My journal--Exam on 2nd June! - littledoc123

[ArchivalUser]

Reading GI from MTB..How are you folks?

[ArchivalUser]

hi littledoc, I am doing fine. it seems 24 hours is not enough for me. I am doing uworld step 3 GI today.

[ArchivalUser]

Aapulu, I'm also getting bored of reading explanations after a block is done. That takes quite a some time.

[ArchivalUser]

68% Q bank done.

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Starting Paediatrics from MTB.

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6. A 52-year-old African-American man returns to the health center for a follow-up visit 1 week after he was discharged from the hospital after being diagnosed with acute pneumonia. Discharge medications included inhaled bronchodilators, oral antibiotics and a tapering course of oral corticosteroids. The antibiotic and corticosteroid therapies were completed yesterday. He has no previous hospital admissions for respiratory disease. He has a nonproductive, chronic, daily cough. He smoked one to two packs of cigarettes per day since age 13 years, but he has not smoked since admission to the hospital. Vital signs today are: temperature 36.8°C (98.2°F), pulse 92/min, respirations 10/min and blood pressure 120/80 mm Hg. On physical examination he appears well. There are markedly diminished, but clear, breath sounds with no wheezing or rhonchi; there is a prolonged expiratory phase. There is no digital clubbing. Which of the following is the most likeley diagnosis?

A) Asthma
B) Bronchiectasis
C) Chronic bronchitis
D) Emphysema
E) Pulmonary fibrosis

[ArchivalUser]

for the above question is the prolonged expiration due to chronic bronchitis or emphysema?

[ArchivalUser]

8. The patient returns to the office in 1 week for a follow-up visit. He says he has a cold with cough, nasal congenstion and a scratchy throat. Blood pressure in now 140/85 mm Hg. On physical examination lungs are clear and there is no peripheral edema. Regarding over-the-counter medications for this patient's cold, he should be cautioned to avoid which of the following?

A) Chlorpheniramine
B) Dextromethorphan
C) Guaifenesin
D) Oxymetazoline
E) Pseudoephedrine

PS: THE PATIENT IS ALREADY ON HCTZ.

Both d and e in my opinion

[ArchivalUser]

Chronic Bronchitis I believe.
B. Dextromethorphan?

Where are these questions from?

[ArchivalUser]

why dextromethorphan littledoc123?
they are from nbme 1