Q:

For each of the types of pulmonary emphysema listed on the left select the most appropriate association from the list on the right

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For each of the types of pulmonary emphysema listed on the left select the most appropriate association from the list on the right.

a. Alveolar duct emphysema.

b. Bronchiolar emphysema.

c. Panacinar emphysema.


  1. Air in the interlobular space.
  2. Enlargement of alveolar ducts, spaces and respiratory bronchioles.
  3. Enlargement of centrilobular air spaces.
  4. Fusiform dilatation of alveolar ducts surrounded by coal dust.
  5. Normal respiratory bronchioles with enlarged ducts and alveoli.

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The answer is E, C, B. This is the initial stage of alveolar emphysema.

This is centrilobular emphysema, and is more serious than the other form of bronchiolar emphysema (focal duct emphysema) which occurs in coal workers.

This is the late stage of alveolar emphysema, in which the entire respiratory acinus is involved.

In focal duct emphysema there is fusiform dilatation of the respiratory bronchioles which are surrounded by coal dust (D). Air in the interlobular spaces (A) is interstitial emphysema caused by rupture of the air spaces usually as a result of overdistention or trauma.

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