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National Medical Series Obstetrics & Gynecology
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the answer of last case from:
http://kotob6bia.blogspot.com/2010/04/clinical-cases.html
CLINICAL CASE 2:
Young man was diagnosed with asthma -- most appropriate next step:
21-year-old man, who was recently diagnosed with asthma, comes to see his primary care physician. The patient says that he has about two episodes of shortness of breath per week. He reports no symptoms of asthma at night. Vital signs are: temperature 36.9 C (98.4 F), pulse 78/min, blood pressure 118/66 mmHg, respiration 16/min, and oxygen saturation 96% on room air. Physical examination reveals a well-developed young man in no distress. Breath sound are clear bilaterally. Heart sound are normal with no murmur. Abdomen is soft and nontender, with normoactive bowel sound. Pulmonary function testing shows FEV1/FVC 86% of predicted. Which of the following is the most appropriate next step in management?
A. Albuterol.
B. Flunisolid.
C. Formoterol.
D. Prednisone.
E. Theophylline.
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