MRCP UK EXAMINATIONS

RESPIRATORY

PULMONOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A male patient came to the ER with shortness of breath, history of asthma (+). after being nebulized 2x the patient still feels shortness of breath and wheezing is still heard. Next course of action?
A
Aminophylline IV
B
Dexamethasone IV
C
Followed nebul 1x again
D
Adrenalin IV
E
Observation 1 day, treat MRS
Explanation: 

Detailed explanation-1: -Quick-relief inhalers contain a fast-acting medication such as albuterol. These medications are sometimes called rescue inhalers. They’re used as needed to quickly open your airways and make breathing easier. Knowing when to use these medications can help prevent an impending asthma attack.

Detailed explanation-2: -Emergency department treatment of asthma typically includes oxygen, inhaled bronchodilators (such as albuterol), and systemic corticosteroids (such as prednisone). Long-term asthma treatment includes inflammation “controllers, ‘’ such as inhaled corticosteroids, and symptom ‘’relievers” such as inhaled bronchodilators.

Detailed explanation-3: -If someone is having breathing difficulty, call 911 or your local emergency number right away, then: Check the person’s airway, breathing, and pulse. If necessary, begin CPR. Loosen any tight clothing.

Detailed explanation-4: -If an asthma trigger is present too, the muscles surrounding the walls of the airways tighten as well. Together, all of these factors cause the bronchi (lung airway passages) to become narrow and prevent air from flowing freely in and out of the lungs. This leads to shortness of breath.

There is 1 question to complete.