A 32-year-old patient was found to have a large, free-layer-

ing, transudative pleural effusion at the right hemithorax.

All of the following are expected findings on physical exam-

ination except:

A 19-year-old patient with known diagnosis of asthma pre-

sents to your office complaining of more frequent episodes

of wheezing and shortness of breath. He is experiencing

symptoms about three times per week and during the last

month woke up three nights with dyspnea, which improved

after using a short-acting inhaled B2-agonist. Which of the

following is the best approach to this patient's therapy?

The following are expected physiologic changes that may

occur in the airways during an acute asthma exacerbation

except:

A 24-year-old white male with a history of recurrent respi-

ratory tract infections and infertility presented complaining

of chronic productive cough. A high resolution CT of the

chest showed widespread bronchiectasis, with pulmonary

function tests showing airflow obstruction. Considering the

most likely diagnosis, the following statements about this

condition are correct except:

A 65-year-old man who was a former foundry worker pre-

sented with progressive dyspnea and chronic cough.

Pulmonary function testing shows a restrictive pattern and

the chest x-ray film showed hi-apical micronodular infil-

trates with calcified hilar adenopathy Considering the most

likely diagnosis, the following statements about this condi-

tion are correct except: