A 32-year-old woman with chronic asthma is admitted to the hospital to manage a severe, acute asthma exacerbation.  She complains of severe shortness of breath and persistent cough.  Auscultation of the chest reveals pronounced wheezing.  A bedside peak flow meter test reveals 80 L/min; last week the patient’s home reading was 250 L/min. 40. Which of the following is the next best step in managing this patient?

Please look into the camera and verbally let us know if you have experience working with customers through a live-chat service? If so, how would you rate your customer service skills on a scale of 1-10? Why that number?

9. Which of the following combination of treatments has been shown to lower mortality risk in a 60-year old woman diagnosed with COPD, and with a history of smoking one-half pack of cigarettes since age 16? Smoking Cessation Home O2 Therapy Anticholinergic Agents Beta-2 Agonists A. Yes Yes Yes Yes B. Yes Yes Yes No C. Yes Yes No Yes D. Yes Yes No No E. Yes No Yes No

Grammar Evaluation: Please select all of the following that are grammatically correct.

Use the following patient vignette to answer questions 4 – 6. A 26-year old woman presents with increasing dyspnea on exertion, unproductive cough and sinusitis.  She denies chest pain and smoking, takes no medications, and has no prior history of pulmonary diseases.  She recently moved to town to work as administrator for baggage claims at CLE-Hopkins airport (which is now undergoing renovations), and the symptoms appeared shortly after her move and occur 2-3 times a week. On physical examination, the patient is breathing normally. The temperature is 98.5°F, blood pressure is 110/70 mm Hg, pulse rate is 70/min, and respiration rate is 21/min; BMI is 25.  Auscultation of the chest revealed mild wheezing without crackles.  Chest radiograph is within normal limits.  Forced expiratory volume in one second/ forced vital capacity (FEV1/FVC) ratio is 62%.   Bronchodilator therapy raised FEV1 by 25%. The patient’s IgE plasma levels were within normal limits. 5. Which of the following is the most likely risk factor/cause for her disease?

When doing debridement it is important to NOT debride

34. Which of the following diseases  is characterized by a decrease in DLco?

A 54-year-old male patient has renal impairment. On checking his medical notes, you find out that his serum creatinine is 190 micromol/litre and his weight is 72 kg. Calculate the patient’s creatinine clearance in mL/min. Give your answer to ONE (1) decimal place.   Constant: 1.04 (women); 1.23 (men)

The formation of excess collagen fibers that stays WITHIN the borders of the wound during the final phase of wound healing is best described as:

An 8-year-old child weighing 22.2kg is started on theophylline (Uniphyllin Continus) for chronic asthma. Assuming the lowest starting dose is initiated, how many milligrams of theophylline should be prescribed every 12 hours? Round your answer to the nearest whole number. Extract from Online BNF