Environment & Occupational Health · NEET PG Preparation Community Medicine (PSM)

A 35-year-old stonecutter presents with progressive shortness of breath and dry cough. Chest radiograph shows multiple small, rounded opacities (nodu…

Practice question from Environment & Occupational Health (NEET PG Preparation Community Medicine (PSM)), with the correct answer and a step-by-step solution.

easy · MCQ · Q-D7560F

A 35-year-old stonecutter presents with progressive shortness of breath and dry cough. Chest radiograph shows multiple small, rounded opacities (nodules) predominantly in the upper lung zones, along with a 'egg-shell' calcification of hilar lymph nodes. High-resolution CT confirms pulmonary fibrosis. Which of the following is the hallmark pathological lesion of this condition?

  1. A.Ferrugenous bodies
  2. B.Silicotic nodule (hyalinized collagen fibers)Correct answer
  3. C.Asbestos bodies
  4. D.Caseating granuloma

Solution

The hallmark lesion of silicosis is the silicotic nodule, characterized by concentric whorls of hyalinized collagen fibers surrounded by free dust and macrophages.

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