QuestionSBA
QuestionChoice
Congestive heart failure can present with chronic shortness of breath. Other features in the presentation such as shortness of breath while lying flat and a history of cardiovascular disease would be indicative.
10004835
e
Congestive heart failure
QuestionChoice
Although tuberculosis would present with a chronic picture, you would expect other accompanying features such as weight loss and drenching night sweats.
10004834
d
Tuberculosis
QuestionChoice
Asthma does not usually present as a constant, chronic problem, and there would be some variation in the four months that he would have had this problem. Additionally, you would expect an allergy-associated history with asthma, including triggers which would exacerbate the condition.
10004832
b
Asthma
QuestionChoice
Although smoking is a major risk factor for lung cancer development, you would expect other features such as weight loss and coughing up blood to suspect lung cancer.
10004833
c
Lung cancer
QuestionChoice
Chronic obstructive pulmonary disease (COPD) is a respiratory disease characterised by irreversible obstruction of the airways. Family history and smoking are risk factors.

Remember: a barrel chest presentation is a buzzword for COPD in exams!
10004831
a
Chronic obstructive pulmonary disease (COPD)
Concept
Chapter
2693
3717
Chronic obstructive pulmonary disease (COPD)
Topic
132
Respiratory
13513
A 62-year-old man presents to his GP with chronic progressive laboured breathing and a productive cough which he has had for four months. The patient has a family history of lung disease and smokes regularly.

On examination, there is a wheeze on auscultation and peripheral cyanosis in the fingers. The patient has a 'barrel' chest.

Which of the following is the most likely diagnosis?
a