f****i
发帖数: 129 | 1 33. A 60-year-old man comes to the physician because of increasing shortness
of breath for 1 week; it occurs at rest and is exacerbated by exertion. He
has not had chest pain. He has smoked two packs of cigarettes daily for 40
years. Between the ages of 18 and 30 years, he worked in a warehouse with
exposed bare insulation; for the past 15 years, he has driven a taxi.
Medications include ipratropium bromide and albuterol metered-dose inhalers.
His temperature is 37 C (98.6 F), blood pressure is 170/95 mm Hg, pulse is
100/min, and respirations are 24/min. Anterior and posterior diffuse wheezes
are heard. Cardiac examination shows no murmurs. There is mild pretibial
edema. An x-ray film of the chest shows calcified pleural plaques on the
right hemidiaphragm and a 2-cm pleural-based mass. With regard to the
findings on the x-ray film, which of the following is most likely to have
prevented this patient's condition?
A
) Appropriate immunizations
B
) Different occupation
C
) Different medications
D
) Hypertension screening
E
) Smoking cessation
B or E??? |
A*******3
发帖数: 39 | |
D*********t
发帖数: 140 | 3 Should be B. Asbestosis induced pleural Mesothelioma Ca. |
f****i
发帖数: 129 | 4 I also chosed B. But smoking can also promote mesothelioma ca, isn't it?
【在 D*********t 的大作中提到】
: Should be B. Asbestosis induced pleural Mesothelioma Ca.
|
D*********t
发帖数: 140 | 5 Smoking is related to Lung Ca not Mesothelioma |
x*******8
发帖数: 68 | |
h***a
发帖数: 312 | |
l*******8
发帖数: 290 | |
S******9
发帖数: 2837 | 9 the ages of 18 and 30 years, he worked in a warehouse with
exposed bare insulation
Once you see something like this, go for occupation problems, which will
will save you 20 seconds in real test.
Asbestosis ---> 1st: lung cancer, 2nd: pleural Mesothelioma |
s*********a
发帖数: 336 | 10 B.
Asbestosis associated Mesothelioma always appears several years after the
exposure. |
