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 Best of Five 2.206

 

   

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BOF: 2.206

A 56-year-old male is admitted with breathlessness. He admits to smoking 30 cigarettes a day for 30 years. On examination you note flaring of his alae nasi, trachea was in the midline, cricosternal distance decreased, chest barrel shaped, vocal fremitus was reduced but equal on both sides, respiratory movements by palpation were equal, percussion note was hyper-resonant with decreased cardiac and liver dullness, breath sounds were vesicular but reduced in intensity, no added sounds

In this patient which one of the following measures would improve the patientís prognosis?

a)      Long term oxygen therapy

b)      Chest physiotherapy

c)      Long term antibiotics

d)      Inhaled steroid

e)      Inhaled salbutamol

 

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