A 36-year-old man comes in for evaluation of 4 months history of coughing. The cough is productive of white sputum and worsens at night. The patient's other medical problems include gastroesophageal reflux disease. He smoked a pack of cigarettes a day for 10 years, Chest examination indicates normal breath sounds bilaterally. Cardiac examination shows a split-second heart sound with inspiration and no murmurs. Chest ×-ray is normal. Which of the following is the best next step in management of this patient's cough?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. pulmonary function test
This is a chronic cough (>8 weeks) in a smoker with a normal chest X-ray; causes include asthma, COPD and GERD. The sources say to do spirometry/PFT first in a patient with chronic cough and risk factors. CT and bronchoscopy are not first-line here, and the inspiratory split S2 is physiological, so an echo is not needed.
ليش كل خيار صح أو غلط
-
A
ليش غلط
CT is not the initial test; spirometry is the initial test for suspected obstructive disease.
✓ COPD.pdf · p. 5 -
B
ليش غلط
Bronchoscopy is not the initial test; spirometry is the initial test for suspected obstructive disease.
✓ COPD.pdf · p. 5 -
C
ليش صح
Perform spirometry when there is chronic cough, chronic sputum or a history of risk factors (he smokes).
✓ COPD.pdf · p. 5 -
E
ليش غلط
An inspiratory split of S2 is physiologic (more right-sided venous return delays P2 closure), so it does not call for an echocardiogram.
✓ 8• Heart Sounds & Murmurs [Notes].pdf · p. 3
- المصدر
- COPD.pdf · p. 5
view-material.pdf · p. 29 - المحاضرة
- COPD · Pulmonology · Module B
- ظهر في
- Respi bank