Mcqs pulmonology by Dr. Zafar Iqbal Pulmonologist

14/08/2023

24/11/2022

November is Lung Cancer Awareness Month. Help us commemorate and support those impacted by lung cancer by spreading awareness. For more resources on diagnosis, treatment and best management tips for lung cancer, visit: https://hubs.la/Q01sKKbQ0

18/11/2022

12/11/2022

According to WHO, Pneumonia is the largest infectious killer of both, adults and children; despite it being a preventable and treatable disease.

This World Pneumonia Day,
We, at Zydus Hospitals
Actively call for not just Action against it,
But with our efforts, will strive to Protect against it,
Prevent it, as well as Treat it, to save lives!

29/10/2022

Patient with & infiltrates in background of emphysema. Course complicated by AKI, anemia, purpura—high-dose steroids started without prior cultures—hemoptysis reappeared.
Read the CHEST Pearl in the October issue of the journal CHEST®: https://hubs.la/Q01qqZvF0

26/10/2022

Ultrasound Corner: Ultrasonography of a 56-year-old man with progressive dyspnea revealed irregular, thickened pleura with posterior acoustic shadowing but no visible A or B lines. Find out the diagnosis in the October issue of the journal CHEST®: https://hubs.la/Q01qqRmJ0

23/10/2022

Save the date! Shifa International Hospital is hosting a 'Respiratory Care Week', in collaboration with the Pakistan Institute of Medical Sciences on October 24th and 25th from 9 am to 3 pm.
FIRST 30 persons will get a FREE Spirometry Test and also Discounted coupons for Advanced Spirometry Test at Shifa International Hospital.

The activities will take place at PIMS.

02/10/2022

Free Home Delivery

05/09/2022

اللہ کہاں ہے؟

اللہُ کی نشانی انسان خود ہے
اللہُ کے وجود سے انکار ممکن ہی نہیں اگر اللہُ پاک نہیں تو انسان کا اپنا وجود بهی نہیں ہے-
وَفِيٓ أَنفُسِكُمۡۚ أَفَلَا تُبۡصِرُونَ
اور خود (اللہُ) تمہارے نفوس (تمہارے اندر) میں ہے تو کیا تم دیکھتے نہیں؟
اللہُ ہمارے اندر ہے تو کہاں ہے ؟ۗ
وَنَحۡنُ أَقۡرَبُ إِلَيۡهِ مِنۡ حَبۡلِ ٱلۡوَرِيدِ
اور ہم بندہ کی رگ جان سے بهی اس سے زیادہ قریب ہیں
یا اللہ تو ہمارے اندر کیسے ہے ہم کیسے تسلیم کر لیں کہ تو ہمارے اندر ہے اور ہماری جان سے بهی زیادہ قریب ہے؟
أَوَ لَمۡ يَتَفَكَّرُواْ فِيٓ أَنفُسِهِمۗ
کیا تم نے اپنے آپ پر (اپنے دل میں، اپنے وجود کے اندر) غور نہیں کیا؟
وَنَفَخۡتُ فِيهِ مِن رُّوحِي
اور ہم نے اس (انسان) میں اپنی روح داخل کر دی
یااللہ تو نے اپنی روح داخل کر دی انسان میں مگر ہم تجه سے کیسے ملیں- روح تو تیرا امر ہے مگر تو کہاں ہے
فرمایا
أَفَلَا تُبۡصِرُونَ
تم اپنے اندر غور کیوں نہیں کرتے ؟
ہمارے اندر کون ہے؟
وَفِيٓ أَنفُسِكُمۡ
اور (اللہُ) ہی تمہارے اندر ہے
(یا اللہ ہمیں سمجه نہیں آ رہا ہمیں تفصیلاً سمجها کہ تو ہمارے اندر کیسے ہے)
ۚ ٱللَّهُ نُورُ ٱلسَّمَٰوَٰتِ وَٱلۡأَرۡض
اللہ زمین اور آسمان کا نور ہے ِ
مَثَلُ نُورِهِۦ
اس کے نور کی مثال ایسی ہے
كَمِشۡكَوٰةٖ فِيهَا مِصۡبَاحٌۖ
جیسے ایک طاق ہے (وہ طاق انسان کا جسم ہے)
ٱلۡمِصۡبَاحُ فِي زُجَاجَة
اس طاق کے اندر ایک چراغ ہے (وہ چراغ انسان کا دل ہے)
ُ فِي زُجَاجَة ٍۖ
اور چراغ ایک قندیل میں ہے ( یا اللہُ وہ قندیل کیا ہے)
كَأَنَّهَا كَوۡكَبٞ
اور قندیل (ایسی صاف شفاف ہے کہ) گویا موتی کا سا چمکتا ہوا تارہ ہے-
(گویا وہ قندیل تمہاری روح ہے جو پاک صاف و شفاف ہے گویا وہ چکمتا ہوا ستارہ (روح) نور ہے اور وہ نور اللہ پاک کی ذات سے ہے کیونکہ اللہ پاک خود نور ہے)
یا اللہ اگر ہم تجه تک پہنچنا چاہیں تو کیا کریں
يَهۡدِي ٱللَّهُ لِنُورِهِۦ
اللہ اپنے نور سے جسے چاہتا ہے ہدایت دیتا ہے
(یعنی جو شخص اللہُ کو پانا چاہتا ہے جو اللہُ سے ملنا چاہتا ہے وہ اپنی روح کی طرف آئے کہ وہ وہی نور ہے- (جو اللہ پاک کے ذاتی نور سے ہے)- وہی ہدایت ہے
وہی راز کن فیکون ہے- وہی صراط مستقیم ہے.....!!!

01/09/2022

Diffuse Parenchymal Lung Diseases (DPLD), more commonly known as Interstitial Lung Diseases (ILD) or Lung Fibrosis is an umbrella term consists of more than 200 diverse conditions. Broadly, they can be grouped in to :
1. Reversible
2. Irreversible but static
3. Irreversible and Progressive

Obviously, irreversible and progressive ones are more important to diagnose as early as possible, specifically "UIP-IPF" : a variant which is considered to shorten life span significantly.

Diagnosing UIP-IPF is challenging & radiology - High Resolution CT Scan of Thorax aids greatly, however many times, due to lack of definite pattern, it remains undiagnosed.

Bronchoscopic Lung Cryobiopsy (BLC) - is increasingly recommended as a choice of investigation to detect UIP-IPF early, with yield compared to Surgical Lung Biopsy (SLB) particularly when radiology doesn't show definite UIP pattern in a progressive fibrotic ILD.

Sharing one such case, where a 55 years old diabetic, hypertensive, class II obese male with progressive fibrotic ILD underwent BLC & diagnosed with MDD (Multidisciplinary discussion) - with dominance of histopath data showing dense interstitial fibrosis with fibroblastic foci & minimal inflammation as UIP-IPF.

Like neoplastic processes, it is of great value to identify UIP-IPF as early as possible to start appropriate medications & increase life span.

29/08/2022

https://www.facebook.com/100006993580650/posts/3307709469472140/

26/08/2022

Parents and caregivers should get children ages 6 months and older vaccinated for the best protection against severe illness from COVID-19.

Learn more: https://bit.ly/3McCHyf.

25/08/2022

Can you answer this Wednesday Checkup? Post your answer in the comments then check back in on Thursday for the correct answer.

A 65-year-old non-smoking female presented to the emergency department with one week of dyspnea, pleuritic chest pain, and dry cough.

On exam, she was afebrile, hemodynamically stable with blood pressure 150/77, oxygen saturation of 92% on room air, and respiratory rate of 22. She had shallow work of breathing with right-sided absent breath sounds in the mid and lower lung base. She had several white dome-shaped papules scattered over her forehead and face. Cardiac, neurologic, and abdominal exams were unremarkable. Family history was significant for a brother with tension pneumothorax requiring pleurectomy. Chest x-ray was obtained (Figure 1).

What is the most likely cause of her acute onset of shortness of breath, pleuritic chest pain, and dry cough?

A. Malignant pleural effusion
B. Primary pneumothorax
C. Secondary pneumothorax with tension physiology
D. COPD exacerbation
E. Community acquired pneumonia

24/08/2022

Drug-resistant is a fast-changing field, threatening global control of this deadly disease.

Are you up to date with the latest guidance from World Health Organization (WHO)? Our upcoming online course will help you put this into practice.

Places are limited – sign up now! ⬇️
https://mailchi.mp/theunion/online-course-international-clinical-management-of-drug-resistant-tb-723220

24/08/2022

FDA and CDC have announced an alternative approach to administer JYNNEOS vaccine intradermally, allowing providers to administer up to five separate doses from a single vaccine vial. This approach will help us protect more people with our existing vaccine supply. Learn more: https://bit.ly/3Pdndew.

02/08/2022

Today is . While lung cancer is not the most prevalent cancer (second to breast cancer), it is the most common cause of cancer death.

In support of World Lung Cancer Day, CHEST and other members of the Forum of International Respiratory Societies (FIRS) encourage global awareness and early detection. Read more: https://hubs.la/Q01hZS520