A 60-year-old man comes to the office due to worsening shortness of breath over the last 5 months. He has no fever, chills, hemoptysis, or chest pain. The patient has smoked a pack of cigarettes daily for the last 40 years. He is vitally stable. Chest examination revealed mildly decreased breath sounds throughout. Spirometry test: FEV1 75% FEV1/FVC <70%. No significant changes is noted with bronchodilator therapy Which of the following is the most effective measure to decrease mortality in this patient?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: E. Smoking cessation
Smoking cessation is one of the treatments that lower mortality in COPD and prolongs survival. Long-term oxygen also lowers mortality, but only in patients with chronic hypoxaemia; this patient is vitally stable with no documented hypoxaemia. SABA and inhaled steroid relieve symptoms or exacerbations but do not lower mortality.
ليش كل خيار صح أو غلط
-
A
ليش غلط
A beta-2 agonist is a bronchodilator; it is not one of the only two interventions (smoking cessation and home oxygen) shown to consistently lower mortality.
✓ Step Up To Medicine 6th Edition 2024 (COPD).pdf · p. 9 -
B
ليش غلط
Home oxygen also lowers mortality, but only when criteria are met (e.g., SpO2 ≤ 88%); he is stable with no documented hypoxemia.
✓ Step Up To Medicine 6th Edition 2024 (COPD).pdf · p. 9 -
C
ليش غلط
Inhaled steroids are not one of the only two interventions (smoking cessation and home oxygen) shown to consistently lower mortality.
✓ Step Up To Medicine 6th Edition 2024 (COPD).pdf · p. 9 -
D
ليش غلط
Incentive spirometry and deep breathing is the treatment listed for atelectasis, not an intervention that lowers mortality in COPD.
✓ 11• Respiratory Failure [Notes].pdf · p. 7 -
E
ليش صح
Smoking cessation and home oxygen are the only interventions shown to consistently lower mortality in COPD.
✓ Step Up To Medicine 6th Edition 2024 (COPD).pdf · p. 9
- المصدر
- Step Up To Medicine 6th Edition 2024 (COPD).pdf · p. 7
COPD.pdf · p. 9 - المحاضرة
- COPD · Pulmonology · Module B
- ظهر في
- Respi bank