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MCCQE Exam with Complete Solutions 100% Solved
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MCCQE Exam with Complete Solutions 100% Solved Diagnosing adult asthma ️️1. Gold standard = PFTs showing reduced FEV1/FEV and 11% increase in FEV1 with SABA or ICS course 2. PEF (peak expiratory flow) - 20% improvement in PEF with SABA or ICS course 3. Positive challenge test - methacholine challenge or 10% drop in FEV1 with exercise Asthma medications ️️All patients: 1. SABA (salbutamol) PRN 2. ICS If insufficient control: 1. Increase ICS dose 2. Add LABA or leukotriene antagonist (LTRA) For exacerbation: give PO steroids -Kids: prednisone or dexamethasone -Adults: prednisone -Can also consider ipratroprium bromide or MgSO4
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