08-05-2008, 06:42 AM
: A 45-year-old woman comes to your office with a three-month history of fatigue exertional dyspnea, and non-productive cough. She has also been having difficulty swallowing. Her only other medical problems are Raynaud™s phenomenon heartburn, and high blood pressure. On examination, diffuse thickening of the skin with telangiectasia is noted. Her current medications include amlodipine, enalapril, and ranitidine. What is the most probable pathologic mechanism of her pulmonary complaints? A. Pulmonary fibrosis
B. Pulmonary vascular lesions
C. Aspiration pneumonia
D. Bronchogenic carcinoma
E. Restriction of chest movement
B. Pulmonary vascular lesions
C. Aspiration pneumonia
D. Bronchogenic carcinoma
E. Restriction of chest movement