skip to main content

Idiopathic pulmonary fibrosis — RACP Written MCQ

Instant feedback + full explanation. One question, done properly.

EasyRespiratoryIdiopathic pulmonary fibrosisRACP Written

A 72-year-old man has progressive exertional dyspnoea and dry cough. Examination reveals fine bibasal inspiratory crackles and clubbing. HRCT shows basal subpleural reticulation, honeycombing and traction bronchiectasis without ground-glass predominance. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Idiopathic pulmonary fibrosis

Basal subpleural honeycombing and traction bronchiectasis with dry cough and clubbing are typical of usual interstitial pneumonia, most commonly idiopathic pulmonary fibrosis.

Reference: Australian Asthma Handbook; TSANZ guidance; Therapeutic Guidelines: Respiratory