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    SubjectsMedicineSmoking-Related Interstitial Lung Disease (RB-ILD/DIP)
    ClinicalMedicine

    Smoking-Related Interstitial Lung Disease (RB-ILD/DIP)

    1 MCQs in Medicine for NEET PG

    1 Medium
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    Sample Questions

    medium

    A 45-year-old male smoker (40 pack-year history) presents with a 6-month history of insidious dyspnea and dry cough. Examination reveals bibasilar inspiratory crackles without clubbing. HRCT chest shows centrilobular ground-glass nodules with upper-lobe predominant emphysema. BAL demonstrates >95% pigmented macrophages with golden-brown granules. Surgical lung biopsy confirms respiratory bronchioles filled with pigmented macrophages, consistent with RB-ILD. Which of the following management approaches best reflects the approach marked **A** in the diagram?

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