A 60-Year-Old Man with a History of Chronic Obstructive Pulmonary

question 341

Multiple Choice

A 60-year-old man with a history of chronic obstructive pulmonary disease comes to the office due to hemoptysis.  For the past several days, he has had increasing cough with greenish-yellow sputum.  He also had 2 episodes of blood-streaked sputum, which prompted the clinic visit.  The patient has mild dyspnea but no fever or chest pain.  His other medical problems are peripheral vascular disease and osteoarthritis.  His current medications include aspirin, inhaled fluticasone and salmeterol, and ipratropium.  He continues to smoke 1/2 pack of cigarettes daily and drinks alcohol occasionally.  The patient had a screening CT scan 2 years ago that was negative for lung mass.  His father died of lung cancer.  Blood pressure is 140/95 mm Hg and heart rate is 100/min.  The patient's pulse oximetry shows 95% on room air.  Lung auscultation reveals bilateral expiratory wheezing. Soon after the patient leaves the office, his wife calls and requests information about her husband's condition.  She is also the treating physician's patient.  Which of the following is the most appropriate response to her request?

• A)"I can't discuss this information over the phone.  Please schedule an office visit."
• B)"I can't share this information without your husband's permission."
• C)"The good news is your husband doesn't have cancer."
• D)"What information are you interested in?"
• E)"Why don't you ask your husband?"

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Definitions:

Rental Housing

This term refers to properties available for rent, providing accommodation to individuals or families in exchange for regular payments to the owner or landlord.

Minimum Wage

The lowest legal amount that an employer can pay their workers, established by law or contract to ensure a minimum standard of living for employees.

Unskilled Workers

are laborers who lack specialized training or qualifications, often performing manual or routine tasks.

Employment

The condition of having paid work; the relationship between an employer and an individual who is compensated for performing specified tasks or services.