Approach to a cough (acute) Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 62-year-old woman presents to the primary care clinic because of five days of persistent shortness of breath and a frequent cough productive of yellow sputum. She has a history of chronic obstructive pulmonary disease (COPD) and normally has an intermittent cough productive of clear sputum. She needed to use her albuterol inhaler several times this week without significant relief. The patient is usually highly active and has not had any recent prolonged immobility. Her grandson visited her last week, and he had an upper respiratory infection. Current medications include albuterol and inhaled fluticasone-umeclidinium-vilanterol. Temperature is 37.1 ºC (98.8 ºF), pulse is 89/min, respiratory rate is 22/min, blood pressure is 136/82 mmHg, and oxygen saturation is 92% on room air. On physical examination, the patient appears fatigued. There are significant wheezes auscultated in all lung fields with a prolonged expiratory phase. There is no peripheral edema. A chest radiograph shows no acute changes. Which of the following additional tests should be performed next? 

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