2. CURB-65 score for this patient is:

3. According to CURB-65 score, this patient should

4. Which of the following antibiotics will cover regular bacteria along with atipical microorganisms?

69 year old female with hipertensión for the last 15 years, poorly controlled. She acknowledges smoking since she was 15 years old 20 cigarretes a day. Her chief complain is productive cough for about 3 months per year, for the last 3 years; also se states getting fatigue and dyspnea with moderate efforts. She looks thin, lungs have diffuse dimished sounds, she looks in no apparent distress. Her vital signs are. BP 150/92 mmHg, HR 96, RR 22, satu. 89%

5. Sputum production in this patient is most likely related to:

6. Dispnea and hipoxemia in this patient is most likely related to:

7. Diagnosis is stablished by:

8.Diagnostic testing will in this scenario will show:

2-year-old caucasian boy comes to evaluation for decreased development. At birth, he had meconial ileum. He has been presenting episodes of oily diarrhea along with sinus infections.

Diagnose is stablished by

10. Genetic pattern of this disease is:

11. Genetic testing most likely will show

12. Expected microbiology in the lung of and adult patient with this disease:

13. This patient is expected to have:

16 year old boy comes to office due to shortness of breath when he does exercise along with chest oppression at night 2 times a month. He has a positive history for allergies during childhood that improved after puberty. Vital signs are normal, he looks in no apparent distress.

14. Your diagnostic impression will be confirm by:

15. Mainstay of treatment for this patient :

16. Short acting bronchodilators mechanism of action

17.Low dose glucocorticoid are recommended since early stage of asthma because:

18.To consider step-down therapy, patient must

66 year old male comes to office due to fever and weight loss. He has poorly controlled hypertension, has been drinking 2 cans of beer per day for the last 2 years, he smokes 2 packs of cigarretes a day for the last 17 years:

19. What is this patient tobacco index?

20. Most likely histologic category of his neoplasia is:

21.Peripheral tumor lesion are more likely to which histopathologic entity:

22. Metastasis are common to which of the following structures:

65 year woman, previously healthy, comes to office due to dyspnea at exercise. She denies smoking history. You suspect interstitial lung disease.

23. To confirm your diagnosis you ask for

24. Image pattern spected in imaging is:

25. Most common variety of interstitial lung disease is:

26. Which of the following entities must be ruled out to diagnose idiopathic pulmonary fibrosis:

35-year-old male comes to office due to persistant productive cough, he denies shortness of breath. His sputum of foul smelling and has awful taste. He has a positive history for tuberculosis that was lately treated, he completed oral treatment, had follow up and was discharged for absence of symptoms.

27. Most likely diagnosis:

28. Diagnosis is establish by:

29. Which of the following bacterial isolations support your clinical suspicion:

30.Criteria to identify your diagnosis are: