QuestionSBA
QuestionChoice
This patient has drug-induced pulmonary fibrosis secondary to her extensive use of methotrexate for her rheumatoid arthritis, which has caused pneumonitis and subsequent pulmonary fibrosis.
10003531
a
Pulmonary fibrosis
QuestionChoice
Chronic obstructive pulmonary disease (COPD) is characterised by an obstructive picture on spirometry. This patient has an FEV1/FVC ratio of 0.88, which is indicative of a restrictive lung pathology.
10003532
b
Chronic obstructive pulmonary disease (COPD)
QuestionChoice
Asthma is a type of obstructive lung disease characterised by paroxysmal and reversible airway bronchoconstriction. This patient has an FEV1/FVC ratio of 0.88, indicative of restrictive lung pathology.
10003533
c
Asthma
QuestionChoice
Tuberculosis is transmitted via the inhalation of droplets infected with *Mycobacterium tuberculosis*. There are no risk factors here suggesting tuberculosis such as homelessness, immunosuppression or foreign travel. Furthermore, tuberculosis usually causes a productive and purulent cough, whereas this patient has a dry cough.
10003534
d
Tuberculosis
QuestionChoice
Bronchiectasis is the permanent dilation of the bronchi and bronchioles due to chronic infection. It usually causes a productive, purulent cough with lots of sputum. This patient has a dry cough. Finally, bronchiectasis is an obstructive lung disease. This patient has an FEV1/FVC ratio of 0.73, indicative of restrictive lung pathology.
10003535
e
Bronchiectasis
Concept
Chapter
2693
3693
Pulmonary Fibrosis
Topic
132
Respiratory
13253
A 59-year-old female presents to A&E with a 6-week history of shortness of breath and a dry cough which she noticed 1 month ago. She has a 40-pack-year smoking history and works as a comedian.

She has a history of rheumatoid arthritis which has improved with treatment. Her spirometry results are FEV1: 2.3 and FVC: 2.6. She also has a history of hypertension and hypercholesterolaemia.

What is the most likely diagnosis?
a