Restrictive Lung Disease USMLE Step 1 Practice Question
A 72-year-old man presents with progressive exertional dyspnea. He worked for 30 years installing insulation in shipyards. Vital signs: BP 138/82, HR 98, RR 22, SpO2 88% on room air. Chest X-ray reveals lower lobe interstitial fibrosis with bilateral calcified pleural plaques. Pulmonary function tests show FVC 62% predicted. He denies hemoptysis. He takes lisinopril for hypertension. Which of the following is the most likely diagnosis?
Answer choices
- AIdiopathic pulmonary fibrosis
- BAsbestosisCorrect answer
- CCoal workers pneumoconiosis
- DMesothelioma
- ESilicosis
- FTalcosis
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