Sudden Hemoptysis in Medicine / Internal Medicine — 22yo Woman | Rheumatology | SMLE Q#8453
SMLE Question #8453
Medicine / Internal Medicine
Rheumatology
Objective: OBJ-383
Last updated: February 2026
A 22-year-old woman presents with sudden hemoptysis and dyspnea. Chest imaging shows diffuse bilateral pulmonary infiltrates consistent with alveolar hemorrhage. Over the past 2 weeks, she developed rapidly worsening kidney function with hematuria and red blood cell casts; a renal biopsy is planned. She reports several years of recurrent sinusitis with purulent nasal discharge and intermittent numbness and tingling in the right arm and left leg. Physical examination shows nasal crusting. Which of the following is the most likely diagnosis?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.