COPD USMLE Step 1 Practice Question
A 39-year-old man with severe asthma presents with fever (38.5°C), sinus pain, and hemoptysis. Vital signs show BP 128/82 mmHg, HR 102/min, RR 22/min, SpO2 94% on room air. He reports neuropathic tingling in his feet. Laboratory studies reveal marked eosinophilia (8,500/μL) and elevated IgE levels. Chest X-ray shows pulmonary infiltrates. He denies recent infections or travel. Which of the following is the most likely diagnosis?
Answer choices
- AMicroscopic polyangiitis
- BPulmonary alveolar proteinosis
- CEosinophilic granulomatosis with polyangiitisCorrect answer
- DGoodpasture syndrome
- EIdiopathic pulmonary fibrosis
- FChronic eosinophilic pneumonia
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