Obstructive Airway Disease

1.A 25 years old male presents with history of cough with productive mucoid sputum for the last three months. The sputum is foul smelling, copious and it increases on lying to the left side. On examination patient is tachypneic and has coarse leathery crepitation’s in the right inter scapular and infra scapular regions; clubbing present. Answer the following  What is your probable diagnosis.  What are the causes for this condition  How will you confirm the diagnosis.  How will you treat this condition

2.A 20 year young male travels in two wheeler in a dusty atmosphere develops sneezing and breathlessness. He gives past episodes of wheezing. Auscultations of chest showed bilateral polyphonic wheezes. Answer the following:  What is your diagnosis  How will you investigate him  How will you manage  Precautions to prevent further episodes

3.A 45 years old male presents with history cough with productive mucoid sputum for the last three months. He had similar problem during the last winter. On examination patient is tachyopenic, has mild cyanosis, barrel shaped chest and the liver dullness in the 8th right intercostal space . Patient has bilateral polyphonic ronchi and scattered crepitation’s all over the lung fields. Answer the following • What is your probable diagnosis. • What are the probable causes for this condition • How will you confirm the diagnosis • How will you treat this condition

1.Acute severe asthma

1.Obstructive sleep apnea

2.GOLD criteria of COPD

3.Three classes of drugs to treat bronchial asthma

4.Management of status asthmaticus

5.Signs of acute severe asthma

6.Step care therapy in asthma

7.Mention x-ray chest finding in emphysema

1.Assertion (A): There is no mortality benefits with corticosteroids in COPD patients Reason (R): There is a high degree of neutrophilic and monocytic infiltration with chronic inflammatory features in airway mucosa of COPD patients

• a) Both A and R are true, and R is the correct explanation of A
• b) Both A and R are
• c) A is true, but R is false