Which of the following procedures would you recommend to further assess Mr. Jones' condi-tion? 1. Pre-post PFT 2. Exercise testing 3. Chest x-ray 4. Room air ABG
a. 1 and 4 only
b. 1, 2, and 3 only
c. 2, 3 and 4 only
d. 1, 3, and 4 only
ANS: D
Mr. Jones' dyspnea at rest and chronic sputum production requires further evaluation. A pre-post PFT study is indicated at this time to (1) differentiate his COPD diagnosis between emphysema, chronic bronchitis and asthma and (2) assess possible airway obstruction and its reversibility lev-el. A chest x-ray and arterial blood gas analysis are also indicated in the presence of dyspnea and due to this patient's occupational history.
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