Asthma USMLE Step 1 Practice Question
A 56-year-old man with 25 years of sandblasting exposure presents with progressive dyspnea, cough, and chest tightness. Vital signs: BP 138/82, HR 92, RR 22, SpO2 88% on room air. Chest X-ray demonstrates upper lobe nodular opacities with eggshell calcification of hilar lymph nodes. Serum calcium is 10.8 mg/dL. He denies hemoptysis. He takes no respiratory medications. Which occupational exposure-related condition does he have, and what additional risk is most strongly associated?
Answer choices
- AGoodpasture syndrome
- BPulmonary alveolar proteinosis
- CTuberculosis reactivationCorrect answer
- DMesothelioma
- EBronchogenic adenocarcinoma from scar tissue
- FSilicosis with fungal superinfection
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