A 7-year-old girl is brought to the physician by her father because of a dry cough, nasal congestion, and intermittent wheezing during the past 2 months. Since birth, she has had four upper respiratory tract infections that resolved without treatment and one episode of acute otitis media treated with antibiotics. She has a history of eczema. Her temperature is 37.1°C (98.7°F), and respirations are 28/min. Physical examination shows a shallow breathing pattern and scattered expiratory wheezing throughout both lung fields. Which of the following is the most appropriate next step in diagnosing this patient’s condition?
AMethacholine challenge test
BChest x-ray
CSpirometry
DSerum IgE levels
EArterial blood gas analysis
A 23-year-old man presents to the emergency department with shortness of breath. The patient was at a lunch hosted by his employer. He started to feel his symptoms begin when he started playing football outside with a few of the other employees. The patient has a past medical history of atopic dermatitis and asthma. His temperature is 98.3°F (36.8°C), blood pressure is 87/58 mmHg, pulse is 150/min, respirations are 22/min, and oxygen saturation is 85% on room air. Which of the following is the best next step in management?
AAlbuterol and prednisone
BIV epinephrine
CIV fluids and 100% oxygen
DAlbuterol and norepinephrine
EIM epinephrine
A 12-month-old boy presents for a routine checkup. The patient immigrated from the Philippines with his parents a few months ago. No prior immunization records are available. The patient’s mother claims that he had a series of shots at 6 months of age which gave him a severe allergic reaction with swelling of the tongue and the face. She also remembers that he had the same reaction when she introduced solid foods to his diet, including carrots, eggs, and bananas. Which of the following vaccinations are not recommended for this patient?
AMeasles, mumps, and rubella (MMR) vaccine
BHepatitis B vaccine
CVaricella vaccine
DIntranasal influenza vaccine
EIntramuscular influenza vaccine
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