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?





E-Lung cancer


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

5 thoughts on “Repeated USMLE Questions Step 1- 269”

  1. Initially I thought may be asbestos?
    I need to read more .

  2. Thank you doctor Ray

  3. Can you please send me a copy of respiratory questions..

  4. Thank you Dr Manal

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