USMLE Forum Archives - USMLE Step 3 - Respiratory q7
Respiratory q7
zkadhem - 05-21-09 11:59
Q.7. A 66-year-old female has been smoking 1 to 2 packs of cigarettes per day for 43 years. She has exertional dyspnea, and morning cough variably productive of clear or yellow sputum. Chest x-ray reveals diffuse emphysematous changes. Pulmonary function tests reveal an FEV1 of 37% predicted, an FVC of 79% predicted, and a DLCO of 53% or predicted. Which of the following statements is true?
A. Rotating oral antibiotics every month will reduce the number of yearly exacerbations
B. Inhaled corticosteroids will not prevent progression of the disease
C. Lung transplantation is a good alternative for therapy in this patient
D. Smoking cessation does not alter the course of disease
zkadhem - 05-21-09 11:59
Q.7. A 66-year-old female has been smoking 1 to 2 packs of cigarettes per day for 43 years. She has exertional dyspnea, and morning cough variably productive of clear or yellow sputum. Chest x-ray reveals diffuse emphysematous changes. Pulmonary function tests reveal an FEV1 of 37% predicted, an FVC of 79% predicted, and a DLCO of 53% or predicted. Which of the following statements is true?
A. Rotating oral antibiotics every month will reduce the number of yearly exacerbations
B. Inhaled corticosteroids will not prevent progression of the disease
C. Lung transplantation is a good alternative for therapy in this patient
D. Smoking cessation does not alter the course of disease
The correct answer and explanation will be available after you answer.
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#14
Re: Respiratory q7 conym5 - 04-14-10 13:38 Antibiotics are frequently prescribed for acute exacerbations associated with changes in the character or volume of sputum, but are not helpful chronically.
#22
Re: Respiratory q7 babbu5508 - 09-30-10 12:43 My answer is: b.
Inhaled corticosteroids will not prevent progression of the disease...the patient probably needed oral streoids...
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