QuestionSBA
QuestionChoice
This is a reversible obstruction of the airways resulting in bronchoconstriction. It would be less commonly diagnosed for the first time in a 76-year-old patient and would not typically present with haemoptysis. It is not associated with finger clubbing.
10000157
b
Asthma
QuestionChoice
This often presents with sudden onset pleuritic chest pain, dyspnoea and haemoptysis. The patient would be acutely unwell and may have tachypnoea and tachycardia.
10000160
e
Pulmonary embolism
QuestionChoice
This is an autosomal recessive condition often diagnosed in childhood. Patients may develop bronchiectasis as a result of cystic fibrosis (CF) however CF is less likely to be diagnosed at this age.
10000159
d
Cystic fibrosis
QuestionChoice
This is a restrictive lung condition characterised by granuloma formation and inflammation. It may present with dry cough and dyspnoea. It is important to look out for erythema nodosum and bilateral hilar lymphadenopathy.
10000158
c
Sarcoidosis
QuestionChoice
This is a permanent dilatation of the bronchi due to chronic infection. A productive cough, purulent sputum and haemoptysis would be symptoms of bronchiectasis. Finger clubbing, inspiratory crepitations, dyspnoea and wheeze may be signs found on examination.
10000156
a
Bronchiectasis
Concept
Chapter
2693
3719
Bronchiectasis
Topic
132
Respiratory
12578
A 76-year-old female has a productive cough and haemoptysis. She also has an audible wheeze and finger clubbing on examination.

Which of the following is the likely diagnosis?
a