Answer to Question 1
ANS: B
In bronchiectasis, there is usually a history of chronic, productive cough. Sputum is typically mucopurulent and produced in increased amounts. Other common findings include shortness of breath, wheezing, fatigue, and possibly hemoptysis. Physical examination reveals rhonchi and/or wheezing. In advanced disease, clubbing and cyanosis may be present.
Answer to Question 2
ANS: C
With pneumonia, the chest film typically reveals an area of infiltrate. It is a red flag if a pleural effusion is also visualized, in which case adequate follow-up to exclude development of an empyema is mandatory. This often involves prompt referral to a pulmonologist for possible thoracentesis. Cultures and Gram stains of sputum are usually not ordered for outpatients. The white blood cell count is often elevated.
Teaching an illterate patient
The patient's signature on the informed consent form indicates that the patient understands the
Example of a patient statement.
Physical and indirect aggression of boys and girls across childhood
Ex vivo and in vivo gene therapy for a patient with a liver disorder