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Kaplan Qbank USMLE



Author9 Posts
  #1

A 28-year-old male smoker complains of periodic coughing spells, especially during exertion. His recorded (observed) and predicted values for the VC, FVC, and FEV1.0 before and after adminstration of a bronchodilator are presented. This pulmonary impairment would be classified as Obstructive but not Restrictive

Obstructive and Restrictive

Restrictive but not Obstructive

Neither Restrictive nor Obstructive (ie, normal)




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  #2

im definetly not sure of this, but isnt greater then 80% considered restrictive. {fev1/fvc ratio} comments?

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Smell the coffee! "Is That an Osler move??"

  #3

Restrictive but not Obstructive


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The Key to Succeed is Patience.

  #4

agree


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veni vidi...vincam

  #5

obstructive but not restrictive

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eva

  #6

restrictive and obstructive

  #7

well friends ,robin is correct...robin could u explain it to eveyone.....thanx..


  #8

Here my reasoning

VC, FVC, and FEV1.0: all decrease--> abnormal pulmonary function--> but occur in both obstructive and restrictive PD.

But in this case FEV1/FVC>0.8--> most likely restrictive

In addition, VC, FVC, and FEV1.0 seem not to increase after bronchodilator--> confirm restrictive and no obstructive

In obstructive we expect VC, FVC, and FEV1.0 increase significantly after using bronchodilators.



___________________
The Key to Succeed is Patience.

  #9

Wow gr8 explanation ..thanx robbin for ur excellent remarks...








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