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A 55-Year-Old Man Comes to the Office Due to Intermittent

Question 348

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A 55-year-old man comes to the office due to intermittent shortness of breath, cough, and chest tightness over the past 3 months.  The patient had asthma as a child that improved in adolescence, and he has not required inhalers or steroids since.  He feels that his current symptoms are similar to his prior asthma symptoms.  The patient was recently diagnosed with essential tremor, which has improved with medical therapy; he has no other chronic medical conditions.  He is a lifetime nonsmoker and does not use alcohol or illicit drugs.  Blood pressure is 125/75 mm Hg, pulse is 58/min, and respirations are 16/min.  Physical examination reveals bilateral scattered expiratory wheezes.  Heart sounds are normal and there is no extremity edema.  This patient's symptom recurrence is most likely attributable to a medication that affects which of the following steps? A 55-year-old man comes to the office due to intermittent shortness of breath, cough, and chest tightness over the past 3 months.  The patient had asthma as a child that improved in adolescence, and he has not required inhalers or steroids since.  He feels that his current symptoms are similar to his prior asthma symptoms.  The patient was recently diagnosed with essential tremor, which has improved with medical therapy; he has no other chronic medical conditions.  He is a lifetime nonsmoker and does not use alcohol or illicit drugs.  Blood pressure is 125/75 mm Hg, pulse is 58/min, and respirations are 16/min.  Physical examination reveals bilateral scattered expiratory wheezes.  Heart sounds are normal and there is no extremity edema.  This patient's symptom recurrence is most likely attributable to a medication that affects which of the following steps?   A) A B) B C) C D) D E) E F) F


A) A
B) B
C) C
D) D
E) E
F) F

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