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  1. #1
    almostmd1 is offline Newbie 510 points
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    girl with exercise induce asthma

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    a girl is getting ready for her annual athletic copetition. she c/o wheezing and breathlessness during exercise on various occasions. Nonsmoker, no drugs. she has a history of allergic rhinitis. She has been taking benzamycin(benzoyl peroxide and erythromycin cream) for mild acne. Chest exam is unremarkable. What is the most appropriate treatment in this pt?
    a)B agonists
    b)steroids
    c)zafirlukast
    d)theopyllin
    e)ipratropium
    The answer choice says that both B+ and Theopyllins are good, but it marks B+ as the correct answer, so which one is it and why no theophyllin?
    Thanks

  2. #2
    study_ing is offline Newbie 510 points
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    B agonists A shud be the answer for excercise induced asthma. theophylline is not a first line drug due its side effects and thearapeutic range.

  3. #3
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    Ojelade is offline Newbie 510 points
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    this girl has exercise induced bronchospasm and will benefit from inhaled B agonists as needed (option A)

  4. #4
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    to prevent future attacks cromlyn sodium is the best.
    acute use B+
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  5. #5
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    student-2 is offline Senior Member 510 points
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    But she doesn't have severe asthma if it's just exercise induced making steroids an over kill. For symptomatology- give Beta-blockers, if it's a very severe asthma (like more then 4 times diurnal a week and twice a week) give systemic steroids.

  6. #6
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    Quote Originally Posted by student-2 View Post
    But she doesn't have severe asthma if it's just exercise induced making steroids an over kill. For symptomatology- give Beta-blockers, if it's a very severe asthma (like more then 4 times diurnal a week and twice a week) give systemic steroids.
    You mean Beta agonist right?
    Beta blockers are contrandicated In asthmatic patients becuase of possible broncoconstriction.
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  7. #7
    student-2's Avatar
    student-2 is offline Senior Member 510 points
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    right- beta agonist!!!!! I am used to saying beta blockers more then agonist. Thanks for the correction

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