Your patient is a 52-year-old male complaining of shortness of breath. He is sitting up, alert, and oriented and appears to be in moderate respiratory distress. He states that he "always gets a chest cold in the winter" and describes a three-week history of productive cough and increasing shortness of breath. Physical examination reveals coarse rhonchi to the upper lobes bilaterally, air movement

is decreased in the bases, and his skin is cool with peripheral cyanosis. You note that he is overweight and describes an 18-pack-a-year smoking history. Based on these clinical exam findings, the most clinically relevant finding you might also expect is:

A) pursed-lipped breathing.
B) JVD, ankle edema, and hepatic congestion.
C) pulmonary edema and hypotension.
D) barrel chest and increased anterior/posterior chest diameter.


B

Health Professions

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A. Joint pain and swelling B. Morning stiffness C. Warmth and redness around a joint D. Bloodshot or red eyes

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What will be an ideal response?

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Answer the following statement true (T) or false (F)

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