[left]A 55-year-old man with a long smoking history comes to the clinic for evaluation of a chronic cough. The cough has bothered him for at least 3 years now. It is productive of thick white or yellow sputum and occurs on most days. He sheepishly admits that he has a long history of tobacco use, having smoked at least a pack a day for the last 40 years. Physical examination reveals some mild wheezes on expiration and coarse upper respiratory breath sounds. Pulse oximetry is remarkable for an oxygen saturation of 93%, which drops to 91% with exercise. Pulmonary function tests reveal a decreased forced expiratory volume in 1 second with a relatively preserved forced vital capacity, increased lung volumes, and a moderately reduced diffusion lung capacity of CO. In addition to smoking cessation, which of the following is the most effective and appropriate long-term outpatient medical treatment for this patient?
A) Albuterol
B) Flunisolide
C) Ipratropium
D) Oxygen therapy
E) Prednisone
doc_clotaire Forum Guru
Topics: 159 Posts: 1,247
08/05/07 - 06:50 PM
#2
C) Ipratropium ___________________ The elevator to succes is broke ,you must take the stairs
nagi_step1 Forum Newbie
Topics: 3 Posts: 31
08/05/07 - 09:27 PM
#3
C BCOZ NO INDICATION FOR OXYGEN THERAPY IN THIS CASE
Justice Forum Fanatic
Topics: 106 Posts: 2,140
08/05/07 - 11:44 PM
#4
C) Ipratropium ___________________ Don't live in a town where there are no doctors
Justice Forum Fanatic
Topics: 106 Posts: 2,140
08/05/07 - 11:45 PM
#5
nagi_step1 wrote: C BCOZ NO INDICATION FOR OXYGEN THERAPY IN THIS CASE
Please do not forget nex time to post your reply in low case... It's a rule here ___________________ Don't live in a town where there are no doctors
