USMLE Forum Archives - USMLE Step 3 - Respi- ur first q to pt ???
Respi- ur first q to pt ???
harry206 - 06-03-09 08:31
A 53-year-old widowed woman comes to the office for a health maintenance examination. She is a new
patient who recently moved to your city after her husband died in an office fire 6 months ago. She says
that she has no complaints, except for a cough that she began to notice 4 months ago. She denies
nasal discharge, "a tickle in the throat," frequent throat clearing, heartburn and the sensation of
regurgitation, fever, sputum production, cigarette smoking, illegal drug use, sexual activity, occupational
exposures, and any other symptoms associated with a respiratory infection. She says that the cough is
not seasonal or associated with wheezing. Her temperature is 37.0 C (98.6 F), blood pressure is
135/90 mm Hg, pulse is 70/min, and respirations are 14/min. Physical examination is unremarkable.
The most appropriate next step is to
harry206 - 06-03-09 08:31
A 53-year-old widowed woman comes to the office for a health maintenance examination. She is a new
patient who recently moved to your city after her husband died in an office fire 6 months ago. She says
that she has no complaints, except for a cough that she began to notice 4 months ago. She denies
nasal discharge, "a tickle in the throat," frequent throat clearing, heartburn and the sensation of
regurgitation, fever, sputum production, cigarette smoking, illegal drug use, sexual activity, occupational
exposures, and any other symptoms associated with a respiratory infection. She says that the cough is
not seasonal or associated with wheezing. Her temperature is 37.0 C (98.6 F), blood pressure is
135/90 mm Hg, pulse is 70/min, and respirations are 14/min. Physical examination is unremarkable.
The most appropriate next step is to
The correct answer and explanation will be available after you answer.
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#14
Re: Respi- ur first q to pt ??? conym5 - 04-18-10 08:38 detailed history is the most important step in patients with delerium and elderly patients with suspected side effects of the current medications...
#19
Re: Respi- ur first q to pt ??? babbu5508 - 08-30-10 03:42 My answer is: c.
c. question her about medications...an elderly woman with dry cough may be taking ACE inhibitors which cause dry cough
#21
Re: Respi- ur first q to pt ??? zampaoverture - 08-30-10 17:07 Very good question. I like it! It is a reminder of first things come first.
#27
Re: Respi- ur first q to pt ??? sudha2015 - 03-31-11 12:07 "a tickle in the throat," frequent throat clearing, heartburn and the sensation of
regurgitation, fever, sputum production, cigarette smoking, illegal drug use, sexual activity, occupational
exposures, and any other symptoms associated with a respiratory infection. She says that the cough is
not seasonal or associated with wheezing. Her temperature is 37.0 C (98.6 F), blood pressure is
135/90 mm Hg,
c
#33
Re: Respi- ur first q to pt ??? tesbenzon - 07-24-11 05:54 My answer is: c.
px is hypertensive,some anti-hypertensives can cause coughing
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