A 29 year old woman complained of sudden onset of right sided chest pain with a shortness of breath. The pain got worse by coughing and taking deep breaths. The breathlessness persisted 4h right from home to emergency. She has slight non productive cough. There is No relevant medical history except asthma controlled by salbutamol and beclometasone. She works as a driver and has returned after a 3 week holiday in Australia 3 weeks previously. She had no illness when she wwy away. She has been taking oral contraceptives since 4 years.

On examination:

Temp- 37.4degree celsius

Respiratory rate- 24/min

JVP raised by 3cm

BP- 110/64 mm Hg

HR- 128/min

Peak flow rate- 410L/min

A pleural rub can be heard over the right lower zone posteriorly. There are no other added sounds.

Her ECG is shown.

What is the most likely diagnosis?

A 69-year-old widower smoked 20 cigarettes a day for over 40 years but then gave up 9 months ago when his first grandchild was born. He has had a cough with daily sputum production for the last 20 years and has become short of breath over the last 3 years. He coughs up a little white or yellow sputum every morning. He has put on weight recently and now weighs 100 kg. His ankles have become swollen recently and his exercise tolerance has decreased. He can no longer carry his shopping back from the supermarket 180m (200 yards) away. He worked as a warehouseman until he was 65 and has become frustrated by his inability to do what he used to do. He is not able to look after his grandchild because he feels too short of breath.

There is no other relevant medical or family history. He lives alone and has a cat and a budgerigar at home.

His general practitioner (GP) gave him a salbutamol metered-dose inhaler which produced no improvement in his symptoms.

On examination:

Overweight, centrally and peripherally cyanosed with pitting odema in his ankles.

He has poor chest expansion. There are some early inspiratory crackles at the lung bases.

JVP- raised by 3cm

What is the most likely diagnosis?

All of the following are neoplastic syndromes associated with lung cancer except

The features of bronchogenic carcinoma include:

Which of the following causes of pulmonary oedema is due to microvascular injury

byssinosis is a condition caused by

Centriacinar Emphysema is

The most common haemodynamic mechanism of pulmonary oedema is

Barrel chest is a characteristic feature of :

The above flowchart is the pathogenesis of a respiratory disorder. What kind of hypersensitivity reaction is seen in the disease?

In the pathogenesis of Asthma- What is A,B & C respectively?

The above set of symptoms are seen in the respiratory disorder __________?

Which of the following cytokines are released in the given disease?

Above given is the CT scan of a patient suffering from a respiratory disorder. This is the characteristic feature of which of the following disorder?

Guess the disease!

In the above indicated pathology, which antibodies are implicated in the donor blood?

The organism implicated in the disease indicated by the above pictures is-

The disease, the pictures are pointing towards is related to :

The pathogen implicated in the disease indicated by the pictures above is :