Question description

27.3 A 68-year-old male retired police officer who has smoked a 1/2
pack of cigarettes a day for the past 40 years is diagnosed with chronic
obstructive pulmonary disease (COPD). He has a difficulty in expiration during
breathing, but the symptms are mild and intermittent. Which one of the following
agents would most appropratate initial therapy.

A. Systemic corticosteroids

B. Albuterol

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C. Salmeterol

D. Tiotropium plus salmeterol

E. Theophylline
27.2 A 9-year-old girl has severe asthma, which required three
hospitalizations in the last year. She is now receiving therapy that has greatly
reduced the frequency of these severe attacks. Which of the following therapies
is most likely responsible for this benefit?

A. Albuterol by aerosol.

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B. Cromolyn by inhaler.

C. Fluticasone by aerosol.

D. Theophylline orally.

E. Zafirlukast orally.
27.1 A 12-year-old girl with a childhood history of asthma
complained of cough, dyspnea, and wheezing after visiting a riding stable. Her
symptoms became so severe that her parents brought her to the emergency room.
Physical examination revealed diaphoresis, dyspnea, tachycardia, and tachypnea.
Her respiratory rate was 42 breaths per minute, pulse rate 110 beats per minute,
and blood pressure 132/65 mm Hg. Which of the following is the most appropriate
drug to rapidly reverse her bronchoconstriction?

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A. Inhaled cromolyn.

B. Inhaled beclomethasone.

C. Inhaled albuterol.

D. Intravenous propranolol.