NBME Answers : boeboeboe's page

Subcomments ...

submitted by beeip(141), visit this page

get full access to all content ⋅ become a member

Guess one needs to bank on "hilar lymphadenopathy with fever" here.

Lacking upper lobe findings, I got this one wrong.

get full access to all content ⋅ become a member

boeboeboe Patient likely has primary TB presenting with fever, chest pain. Lower lung fields are affected, but usually nothing seen on CXR. Secondary TB affects upper lobes, and is when cavitary lesions will be seen on CXR +1

kingfriday There's a uworld question that mirrors this presentation, it got me then- the adenopathy is huge +2

submitted by sugaplum(487), visit this page

get full access to all content ⋅ become a member

sounds like she has acute bronchitis; which is like inflammation/irritation of the airway, so there is narrowing Beta agonist will decrease the inflammation and open the airways up

get full access to all content ⋅ become a member

boeboeboe I think she more likely has asthma. Cough is worse at night and worse with physical activity. Key findings on exam: end-expiratory wheezes bilaterally. Responsive to b2-agonists. +3

keyseph There was a UWORLD question very similar to this that said the diagnosis was acute bronchitis. The next best step according to UWORLD was also to start empiric therapy with bronchodilators. So either way, the answer would be a SABA. +4