A 45-Year-Old Woman Comes to the Office for Routine Follow-Up

question 40

Multiple Choice

A 45-year-old woman comes to the office for routine follow-up.  Six weeks ago, the patient was admitted to the hospital for treatment of left lower lobe pneumonia.  After receiving intravenous antibiotic therapy for 3 days, she was sent home to finish a 7-day course of oral moxifloxacin.  Since discharge, the patient has felt well.  She reports getting her energy back and being able to perform daily activities without difficulty.  The patient has a 15-pack-year history but stopped smoking after the pneumonia.  She does not drink alcohol.  Vital signs are normal.  Physical examination shows no abnormalities.  Which of the following is the most appropriate next step in management?

• A)Chest x-ray
• B)C-reactive protein level measurement
• C)CT scan of the chest
• D)D-dimer testing
• E)No additional testing

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Definitions:

Depreciable Asset

An asset subject to depreciation, which is the spreading out of its cost over the duration of its useful life.