Module 01: Respiratory Problems (Assessment)
A 63-year-old non-smoker presents with productive cough of 3 years duration. She has become more short of breath after a recent hospitalisation with pneumonia. She is afebrile and chest examination reveals crepitations in the right lung base. You order spirometry. The results:
FEV1=1.43L or 65% of predicted
FVC =2.5L or 83% of predicted
FEV1/FVC= 1.43/2.5 or 0.57 (normal >0.7)
Minimal airway reversibility with salbutamol.
What is the most reasonable next step?
A.One month trial of amoxicillin.
B.Full blood count and sputum culture.
C.High resolution CT scan thorax.
D.Referral for pulmonary rehabilitation.
E.Inform the patient that she suffers from bronchiectasis.
A 63-year-old non-smoker presents with productive cough of 3 years duration. She has become more short of breath after a recent hospitalisation with pneumonia. She is afebrile and chest examination reveals crepitations in the right lung base. You order spirometry. The results:
FEV1=1.43L or 65% of predicted
FVC =2.5L or 83% of predicted
FEV1/FVC= 1.43/2.5 or 0.57 (normal >0.7)
Minimal airway reversibility with salbutamol.
What is the most reasonable next step?
A.One month trial of amoxicillin.
B.Full blood count and sputum culture.
C.High resolution CT scan thorax.
D.Referral for pulmonary rehabilitation.
E.Inform the patient that she suffers from bronchiectasis.