Interstitial Lung Diseases – Case Studies & Multidisciplinary Discussions Master Class-ILD pretest questions

ILD pretest questions

Pdf Summary

The document consists of pre-test questions from an Interstitial Lung Disease (ILD) Master Class, focused on diagnosing and managing various lung-related clinical scenarios. Here's a summary of the questions and their rationales: <br /><br />**Question 1**: <br />A scenario of a man with an incidental finding of mild subpleural reticulation on a chest CT scan but no symptoms or family history. Options include no management, PET-CT, referring to a pulmonologist, or a repeat CT in 12 months. The preferred management, according to current standards, is to repeat the CT scan in 12-24 months, as ILD is suspected (ILA).<br /><br />**Question 2**: <br />The most common CT scan pattern in systemic autoimmune rheumatic disease-related ILD is questioned. NSIP is the correct pattern, which is more frequent compared to UIP, though UIP is common in rheumatoid arthritis.<br /><br />**Question 3**: <br />The correct classification of hypersensitivity pneumonitis is now fibrotic vs. nonfibrotic, replacing the older acute, subacute, chronic classification. It is not classified by subtype exposure, despite bird-related subtypes being common.<br /><br />**Question 4**: <br />Identifying a clinical finding not associated with pulmonary hypertension in ILD patients is queried. A low FVC does not correlate with pulmonary hypertension, whereas low diffusion capacity, reduced exercise recovery, and enlarged pulmonary arteries do correlate.<br /><br />**Question 5**: <br />The percentage of ILD patients who receive an unclassifiable ILD diagnosis after multidisciplinary evaluation is approximately 10-20%, due to possible discordant or missing clinical data.<br /><br />References are provided for each question to support the rationale, drawing from recent medical literature on ILD diagnostics and management.

Keywords

Interstitial Lung Disease

ILD Master Class

CT scan

subpleural reticulation

NSIP pattern

systemic autoimmune rheumatic disease

hypersensitivity pneumonitis

pulmonary hypertension

unclassifiable ILD

multidisciplinary evaluation

Pulmonary Hypertension