ayeshah_l
Forum Elite
Topics: 29
Posts: 284
|
A 3-year-old boy presents to the emergency room with a history of recurrent cough. A review of his previous records reveals recurrent episodes of right lower lobe pneumonia. An x-ray chest in the current admission also confirms a right lower lobe pneumonia. He has no other major health issues. What is the most likely diagnosis?
1) cystic fibrosis
2) congenital lung abnormality
3) chronic granulomatous disease
4) asthma
5) bronchiectasis of the lingula
|
| mash
Forum Fanatic
Topics: 147
Posts: 1,326
|
5
___________________
I hear and I forget. I see and I remember. I do and I understand.
--Confucius
|
| Hamidi
Forum Guru
Topics: 46
Posts: 471
|
Hey mash,Isn't lingula on the left lung?
Why not 1? but then there r no other symptoms like for malabsorption :icon_scratch: If not 1 then2(congenital defeact)cz it is happening on the same side again and again.I think I'll go for 2.
U can tell I don't have any clue :wink: wats the ans Ayeshah? 
|
| ayeshah_l
Forum Elite
Topics: 29
Posts: 284
|
u know what hamidi? there shouldn't be any doubt in ur mind regarding ur readiness for step 2 !!!!! The way u solved this question.... u have got it gal!!!! :icon_thumb: u have developed the thinking process necessary to clear this exam. So stay put, stay focused, solve as many Q's as u can and don't ever doubt ur ability to ace this exam!!!!
Good luck studying
PS: by the way correct answer is 2, reason as per hamidi!
|
| Hamidi
Forum Guru
Topics: 46
Posts: 471
|
Oh Ayeshah u made my day.Thanks for the nice comment :oops: :roll: :wink:
|
| mash
Forum Fanatic
Topics: 147
Posts: 1,326
|
:oops:
___________________
I hear and I forget. I see and I remember. I do and I understand.
--Confucius
|
| ayeshah_l
Forum Elite
Topics: 29
Posts: 284
|
"Recurrent pneumonia in a young child, when consistently localized to the same lung segment, should raise the suspicion of an underlying congenital or acquired disease. Pneumonia can be caused by an external compression of a bronchus by tuberculous or fungal lymphadenopathy, tumours or vascular rings. It can also result from obstruction by intraluminal lesions, such as a bronchial tumour or foreign body. Other conditions that may present as segmental pneumonia include localized bronchiectasis, congenital cystic adenomatoid malformations and related cystic lung pathology, such as an intralobar pulmonary sequestration. However, most of these lesions are detected through prenatal ultrasound screening programs."
|
| drshabs
Forum Elite
Topics: 61
Posts: 205
|
can u plz tell q source?
|
| ayeshah_l
Forum Elite
Topics: 29
Posts: 284
|
i got the q from the medical counsil of canada website!
|
|
| |
| | | | | | | | | |
