Published 17 June 2009, doi:10.1136/bmj.b2387
Cite this as: BMJ 2009;338:b2387

Endgames

OnExamination quiz

Asthma

The first 150 words of the full text of this article appear below.

The answer to this question and more questions on this topic are available from www.onexamination.com/endgames until midnight on Wednesday.

This week’s quiz is on asthma and is taken from the OnExamination revision questions for the part 2 written segment of the MRCPI examination.

A 19 year old man with a 10 year history of asthma presented with a 6 week history of exertional breathlessness and wheeze. He had a history of eczema and hayfever as a child. He smoked 10 cigarettes a day and worked as an electrician.

In addition, he had an unproductive cough that woke him up most nights. Systems review was negative apart from some occasional diarrhoea.

His current treatment was inhaled beclomethasone 800 µg/day and inhaled salbutamol 200 µg when required, via a metered dose inhaler.

Which one of the following is the most appropriate next step in management?

A Add aminophylline
B Add montelukast
C . . . [Full text of this article]


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to StumbleUpon StumbleUpon   Add to Technorati Technorati    What's this?
Access jobs at BMJ Careers
Whats new online at Student BMJ