Correct!
4. 1 and 3
If you chose to use albuterol, you need to go back and read the section on empirical therapy. She had seen a variety of physicians for this including another pulmonologist and had been prescribed bronchodilators and even a course of prednisone which did not help. Despite this, she was told that she had COPD. In our general pulmonary practice, we consider chest radiography and spirometry to be almost an extension of the physical examination and likely to produce the most rewarding results. Certainly, spirometry is important in evaluating dyspnea and the chest x-ray is considered important in evaluating asthma, the patient’s most likely diagnosis (3,4). Her chest x-ray (Figure 1) and spirometry are shown below.
Figure 1. Initial chest x-ray.
Figure 2. Spirometry. Post-bronchodilator spirometry was unchanged.
Which of the following is correct? (Click on the correct answer to be directed to the fourth of seven pages)