Pulm MKSAP Questions With Correct Review Solution (ALL Verified 2026-2027) (12pages)

1. 52 yo F with productive cough and clear sputum worsened in last 3 days and albuterol inhaler up to 4 times daily - Answer-Admit pt to hospital for inpatient management 2. Labs reveal IGE Of 265 and 10% eosinophils - Answer-Discontinue Ibuprofen, give prednisone 3. Which of the following long term meds will reduce COPD exacerbations - Answer-Roflumilast 4. 57 yo M daytime sleepiness, loud snoring, daytime pauses. Most appropriate management? - Answer-Home sleep testing 5. Patient undergoes follow up of his lung at 12 months and at 2 years. The nodule is unchanged. Most appropriate mgt? - Answer-Chest CT scans every 2 years for 5 years 6. 72 yo M high res CT shows new bilateral ground glass opacities with bronchiectasis and honeycomb changes. Most likely dx? - Answer-Acute exacerbation of IPF 7. 32 yo M evaluated for sx of persistent asthma. Upper chest and throat tightness. Most appropriate mgt? - Answer-Laryngoscopy 8. 56 yo M hispitalized for respiratory failure evaluated for new onset confusion. Most appropriate management? - Answer-Early mobilization 9. Smoker. Most likely to improve survival? - Answer-Tobacco cessation