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

New Leadership Webinars

New Leadership Webinars

The ACP Leadership Academy is offering FREE webinars covering the core tenets of leadership, leadership in hospital medicine, finance, and more.

Join ACP Today!

Join ACP Today!

ACP membership connects you with like-minded colleagues and provides access to a variety of clinical resources, practice tools, and ways to earn MOC and CME.