6 Months Of Progressive in Medicine / Internal Medicine — 58yo Man | Respiratory / Pulmonology | SMLE Q#12120
SMLE Question #12120
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 58-year-old man presents to a respiratory clinic with 6 months of progressive exertional dyspnea and chronic cough. He has smoked 10–15 cigarettes daily for 35 years. He denies episodic wheeze, nocturnal symptoms, or variable triggers. He reports an unintentional 4-kg weight loss. Examination shows he is thin with digital clubbing and no signs of heart failure. Chest auscultation reveals reduced breath sounds over the right upper zone without diffuse wheeze. What is the most likely diagnosis?
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