Repeated USMLE Questions Step 1- 269

A 42-year-old African-American woman presents to the clinic because of dyspnea that worsens over the last 6 months. She has no fever, chest pain or loss of weight. The patient works as a preschool teacher. Physical examination is unremarkable. Chest x-ray shows bilateral hilar lymphadenopathy.

What is the most likely diagnosis?

A-Asbestosis

B-Pneumonia

C-Sarcoidosis

D-Tuberculosis

E-Lung cancer

Answer 

This patient has a typical presentation of sarcoidosis. She is an African American. There is dyspnea and no fever, pain or loss of weight. X-ray is also typical for sarcoidosis.

The correct answer is C