A 56-Year-Old Woman Has Worked in a Photography Shop Developing

question 4

Multiple Choice

A 56-year-old woman has worked in a photography shop developing film for the past 20 years.She has a long history of shortness of breath and chronic cough,which have progressively become worse.Her FEV₁ and FVC values were reduced,but the FEV₁/FVC ratio was within the normal range.Her diffusion capacity,as measured with DLco,was low,at 15 mL/minute/mm Hg.Bronchoalveolar lavage and tissue biopsy were performed.The lavage sample revealed high numbers of abnormal-appearing macrophages and high numbers of dead macrophages. What type of pathologic process would you expect to find?

• A)Peribronchial inflammation with eosinophils
• B)Granuloma-like lesion in the terminal bronchioles with interstitial fibrosis and large foamy macrophages
• C)Interstitial edema fluid accumulation with neutrophil infiltrate
• D)Emphysematous lesion with large alveoli and minimum interstitial fibrosis

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Information Literacy

The ability to identify, locate, evaluate, and effectively use information for various purposes, including research and decision-making.

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