MRCP UK EXAMINATIONS

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RESPIRATORY

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 65-year-old male patient with a history of COPD was admitted to the emergency department because of shortness of breath, cloudy sputum production, and low-grade fever. The patient had difficulty breathing, had to sit, and could not speak in full sentences. Chest X-ray:2 lung fields are bright, diaphragm is flattened, mediastinum is narrow. Drug of choice to relieve dyspnea in this patient
A
Ventolin and Ipratropium bromide
B
Hydrocortison TTM
C
N-acetylcystein
D
Theophylline
Explanation: 

Detailed explanation-1: -Orthopnea is the sensation of breathlessness in the recumbent position, relieved by sitting or standing. Paroxysmal nocturnal dyspnea (PND) is a sensation of shortness of breath that awakens the patient, often after 1 or 2 hours of sleep, and is usually relieved in the upright position.

Detailed explanation-2: -While there are many causes of shortness of breath, the most common causes are lung disease, heart disease, or deconditioning (lack of exercise, especially in people who are overweight or obese).

Detailed explanation-3: -Check the person’s airway, breathing, and pulse. If necessary, begin CPR. Loosen any tight clothing. Help the person use any prescribed medicine (such as an asthma inhaler or home oxygen).

Detailed explanation-4: -difficulty catching your breath. noisy breathing. very fast, shallow breaths. an increase in your pulse rate. wheezing. chest pain. skin that looks pale and slightly blue, especially around your mouth. cold, clammy skin. More items

There is 1 question to complete.
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