An obese, 50-year-old male patient with bronchial asthma, occasional dyspepsia, and nocturnal cough. He wakes up at morning with sour taste in his mouth. His current medications are inhaled corticosteroid and short acting beta agonist. What is the next step in the management?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة والشرح
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الإجابة: C. initiate omeprazole
Dyspepsia, nocturnal cough and a sour morning taste in an obese asthmatic suggest GERD that is worsening the asthma. The summary states that asthmatics are prone to GERD and should be treated with omeprazole, and the lecture lists a PPI when GERD is suspected as part of trigger/comorbidity control. Oral steroids or more tests are not the next step.
ليش كل خيار صح أو غلط
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A
ليش غلط
He already has asthma; the missing step is controlling the GERD trigger. The lecture lists a PPI when GERD is suspected as part of comorbidity control, not repeating spirometry.
✓ Asthma & asthma exacerbation.pdf · p. 6 -
B
ليش غلط
A chest x-ray is not routinely recommended in asthma; his dyspepsia, nocturnal cough and sour taste point to GERD as the trigger, not to a chest problem.
✓ Asthma & asthma exacerbation.pdf · p. 10 -
C
ليش صح
Asthma patients are likely to develop GERD, which often coexists and triggers symptoms; the summary says to treat it with omeprazole.
✓ Pulmonology 🫁.pdf · p. 5 -
D
ليش غلط
Oral corticosteroids are for short-term use when other options have been tried; his clue is a GERD trigger, not failure of step-up therapy.
✓ Pulmonology 🫁.pdf · p. 7 -
E
ليش غلط
Allergy work-up is considered when allergens are suspected to play a significant role in exacerbations; here the clues (dyspepsia, sour morning taste) point to GERD.
✓ Pulmonology 🫁.pdf · p. 6
- المصدر
- Pulmonology 🫁.pdf · p. 5
Asthma & asthma exacerbation.pdf · p. 6 - المحاضرة
- Asthma · Pulmonology · Module B
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- Respi bank