Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map

Clinical Review Quiz

Syndromes of Bronchiolitis

Sat Sharma, MD

Dr. Sharma is professor and head, Section of Pulmonary Medicine, Department of Internal Medicine, University of Manitoba, Winnipeg, MB.

The questions below are based on the article
“Syndromes of Bronchiolitis”.

Choose the single best answer for each question.

1. A 48-year-old man presented with cough and worsening exertional shortness of breath over a 2-month period. Symptoms included fever, malaise, and anorexia and weight loss. A chest radiograph showed patchy pulmonary infiltrates and irregular nodular opacities in both lungs. Bilateral patchy ground-glass opacities with a triangular area of consolidation with the base along the pleural surface were evident on high-resolution computed tomography (HRCT). Pneumonia was ruled out based on findings from bronchoscopy with bronchoalveolar lavage (BAL). What is the most likely presumptive diagnosis of this patient’s pulmonary disease?
  1. Bronchiolitis obliterans organizing pneumonia (BOOP)
  2. Diffuse alveolar damage
  3. Hypersensitivity pneumonitis
  4. Nonspecific interstitial pneumonitis
  5. Usual interstitial pneumonitis
Click here to compare your answer.

2. Which of the following investigations is necessary to make a definitive diagnosis of cryptogenic organizing pneumonia (idiopathic BOOP)?

  1. Bronchoscopy and BAL
  2. Gallium scan
  3. Positron emission tomography
  4. Surgical lung biopsy
  5. Transbronchial lung biopsy
Click here to compare your answer.

3. Which of the following is a common sign and symptom of cryptogenic organizing pneumonia?

  1. Cough associated with sputum production
  2. Hemoptysis
  3. Pleuritic chest pain
  4. Shortness of breath
  5. Wheezing
Click here to compare your answer.

4. BOOP should be considered as a causative factor in which of the following patients admitted to the hospital with respiratory failure?

  1. A diabetic patient with chronic renal failure
  2. An elderly man with hypertension and coronary artery disease
  3. A multiple-trauma victim with systemic inflammatory response syndrome
  4. A patient with exacerbation of longstanding cystic fibrosis
  5. A transplant recipient with acute-onset shortness of breath
Click here to compare your answer.

5. What radiographic finding is the most common and suggestive of BOOP?
  1. Airway hyperinflation
  2. Triangle-shaped densities along the pleural edges
  3. Diffuse interstitial infiltrates
  4. Multiple lung nodules
  5. Pleural effusion
Click here to compare your answer.

6. The following radiographic findings are commonly seen in bronchiolitis obliterans EXCEPT

  1. Airspace opacities
  2. Hyperinflation or reticulonodular pattern
  3. Ill-defined centrilobular nodules on HRCT
  4. Mosaic perfusion on HRCT
  5. Normal chest radiograph
Click here to compare your answer.

7. Which of the following is the mainstay treatment for BOOP?

  1. Anti-infective agents
  2. Inhaled corticosteroids
  3. Inhaled cytotoxic drugs
  4. Macrolide medications
  5. Oral prednisone
Click here to compare your answer.

8. Once successful treatment for BOOP has been started, relapse occurs in approximately what percentage of patients?

  1. Less than 10%
  2. 10% to 20%
  3. 10% to 40%
  4. 40% to 60%
  5. 60%
Click here to compare your answer.


Click here to read more about Syndromes of Bronchiolitis
(Requires Adobe Acrobat Reader)

Check our archives to test your knowledge in other featured articles:

Clinical Review Quiz Archive

If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing.

Download Adobe Acrobat Reader


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 4/17/08 • nvf