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A 20-Year-Old Man with a History of Asthma Comes to the Office

question 235

Multiple Choice

A 20-year-old man with a history of asthma comes to the office due to a marked increase in cough, wheezing, and sputum production. The asthma is usually very well controlled on mometasone-formoterol 1 puff twice daily, but over the past week, the patient has used his inhaler several times daily for chest tightness, cough, and wheezing. These symptoms started 5 days ago, when he "felt lousy" and had muscle aches; cough; nasal congestion; thick, yellowish nasal discharge; sore throat; and fever. The fever and sore throat improved, but the cough and nasal congestion have persisted. The patient has no headache. He can barely sleep due to frequent coughing.
The patient is afebrile. Pulse is 82/min and respirations are 14/min. Pulse oximetry shows 97% on room air. Physical examination shows a healthy-appearing man who is not in acute respiratory distress. There is no sinus tenderness, but some postnasal drip is seen in the oropharynx. Lung examination shows good air entry and diffuse wheezing. The remainder of the physical examination is normal.
Which of the following is the most appropriate treatment for this patient?

Definitions:

NPV

Net Present Value (NPV) is a method used in capital budgeting to evaluate the profitability of an investment or project by calculating the difference between the present value of cash inflows and outflows.

Cost of Capital

Cost of capital represents the return rate an entity must pay to its stakeholders in order to justify the use of capital in the business.

Initial Outflow

The initial cash expenditure required to undertake an investment or project.

Average Accounting Return

A measure of investment profitability calculated as the average annual net earnings of a project divided by the average investment in the project.