QuestionSBA
QuestionChoice
This is a type 3 and type 4 immune-mediated hypersensitivity reaction and is a form of pulmonary fibrosis. Clubbing of the fingers is commonly seen in pulmonary fibrosis. The answer is specifically hypersensitivity pneumonitis as this patient has a pet bird, from which antigens can be inhaled in the air from their faeces.
10000001
a
Hypersensitivity Pneumonitis
QuestionChoice
Chronic obstructive pulmonary disease (COPD) is an obstructive lung condition typically comprising of chronic bronchitis and/or emphysema. It often occurs in smokers although does not present with finger clubbing.
10000002
b
COPD
QuestionChoice
A pneumothorax is the accumulation of air within the pleural space. It can be spontaneous, typically occurring in young men, or may be due to an underlying lung condition like COPD or tuberculosis.
10000005
e
Pneumothorax
QuestionChoice
A pleural effusion is the accumulation of fluid in the pleural space of the lungs and can be categorised as transudative or exudative. The patient may be asymptomatic or have pleuritic chest pain. Stony dull percussion and decreased breath sounds would be present on examination but finger clubbing is not seen in this condition.
10000004
d
Pleural Effusion
QuestionChoice
This is an acute lower respiratory tract infection that can arise from the community, hospital or aspiration among other causes. The patient would present with fever, cough and occasionally pleuritic chest pain. It does not present with finger clubbing.
10000003
c
Pneumonia
Concept
Chapter
2693
3693
Pulmonary Fibrosis
Topic
132
Respiratory
12547
A 68-year-old male attends the GP practice complaining of an irritating dry cough and fever. He has been a smoker for 55 years and has a pet parrot.

In which of the following conditions would you expect to find clubbing of the fingers?
a