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NBME 18 Answers

nbme18/Block 4/Question#37

66 yo man, 1 month nonproductive cough, 6 months progressive shortness of breath

Idiopathic pulmonary fibrosis

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Berylliosis, Hypersensitivity pneumonitis and Sarcoidosis all have granuloma formation. Also eliminated cryptogenic organizing pneumonia b/c the pt didn't have any chronic diseases/meds. So, I was left with Idiopathic pulmonary fibrosis as the choice.

pathogen7  Also "fibroblastic foci" is a big buzzword for IPF, I believe. +