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General Medicine · Respiratory medicine: bronchiectasis
Sample itemA patient has chronic daily productive cough with large volumes of purulent sputum, recurrent infections, and coarse crackles. What structural lung disease is likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Bronchiectasis
Bronchiectasis is irreversible dilatation of bronchi from recurrent infection and inflammation, leading to chronic sputum production and exacerbations. CT is used to confirm the diagnosis.
Option by option
A. Bronchiectasis (correct)
Correct. Chronic purulent sputum and recurrent infection are typical bronchiectasis features.
B. Pneumothorax
Pneumothorax causes acute pleuritic symptoms and reduced air entry.
C. Pulmonary edema
Pulmonary edema produces crackles but not chronic purulent sputum.
D. Pulmonary fibrosis
Fibrosis causes dry cough and fine crackles.
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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