Pulmonary Board Review Questions

Introduction

This book is 25 questions, answers, along with detailed explanations of board review questions in the area of pulmonary medicine. This book is helpful for medical students, physician assistants, nurse practitioners, and nurses. It may be also helpful to respiratory therapists preparing for the clinical simulations. The main target readers of this book is physician assistants preparing for the PANCE or PANRE. We do feel it would be helpful for any student on a pulmonary rotation.

1. Your patient is a 88 year old male that comes in with shortness of breath that started suddenly his lung exam reveals clear breath sounds throughout. He is quite dyspneic with a SpO2 of 85% on room air. His heart rate is 135 and EKG reveals a sinus tachycardia. His portable chest x ray is normal showing no evidence of heart failure, pneumonia, or pneumothorax. His CBC and Chem 7 are normal. Which of the following is the best next management options?

A. Apply Oxygen, order an Albuterol Nebulizer, and give the patient Solumedrol 125 mg IV.

B. Apply Oxygen, Give Metoprolol 50 mg PO, and