American College of Physicians: Internal Medicine — Doctors for Adults ®

Advertisement

The MKSAP Challenge

From the April ACP Observer, copyright 2006 by the American College of Physicians.

Clinical scenario

A 64-year-old man with severe chronic obstructive pulmonary disease (COPD) with mild hypercapnia and persistent dyspnea on minimal exertion is evaluated in the office.

He is on maximal bronchodilator therapy and oral theophylline. He was admitted two months ago to the intensive care unit for an exacerbation of COPD and was placed on noninvasive ventilation by bilevel positive airway pressure. He subsequently improved and was discharged home.

Which of the following outcomes is likely if this patient uses bilevel positive airway pressure at home?

A. Decreased frequency of COPD exacerbations
B. Decreased likelihood of death caused by COPD
C. Improvement in symptoms and quality of life
D. Improvement in hypercapnia
E. No benefit

Answer

Top

This is a printer-friendly version of this page

Print this page  |  Close the preview

Share

 
 

Internist Archives Quick Links

Have questions about the new ABIM MOC Program?

Have questions about the new ABIM MOC Program?

ACP explains the ABIM requirements and offers many free solutions to earn MOC points.

One Click to Confidence - Free to members

One Click to Confidence - Free to members ACP Smart Medicine is a new, online clinical decision support tool specifically for internal medicine. Get rapid point-of-care access to evidence-based clinical recommendations and guidelines. Plus, users can easily earn CME credit. Learn more