Here are questions for discussions
Youngdoctor - 10-19-08 01:40

1)A 35-year old male presents to the office with complaints of wheezing and tightness of the chest for the past 3 months. The patient also complains of hoarseness of voice. He has no history of bronchial asthma, hypertension or diabetes. He is a non-smoker but occasionally drinks alcohol. On examination, he is not in any distress. His vitals are, Pulse rate: 84/min, Blood Pressure: 130/80 mmHg, Respiratory rate: 18/min, and afebrile. Examination of the upper respiratory tract reveals a red and inflamed larynx. Chest is clear to auscultation and percussion. Based on the above scenario, what is the most appropriate initial treatment for this patient?
A. Daily salbutamol inhalations
B. Salbutamol 2 puffs only at bed time
C. Oral theophylline
D. Omeprazole before breakfast
E. Oral prednisone


2)A 49-year-old woman presents with a two-week hi stow of lower abdominal pain and severe diarrhea. The stools are watery without blood or mucus. The abdominal pain is mild and unrelated to her stools. She has had recent episodes of flushing. She has not had fever. There is no history of travel. She does not smoke or drink alcohol. Her past surgical history includes a fracture repair of her right leg 3 years ago. Her temperature is 36.60 (97 F), blood pressure is 106/68 mm Hg, pulse is 103/min, and respirations are 20/min. Oxygen saturation is 99% on room air. Physical examination shows facial flushing a prominent jugular venous pulse and expiratory wheezes. Which of the following is the most likely diagnosis?
A. Diverticulitis
B. Infectious gastroenteritis
C. Inflammatory bowel disease
D. Carcinoid syndrome
E. Irritable bowel syndrome

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