&tag=re0a8-
21)
(http://www.amazon.co.uk/ref=as_li_tf_mfw?&linkCode=wey&tag=re0a8-21)
Sign up for free to track your progress Learn more (/signup)
A 56 year old gentleman has just been diagnosed with a Pancoast's tumour.
He is complaining of weakness and numbness in his right arm. His shoulder is
painful and this is radiating down his arm and on examination there is muscle
wasting in his hand and loss of sensation in an ulnar distribution. A recent CT
had showed evidence of lymphadenopathy near to the location of the tumour
but no mediastinal lymphadenopathy and there was no evidence of peripheral
metastases. His bloods revealed hypercalcaemia. There was no evidence of
any bony lytic lesions.His FEV1 was 65% of his predicted.
Hypercalcaemia
Signs and symptoms in the arm
Lymph node involvement
FEV1
Metastases
Check
Please log in to record your progress.
Email

Password

login
Recommend textbooks
About (/about) Contact (/contact-us) Copyright 2013 (/terms)