USMLE Forum Archives - USMLE Step 3 - cystic fibrosis
cystic fibrosis
harry206 - 06-03-09 08:48
A 20-year-old woman comes to the office for evaluation of her cystic fibrosis. She has recently moved
to the area for college and is interested in being cared for at the local university health center. She was
diagnosed with CF at the age of 7 and has had very few hospitalizations since that time. She has had 2
episodes of pneumonia in the past 3 years but has otherwise been able to lead a fairly active life. She
exercises 5 times per week and she is a vegetarian. She takes only pancreatic enzymes for
medications and has no other past medical history. On physical examination, she appears somewhat
gaunt, but cheerful and in no distress. She weighs 46 kg (102 lbs) and is 168 cm (5 ft 6 in) tall. Her vital
signs and physical examination are unremarkable except for course breath sounds and expiratory
wheezes bilaterally. She has a number of concerns, including her inability to gain weight despite an
intake of 1800 calories per day and her ability to have children. She is engaged to be married and is
very interested in having children. The most appropriate response to her about her concerns is:
harry206 - 06-03-09 08:48
A 20-year-old woman comes to the office for evaluation of her cystic fibrosis. She has recently moved
to the area for college and is interested in being cared for at the local university health center. She was
diagnosed with CF at the age of 7 and has had very few hospitalizations since that time. She has had 2
episodes of pneumonia in the past 3 years but has otherwise been able to lead a fairly active life. She
exercises 5 times per week and she is a vegetarian. She takes only pancreatic enzymes for
medications and has no other past medical history. On physical examination, she appears somewhat
gaunt, but cheerful and in no distress. She weighs 46 kg (102 lbs) and is 168 cm (5 ft 6 in) tall. Her vital
signs and physical examination are unremarkable except for course breath sounds and expiratory
wheezes bilaterally. She has a number of concerns, including her inability to gain weight despite an
intake of 1800 calories per day and her ability to have children. She is engaged to be married and is
very interested in having children. The most appropriate response to her about her concerns is:
The correct answer and explanation will be available after you answer.
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#19
Re: cystic fibrosis babbu5508 - 08-30-10 01:43 My answer is: b.
You need to increase your daily caloric intake to gain weight...1800 clories may not be sufficient for a20 years active woman..need of an additional 300-400 cals..
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