A Patient Presents with Complaints of Shortness of Breath and Coughing.On

question 4

Multiple Choice

A patient presents with complaints of shortness of breath and coughing.On auscultation there is extensive wheeze throughout.The chest x-ray the patient had taken yesterday shows mild hyperinflation.What would be the BEST test to aid in diagnosing this patient?

• A)Pre-bronchodilator spirometry
• B)Post-bronchodilator spirometry
• C)Arterial blood gas
• D)Pre- and post-bronchodilator spirometry

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Definitions:

Universal Symptoms

General signs or manifestations of a condition, disease, or change in state that are common across different populations.

Cultural Symptoms

Manifestations or expressions of behaviors, beliefs, or values that are indicative of the cultural or social aspects of a group or society.

Somatisation

The conversion of psychological distress into physical symptoms, leading to medical seeking behavior without any diagnosable organic cause.

Fulford's Squeaky Wheel Principle

A concept suggesting that the most noticeable (or complaining) problems are the ones most likely to get attention and resources.