A 19-Year-Old Man with a History of Chronic Lung Problems

question 213

Multiple Choice

A 19-year-old man with a history of chronic lung problems dies due to respiratory distress after a prolonged episode of pneumonia.  Autopsy shows dilation of the bronchial tree, which extends almost to the pleural surface.  Many of the small airways are filled with mucin plugs containing abundant inflammatory cells and debris.  Which of the following is the most likely cause of this patient's autopsy findings?

• A)Accumulation of proteinaceous material within the alveoli
• B)Antigen-mediated aggregation of macrophages
• C)Congenital deficiency of protease inhibitor
• D)Impaired clearance of airway secretions
• E)Increased pulmonary venous pressure

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Definitions:

Terminal Illness

A disease or condition that is expected to lead to the death of the patient within a relatively short period of time.

Surviving Spouse

The term for a husband or wife who remains alive after the death of their spouse, often pertaining to legal and financial contexts.

Marital Difficulties

Problems or challenges faced within a marriage that can range from communication issues, financial stress, to lack of intimacy.

Suicide

Choosing to end one's own life intentionally.