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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

SCIENCE
HEALTH SCIENCE
NURSING
NURSING NR 601

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