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Exam questionKROK 2Medicine · 2019

A 43-year-old man, a coal-face worker with a 15-year-long record of work, complains of cough, thoracic pain, and dyspnea. The cough is mild, usually dry, and occurs mostly in the morning. The pain is localized in the interscapular region and aggravates during deep intake of breath. Dyspnea occurs during physical exertion. Vesicular respiration in the lungs is weakened. Heart sounds are rhythmic. heart rate is 86/min., blood pressure is 135/80 mm Hg. The abdomen is soft and painless, X-ray shows micronodular pulmonary fibrosis. Make the provisional diagnosis:

Answer options

  1. Siderosis
  2. Metal pneumoconiosis
  3. Carboconiosis
  4. Berylliosis
  5. Byssinosis
Correct answer

Carboconiosis

Explanation

A 43-year-old man, a coal-face worker with a 15-year-long record of work, complains of cough, thoracic pain, and dyspnea. The cough is mild, usually dry, and occurs mostly in the morning. The pain is localized in the interscapular region and aggravates during deep intake of breath. Dyspnea occurs during physical exertion. Vesicular respiration in the lungs is weakened. Heart sounds are rhythmic. heart rate is 86/min., blood pressure is 135/80 mm Hg. The abdomen is soft and painless, X-ray shows micro-nodular pulmonary fibrosis. Make the provisional diagnosis:Explanation:Cartoonists are pneumoconiosis caused by inhalation of dust consisting of carbonaceous dust, as anthracite Cole, coke, graphite, sootBerylliosis, or chronic beryllium disease (CBD), is a chronic allergic-type lung response and chronic lung disease caused by exposure to beryllium and its compounds, a form of beryllium poisoning.Pneumoconiosis is the general term for a class of interstitial lung diseases where inhalation of dust has caused interstitial fibrosis.Byssinosis is an occupational lung disease caused by exposure to cotton dust in inadequately ventilated working environments.Siderosis is the deposition of excess iron in body tissue. When used without qualification, it usually refers to an environmental disease of the lung, also known more specifically as pulmonary siderosis or Welder’s disease, which is a form of pneumoconiosis.

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