Samir Sultan, DO
David M. Baratz, MD
Banner University Medical Center Phoenix
Pulmonary Case of the Month CME Information
Members of the Arizona, New Mexico, Colorado and California Thoracic Societies and the Mayo Clinic are able to receive 0.25 AMA PRA Category 1 Credits™ for each case they complete. Completion of an evaluation form is required to receive credit and a link is provided on the last panel of the activity.
0.25 AMA PRA Category 1 Credit(s)™
Estimated time to complete this activity: 0.25 hours
Lead Author(s): Samir Sultan, DO. All Faculty, CME Planning Committee Members, and the CME Office Reviewers have disclosed that they do not have any relevant financial relationships with commercial interests that would constitute a conflict of interest concerning this CME activity.
As a result of this activity I will be better able to:
- Correctly interpret and identify clinical practices supported by the highest quality available evidence.
- Will be better able to establsh the optimal evaluation leading to a correct diagnosis for patients with pulmonary, critical care and sleep disorders.
- Will improve the translation of the most current clinical information into the delivery of high quality care for patients.
- Will integrate new treatment options in discussing available treatment alternatives for patients with pulmonary, critical care and sleep related disorders.
Learning Format: Case-based, interactive online course, including mandatory assessment questions (number of questions varies by case). Please also read the Technical Requirements.
Current Approval Period: January 1, 2015-December 31, 2016
Financial Support Received: None
History of Present Illness
A 43-year-old woman presents to the office for second opinion of her dyspnea. She has very mild dyspnea with exertion which she notices when she cannot keep up with people going up stairs. She also has a "smoker’s cough".
Past Medical History, Family History, Social History
Her past medical history, family history and social history are unremarkable other than she smokes 1 ppd for the past 20 years and had a "collapsed lung" about 15 years ago.
Her physical examination was unremarkable except for a small scar on her right chest.
A chest x-ray (Figure 1) was performed.
Figure 1. PA (Panel A) and lateral (panel B) chest radiography.
Which of the following are true regarding the chest x-ray? (Click on the correct answer to proceed to the second of five panels)
- The chest -ray shows a widened mediastinum
- The chest x-ray is normal
- The chest x-ray shows a diffuse reticulonodular infiltrate
- The chest x-ray shows bilateral hilar adenopathy
- The chest x-ray shows small bilateral pleural effusions