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9474 Medicine

A 34-year-old man presents to the emergency room with increasing shortness of breath. He has a past medical history of asthma that is previously well controlled but 2 weeks ago he developed a “cold” and has noticed increased coughing and shortness of breath ever since. He reports no fevers, chills, or sputum production. He is now using his salbutamol inhaler for rescue therapy 6 times a day and feels unwell. His physical examination is normal except for wheezing on expiration. A CXR is normal and he is prescribed prednisone 30 mg once a day for one week. Which of the following is the major effect of glucocorticoids in asthma?

Aanti-inflammatory
Bbronchodilatory
Csedative
Dmucus dissolving
Medicine
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9475 Medicine

A 75-year-old man develops acute confusion and drowsiness after a dental procedure. He has a history of severe chronic lung disease due to smoking. Earlier in the day, he had a tooth extraction and afterwards was given acetaminophen with codeine (Tylenol 3) for pain relief.For the above patient with new symptoms, select the most likely acid base disorder.

Ametabolic acidosis
Bmetabolic alkalosis
Crespiratory acidosis
Drespiratory alkalosis
Medicine
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