Respiratory medicine: interstitial lung disease: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Respiratory medicine: interstitial lung disease

Sample item

A patient has progressive exertional dyspnea, dry cough, bibasal fine end-inspiratory crackles, and clubbing. Which process is most likely?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Pulmonary fibrosis

Pulmonary fibrosis causes restrictive lung disease with progressive dyspnea, dry cough, clubbing, and fine crackles often described as Velcro-like. Imaging and lung-function testing help characterize cause and severity.

Option by option

  • A. Bronchiectasis

    Bronchiectasis causes chronic productive cough and recurrent infection.

  • B. Pulmonary fibrosis (correct)

    Correct. This clinical pattern is typical of fibrotic interstitial lung disease.

  • C. Pleural effusion

    Pleural effusion causes reduced breath sounds and stony dullness.

  • D. Acute asthma

    Asthma causes variable airflow obstruction and wheeze.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Medicine questions

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is B, Pulmonary fibrosis. Pulmonary fibrosis causes restrictive lung disease with progressive dyspnea, dry cough, clubbing, and fine crackles often described as Velcro-like.

Why is "Bronchiectasis" not the answer?

Bronchiectasis causes chronic productive cough and recurrent infection.

Why is "Pleural effusion" not the answer?

Pleural effusion causes reduced breath sounds and stony dullness.

Why is "Acute asthma" not the answer?

Asthma causes variable airflow obstruction and wheeze.

What concept does this question test?

It tests Respiratory medicine: interstitial lung disease in General Medicine. Imaging and lung-function testing help characterize cause and severity.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Respiratory medicine: interstitial lung disease?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.