ILD IPF

Who invented the stethoscope in 1816?

• Louis Pasteur

• René Laennec

• David Littmann

• Robert Koch

Answer explanation

René Laennec

Considered by many to be the Father of Pulmonary Medicine owing to his invention of the stethoscope, and his brilliant description and classification of the lung sounds!

If the bifurcation of the trachea is called ‘carina’,

what is this part of the stethoscope called?

• Carina

• Divaricate tubing

• Binaural spring

• Curved ring

Who performed the first successful long-term single lung transplant (Tom Hall)?

• James Hardy

• Henry Metras

• Joel Cooper

• John Richard Russell

Answer explanation

Joel D. Cooper

1963: First human single lung transplant (John Richard Russell) by James Hardy.

1983: First successful long-term single lung transplant (Tom Hall) by Joel Cooper

1986: First successful long-term double lung transplant (Ann Harrison) by Joel Cooper

How long is median survival rate for patients with Idiopathic Pulmonary Fibrosis?

• 1-2 years

• 3-5 years

• 5-8 years

• 8-10 years

Which of the following features are NOT typical of UIP?

• Honeycombing

• Reticulation

• Ground glass opacities

• Traction bronchiectasis

Answer explanation

Imaging criteria for the diagnosis of UIP on HRCT includes:

1.Honey combing with/without traction bronchiectasis

2.Reticular abnormalities

3.Distribution: Subpleural with basal predominance

4.Absence of features suggestive of alternative diagnosis (little/no GGO)

Which of the statement is part of Progressive Pulmonary Fibrosis (PPF) definition?

• Decline in DLCO >20% predicted within 1 year

• Decline in FVC >5% predicted within 1 year

• Decline in FVC >10% predicted within 1 year

• Decline in DLCO >15% predicted within 6 month

Answer explanation

PPF defined as:

1. worsening symptoms

2. physiological disease progression

FVC >5% 1 year

DLCO >10% 1 year

2. Radiological Evidence of disease progression

When should a referral for lung transplant be made for patients with IPF?

• At suspicion of having IPF

• 1 year after treatment with antifibrotic treatment with poor response

• At diagnosis of IPF

• DLCO dropped less than 10% within 1 year