Most patients who inhale H. capsulatum spores will develop an acute flu-like syndrome of cough, dyspnea, and fever.
Chronic cavitary lesions are the most common long-term complication of coccidioidomycosis.
Fungal involvement of the ribs strongly suggests histoplasmosis.
Cryptococcal meningitis occurs in up to 50% of patients after resection of a pulmonary lesion.
Less than 10% of patients with aspergilloma will develop hemoptysis.
Question 2: Which of the following statements is true regarding miscellaneous infections of the lung?
Thoracic infection by A. israelii is its most common manifestation and is treated with prolonged sulfadiazine or sulfisoxasolem therapy.
N. asteroides is a common inhabitant of the tracheobronchial tree in normal individuals.
Culture of C. albicans from the lung should be considered a contaminant.
P. carinii pneumonitis is an activation of latent infection in an immunocompromised host.
Pulmonary echinococcal cysts can be safely drained percutaneously under CT guidance.
Question 3: Which of the following statements is true regarding pulmonary tuberculosis?
Rasmussen's aneurysm is found in about 5% of patients with advanced disease.
Up to 25% of patients infected with M. tuberculosis will develop clinical disease.
Optic neuritis is a complication of long-term isoniazid therapy.
Drug resistance rates range from 2 to 4% and are currently relatively stable.
Surgical intervention should be undertaken within 2 weeks of diagnosis.
Question 4: Which of the following statements is true regarding operative management of pulmonary tuberculosis?
A mass lesion in the area involved by tuberculosis is a contraindication to surgery.
Massive hemoptysis can usually be controlled conservatively with sedation and control of blood pressure.
A mixed tuberculous and pyogenic empyema can usually be successfully treated with tube thoracostomy.
Generous wedge resection is usually adequate in patients with active disease.
Empyema after resection is more common in patients with positive sputum at the time of surgery.
Question 1 Question 2 Question 3 Question 4 Question 1 Question 2 Question 3 Question 4