Pulmonology

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1. A 40-year-old nurse presents with a 1-year history of rhinitis, and a more recent onset of episodic wheezing and dyspnea. Her symptoms seem to improve when she is on vacation. She does not smoke, although she says that her husband does. Her FEV1 improves 20% with inhaled B-agonists. Which one of the following is the most likely diagnosis?

Occupational asthma

Sarcoidosis

COPD

Anxiety

Vocal cord dysfunction

About This Quiz

This is a Post-rotation test based on the goals and objectives listed in the residency handbood for the Pulmonology Rotation

You may optionally provide this to label your report, leaderboard, or certificate.

Reduced FEV and reduced FEV1 /FVC ratio

Reduced FEV and normal FEV1 /FVC ratio

Reduced FEV and increased FEV1 /FVC ratio

Reduced FVC and normal FEV1 /FVC ratio

Reduced FVC and increased FEV1 /FVC ratio

A short-acting inhaled beta-agonist as needed

Low-dose inhaled corticosteroids daily

A leukotriene receptor antagonist daily

Medium-dose inhaled corticosteroids daily

Low-dose inhaled corticosteroids plus a long-acting inhaled beta-agonist daily

They should be given before any inhaled corticosteroid to facilitate lung delivery

They are ineffective in patients taking beta-blockers

They are less effective than oral B-agonists

They are less effective than anticholinergic bronchodilators when given with inhaled corticosteroids

Their effects begin within 5 minutes and last 4–6 hours

Refer to a pulmonary laboratory for static lung volume measurement and diffusion studies

Perform a bronchodilator challenge test

Investigate for nonpulmonary causes for the patient’s symptoms

Order a PPD skin test

Intermittent

Mild persistent

Moderate persistent

Severe persistent

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