4c Int Med Day 1 Chronic obstructive pulmonary disease

The most common etiological factors of chronic obstructive bronchitis are all except:

The leading symptom of chronic bronchitis with a primary lesion of the mucous membrane of the large bronchi are:

The clinical manifestation s of chronic obstructive bronchitis are all, except one:

The vital capacity (VC) is all of the above, except one:

In appointing patients with chronic bronchitis antibacterial agents, dose selection and input should be considered:

Chronic obstructive bronchitis treatment the patient should be made:

Chronic obstructive bronchitis auscultative characterized by the following data:

Indication for corticosteroid therapy in COPD are:

The product which improves expectoration of sputum by increasing its turnover (decrease sticking) due to stimulation of lung surfaktant system include:

Complications of chronic obstructive bronchitis are:

What does Tiffno index?:

Patients '66 complaining of shortness of breath, which increases during exercise. OBJECTIVE: body temperature - 36,6 ° C, BH - 24 for 1 min, pulse - 90 for 1 min, blood pressure - 125/80 mm Hg "Warm" cyanosis, swelling of the neck veins during inhalation and exhalation. Swelling of the lower extremities. Above the lungs auscultated vesicular breathing weakened, scattered dry wheezing. Cardiac relaxed, on top and at Botkin point determined systolic murmur Liver speaks at 5 cm from the edge of the costal arch. Ascites. ECG: R v1 = 10 mm , S v6 = 11 mm . What pathology could most likely cause of the disease?

During the 8 years of the patient concerned cough in the morning with a discharge of a small amount of sputum, shortness of breath. Smoking more than 10 years. OBJECTIVE: cyanosis, prolongation of expiration, dry wheezing. What is the most likely diagnosis?

The woman, 33 years old, complains of bouts of dry cough, breathlessness. Ill after suffering RH 2 years ago. OBJECTIVE: BH - 16 for 1 min, pulse - 70 for 1 min, blood pressure - 130/90 mm Hg. Above the lungs percussion determined by clear lung sounds, are listened channeled scattered dry wheezing. To determine the reversibility of bronchial obstruction necessary to test:

The concentration of dust in the workplace obrubnyka, 38 years, more than 10 times MDR. The patient complains of cough often dry, sometimes with little phlegm. Cough concerned for 2 - 3 years. According to medical help is not sought. Do not smoke. OBJECTIVE: hard breathing, single dry wheezing. Other organs and systems normal. Radiography of the chest, en general. blood - without deviation from the norm. Respiratory function: slight bronchial patency. What before diagnosis?

Patient D., 25, complained of cough with sputum, general weakness poor appetite, fever that lasts for 2 months. Objectively: skin pale, heart rate - 80 for 1 minute, breathing hard on the lungs, dry and wet wheezing. In the blood: white blood cells, 10x10 9 / L, ESR - 12 mm / h. From what method should start X-ray examination in the hospital?

Patient L., 32 years. Diagnosis: COPD exacerbation phase. Concomitant diseases - chronic gastritis. Against the background of the therapy were epigastric pain. Which drug you can link?

Patient N., 33 years after hypothermia experienced general weakness, fever, cough with phlegm. OBJECTIVE: both halves of the chest symmetrically involved in breathing, percussion over lungs - lung sound auscultation - hard breathing, wheezing wet. From the heart, tones strengthened focus II ton of pulmonary artery. Which most likely diagnosis?

The patient E., 30 years complains of cough mainly in the morning, with sputum cough after several aftershocks, shortness of breath during physical activity over the past 3 years. The deterioration occurred after supercooling. In history, pneumonia. OBJECTIVE: breathing hard, with lengthening of expiratory, listen to his background scattered humming wheezing. On chest radiographs - no change. Volume forced expiratory volume in 1 sec. is 70%. What is the clinical diagnosis can be set to the patient?

Sinker mine experience 10 years, complaining of shortness of breath during physical exertion, cough with little sputum, chest pain. OBJECTIVE: defined moderate cyanosis of the lips. Percussion sound of the lungs with a box shade, weakened vesicular breathing. On radiographs pulmonary drawing amplified, distorted, observed small nodules shadow size 2 - 4 mm in diameter, preferably in the middle and lower parts of the lungs. What additional data are needed to establish the professional nature of the disease?