NBME Step 2 CK Form 8 Pneumoconiosis (NBME Answers)

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Retired NBME Answer Explanations

Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 1/Question#28 (reveal difficulty score)
A previously healthy 72-year-old man comes to ...
Pneumoconiosis 🔍 / 📺 / 🌳 / 📖
tags: pulm DDX

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submitted by ∗step_prep(148)

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Elderly man with significant smoking history and occupational history of being a coal miner who presents with clubbing and hypoxia with bilateral upper lobe masses and areas of consolidation on chest x-ray most consistent with COPD and/or coal workers’ pneumoconiosis
Key idea: Of the common pneumoconioses, the majority affect the upper lobes (silicosis, coal workers’ lung, berylliosis) except for asbestosis (lower-lobe predominant)
Tuberculosis can also lead to upper lobe opacities, but it would more commonly lead to acute fever, night sweats and weight loss in a patient with exposure

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