USMLE Forum Archives - USMLE Step 3 - IM10
IM10
bingousmle - 06-20-10 06:01
A 49-year-old woman presents to the ED with difficulty breathing after a morning jog. Her initial vitals include a HR of 60 beats per minute, a BP of 120/55 mm Hg, and an RR of 20 breaths per minute with an oxygen saturation of 94% on room air. Upon physical examination, the patient appears to be in mild distress with audible wheezing. She is able to speak in partial sentences and states that she occasionally uses an inhaler. Given this patient’s history and physical examination, which of the following measures should be taken next?
a. Peak expiratory flow
b. Chest radiograph
c. β-Natriuretic peptide level
d. Rectal temperature
e. ABG
bingousmle - 06-20-10 06:01
A 49-year-old woman presents to the ED with difficulty breathing after a morning jog. Her initial vitals include a HR of 60 beats per minute, a BP of 120/55 mm Hg, and an RR of 20 breaths per minute with an oxygen saturation of 94% on room air. Upon physical examination, the patient appears to be in mild distress with audible wheezing. She is able to speak in partial sentences and states that she occasionally uses an inhaler. Given this patient’s history and physical examination, which of the following measures should be taken next?
a. Peak expiratory flow
b. Chest radiograph
c. β-Natriuretic peptide level
d. Rectal temperature
e. ABG
The correct answer and explanation will be available after you answer.
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#2
Re: IM10
bingousmle - 06-20-10 06:41 My answer is: a.
The medical intervention in this patient should include a β2-agonist nebulized solution, corticosteroids, and oxygen administration. The most useful measure to track the patient’s progress with each treatment is a peak expiratory flow
#3
Re: IM10 babbu5508 - 06-20-10 14:24 My answer is: a.
Peak expiratory flow to determine lung functionality, severity of asthma symptoms, and treatment options......
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