IPAP Exam Master (Belvoir) Pulmonology Exam Questions and Answers 100% Solved
IPAP Exam Master (Belvoir) Pulmonology Exam Questions and Answers 100% Solved A thin 26-year-old woman presents with sudden onset of dyspnea, non-productive cough, and vague chest pain radiating to the left shoulder. She is a soccer player, and her symptoms initially occurred 24 hours ago during her usual 5-mile training run. PMH is unremarkable. EKG shows sinus tachycardia, 105 bpm. Respiratory rate equals 30 breaths per minute. Decreased breath sounds and hyperresonance are noted on the left thorax; otherwise, the physical exam is unremarkable. What is the most likely diagnosis? ️️Spontaneous pneumothorax A 30-year-old woman with no significant past medical history is evaluated for a 3-month history of exertional dyspnea and increased fatigue; it is associated with chest discomfort and lightheadedness. Her physical exam reveals a right ventricular heave, a widely split S2, an accentuated pulmonic component of S2, a pulmonary ejection click, an S3 gallop, and a tricuspid regurgitation murmur. There is jugular vein distention and liver enlargement, but no peripheral edema. Pulmonary auscultation is normal. An EKG is performed; the tracing is attached. An inhaled vasodilator challenge results in a favorable response. What is the most appropriate initial therapy in this case? ️️Nifedipine
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