187) A 34 year old obese man presents with complaints of cough of 3 months’ duration. His cough is non-productive and occurs daily. It is worse in the night. He also reports a need to clear his throat constantly. He denies any nasal congestion. He denies smoking or alcohol. He also reports a chronic history of heart burn for which he uses over the counter antacids intermittently. He works as a nurse in a health care facility. He denies any fever or night sweats or weightloss. On examination, throat is normal in appearance with out any exudate or eythema. Lungs are clear to auscultation. A Chest X-ray is normal. The most appropriate initial diagnostic step in evaluating his cough is :
A) Tuberculin skin test
B) Methacholine challenge
C) Albuterol trial
D) Omeprazole trial
E) 24 Hour esophageal pH monitoring
Filed under: USMLE Test Prep | Tagged: archer step 3 pulmonology, archer usmle step 3, USMLE STEP 3 PULMONOLOGY, usmle step 3 questions |
D , GERD
d
A..nurse and works at a healthcare facility, nighttime cough..could be a latent Tuberculosis without signs of active disease on CXR.
A…..
Cough for 3 month. Do PPD first, Omeprasol after. Latent TB is my first answer.
???
D
What is the answer to this question Dr Red?
is it due to GERD?