1. 52 yo F with productive cough and clear sputum worsened in last 3 days and albuterol inhaler up
to 4 times daily - Answer-Admit pt to hospital for inpatient management
2. Labs reveal IGE Of 265 and 10% eosinophils - Answer-Discontinue Ibuprofen, give prednisone
3. Which of the following long term meds will reduce COPD exacerbations - Answer-Roflumilast
4. 57 yo M daytime sleepiness, loud snoring, daytime pauses. Most appropriate management? -
Answer-Home sleep testing
5. Patient undergoes follow up of his lung at 12 months and at 2 years. The nodule is unchanged.
Most appropriate mgt? - Answer-Chest CT scans every 2 years for 5 years
6. 72 yo M high res CT shows new bilateral ground glass opacities with bronchiectasis and
honeycomb changes. Most likely dx? - Answer-Acute exacerbation of IPF
7. 32 yo M evaluated for sx of persistent asthma. Upper chest and throat tightness. Most
appropriate mgt? - Answer-Laryngoscopy
8. 56 yo M hispitalized for respiratory failure evaluated for new onset confusion. Most appropriate
management? - Answer-Early mobilization
9. Smoker. Most likely to improve survival? - Answer-Tobacco cessation
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