Challenger Medical Education Blog

70-year-old with chronic productive cough

Written by Med-Challenger | Nov 7, 2024 6:55:51 PM

A 70-year-old woman complains of a chronic productive cough. She has no other significant medical problems and has never smoked.

Her chest x-ray findings show interstitial changes in the right middle lobe and some evidence of bronchiectasis. Tuberculin skin test findings are negative. Bronchoscopy is performed and sputum cultures are obtained.

What will be the most likely finding?

  • bronchioalveolar lavage (BAL) positive for Mycobacterium avium complex (MAC)
  • sputum culture positive for Mycobacterium tuberculosis
  • transbronchial biopsy sample consistent with adenocarcinoma
  • transbronchial biopsy sample consistent with carcinoid tumor
  • bronchioalveolar lavage (BAL) Gomori methenamine silver staining positive for Pneumocystis jiroveci

 

This question appears in Med-Challenger Family Nurse Practitioner Exam Review with CME

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