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NBME form 2 block 4 q 4 - qblogs
#1
4. A 13-year-old girl is brought to the emergency
department because
of shortness of breath for 2 hours. The symptoms
began after consuming
chili, cornbread, and fruit salad with strawberries,
kiwi, and bananas.
She has a 1-year history of shortness of breath while
playing soccer or
baseball and uses a bronchodilator inhaler as needed
while exercising.
She is allergic to penicillin and pineapples. Her
blood pressure is
80/60 mm Hg, pulse is 120/min and regular, and
respirations are 20/min
with use of accessory muscles. Examination of the
lungs shows poor air
entry bilaterally with diffuse expiratory wheezes.
Which of the
following is the most appropriate initial
pharmacotherapy?

A
) Inhaled bronchodilators

B
) Inhaled cromolyn sodium

C
) Inhaled ipratropium bromide

D
) Intravenous corticosteroids

E
) Subcutaneous epinephrine

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#2
E.
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#3
aaaa
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#4
A?
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#5
A?
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