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MMLU / A 45-year-old woman with systemic sclerosis (scleroderma) comes to the physician…

Problem

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question

A 45-year-old woman with systemic sclerosis (scleroderma) comes to the physician because of a 3-week history of progressive shortness of breath and nonproductive cough. Her temperature is 36.9°C (98.4°F), pulse is 82/min, respirations are 20/min, and blood pressure is 136/85 mm Hg. Crackles are heard in both lower lung fields. Pulmonary function tests show total lung capacity is 80% of predicted, and diffusing capacity for carbon monoxide, corrected for alveolar volume, is 65% of predicted. Histologic examination of a lung biopsy specimen is most likely to show which of the following findings?

choices

  1. Diffuse interstitial fibrosis
  2. Intra-alveolar exudates
  3. Multiple thromboemboli
  4. Necrotizing vasculitis

subject

professional_medicine

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Source and history

task_id
4b939bab-4e8d-57f6-933a-862ccc007749
task_key
all--test--4b939bab-4e8d-57f6-933a-862ccc007749
task_revision_id
1
config / split
all / test

Official source

initial import