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General Medicine · Respiratory medicine
Sample itemWhat is a common manifestation of chronic obstructive pulmonary disease?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Progressive exertional dyspnea
The core Respiratory medicine principle makes Progressive exertional dyspnea the best answer because it directly explains the stated presentation, investigation, or immediate management priority.
Option by option
A. Acute visual loss
Acute visual loss does not fit the requested respiratory medicine conclusion.
B. Progressive exertional dyspnea (correct)
Correct. Progressive exertional dyspnea follows from the crucial clinical clue in the stem.
C. Hematochezia
Hematochezia does not address the underlying finding or indicated action.
D. Neck stiffness only
Neck stiffness only may be relevant in another clinical setting but is not best here.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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