As an initial matter, Chapa asserts that three grounds preclude our constitutional review of the exemplary damages award. First, she argues this Court lacks jurisdiction to consider whether exemplary damages are constitutionally excessive. While the excessiveness of damages as a factual matter is final in the Texas courts of appeals,^[29]the constitutionality of exemplary damages is a legal question for the court.^[30]We have conducted such analyses before.^[31]Moreover, the Supreme Court of the United States has found unconstitutional a state constitutional provision limiting appellate scrutiny of exemplary damages to no-evidence review.^[32]Only by adhering to our practice of reviewing exemplary damages for constitutional (rather than factual) excessiveness can we avoid a similar constitutional conflic

Question 1

i am a final-year medical student in India, where tuberculosis in all forms

is one of the most common diseases with which we deal. I read that you

feel there is no indication for steroids in tuberculosis. Is it not reasonable

to give steroids with antitubercular therapy (ATT) in a patient with

tuberculous pericarditis, meningitis, peritonitis and ocular manifestations

due to tuberculosis, in order to reduce the damage caused by inflammation

and fibrosis? If not, what suitable alternatives, other than steroids, would

you recommend to reduce damage from postinflammatory fibrosis?

Question 2

What dosage of steroids and duration of treatment should be given to

patients with idiopathic pulmonary fibrosis? What are the new drugs,

their recommended dosage and duration of treatment?

Question 3

What is the poor prognostic factor in cryptogenic fibrosis: fibrosis or

concomitant connective tissue disorder?

Question 4

Are wheezes present in extrinsic allergic alveolitis?

Question 5

Is the measurement of chest expansion with a tape a useful physical

examination to indicate the severity of emphysema?

Question 6

I have a young patient with bilateral hilar lymphadenopathy but no other

manifestations of sarcoidosis. How can I make a diagnosis?

We have read in your book that continuous oxygen therapy at home

reduces mortality in chronic obstructive pulmonary disease (COPD).

I am concerned that my patient might develop acute respiratory

failure.1444

Question 7

I have a patient with asthma who is on long-term inhaled corticosteroids.

She is very concerned about long-term steroid therapy. Could I replace

the steroids with a long-acting beta2 agonist?

Question 8

What is the role of leukotriene-modifying agents in asthma?

Question 9

Is it true that the Mantoux test is no longer used?