MRCP UK EXAMINATIONS

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RESPIRATORY

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 79-year-old male smokes one pack a day. He has a long-term chronic cough. He has to stop and rest when he walks less than 100 meters. He needs to be hospitalized twice due to acute attacks of cold symptoms within a year. Which of the following is correct?
A
In acute exacerbations, consider antibiotics only if pneumonia is suspected on chest x-ray
B
Inhaled steroids may be added in combination with long-acting inhaled bronchodilators to reduce the chance of seizures
C
Lung function report FEV1:40% predicted value, FEV1/FVC:55%, belongs to GOLD stage II
D
In acute attacks, systemic steroids should be avoided to avoid side effects such as infection and gastric ulcers
Explanation: 

Detailed explanation-1: -The most common causes of chronic cough are postnasal drip, asthma, and acid reflux from the stomach. These three causes are responsible for up to 90 percent of all cases of chronic cough. Less common causes include infections, medications, and lung diseases.

Detailed explanation-2: -Some common causes of chronic cough include: Lung diseases such as chronic obstructive pulmonary disease (COPD), asthma or pulmonary fibrosis.

Detailed explanation-3: -Drink fluids. Liquid helps thin the mucus in your throat. Suck on cough drops or hard candies. They may ease a dry cough and soothe an irritated throat. Consider taking honey. A teaspoon of honey may help loosen a cough. Moisturize the air. Avoid tobacco smoke. 09-Jul-2019

Detailed explanation-4: -Drink plenty of water. “Drinking enough water will help thin out mucus, making it easier to cough up, ‘’ Dr. Get moving. Exercise can help clear your airways and improve symptoms. Use steam. Sleep with your head elevated. Gargle warm salt water. 15-Feb-2023

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