An adult develops chronic cough with episodes of wheezing and shortness of breath. The primary care provider performs chest radiography and other tests and rules out infection, upper respiratory, and gastroesophageal cau
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An adult develops chronic cough with episodes of wheezing and shortness of breath. The primary care provider performs chest radiography and other tests and rules out infection, upper respiratory, and gastroesophageal causes.
Which test will the provider order initially to evaluate the possibility of asthma as the cause of these symptoms?
(Ans- Spirometry
Recommended at the time of initial assessment to confirm the diagnosis of asthma
Which test is most diagnostic for chronic obstructive pulmonary disease (COPD)?
(Ans- Spirometry for FVC and FEV1
Spirometry testing is the gold standard for diagnosis and assessment of COPD because it is reproducible and objective
What is the recommended treatment for a 70-year-old male patient with an aortic aneurysm measuring 5.0 cm, poorly-controlled hypertension, and decompensated heart failure?
(Ans- Serial US surveillance of the aneurysm
Patient's aneurysm is less than 5.5cm, so repair is not necessary at this time
Serial US of the aneurysm is necessary to continue to evaluate its size
An adult patient reports frequent episodes of syncope and lightheadedness. The primary care provider notes a heart rate of 70 beats per minute.
What will the provider do next? (Ans- evaluate the patient's orthostates VS
Orthostatic VS are helpful to exclude orthostatic hypotension as a cause of syncope and is easily performed in the clinic
A 55-year-old patient has a blood pressure of 138/85 on three occasions. The patient denies headaches, palpitations, snoring, muscle weakness, and nocturia, and does not take any medications.
What will the primary care provider do next to evaluate this patient?
(Ans- Order urinalysis, CBC, BUN, and creatine
Patient has preHTN levels and should be evaluated
UA, CBC, BUN, and creatinine help to evaluate renal function and are in the initial workup
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