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February 5, 2023

MS, your 62-year-old male patient, missed his last annual…

MS, your 62-year-old male patient, missed his last annual appointment scheduled 6 weeks ago. Today, he describes his
cc as SOB with ADL’s. He also reports coughing for the past 2 months when he wakes up in the morning. He states he
clears his throat frequently. PMH HLD (Tricor 145mg daily), HTN (Olmesartan 20 mg PO daily). Smoked cigarettes for 2-3
years in 20’s.

Post bronchodilator spirometry results
Test Result (%
Predicted)
%
Change
FEV1/FVC 60 4
FEV1 61 3
FVC 62.8 4
1. What is the interpretation of results
2. What is the Interpretation of reversibility/GOLD severity grading with references
3. What is the most likely diagnosis
4. What is the treatment strategy with rationale with references

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