The following questions are intricate and challenging

c14

Habiendo explicado todo esto es ms fcil comprender qu se puede hacer al respecto. El hecho de potenciar el uso de las energas renovables es muy importante, ya que esto permitir una reduccin en las emisiones de CO2. Asimismo, el uso controlado de los automviles, optando por otros vehculos no motorizados o el hecho de caminar, puede ayudar a disminuir la cantidad de contaminacin que se produce. La reforestacin es otro punto importante, pues los rboles son capaces de absorber el CO2 y producir oxgeno. Todas estas medidas son esenciales para prevenir el calentamiento global.

Question 11

I am confused whether clubbing is a feature of chronic obstructive

pulmonary disease (COPD) or not - you have mentioned that it is not a

feature of COPD but some books do say that clubbing is a clinical feature

of COPD.

Question 12

A 70-year-old man with chronic obstructive pulmonary disease (COPD)

and a past history of myocardial infarction with a left ventricular ejection

fraction (LVEF) of 25% is dyspnoeic on slight exertion such as walking,

bathing. He is not orthopnoeic and claims to have no paroxysmal

nocturnal dyspnoea (PND). He has no wheezing or productive cough and

his blood pressure is normal. He has had three episodes of ventricular

tachycardia (VT) and has been on amiodarone for the past year. What is

the best way to determine the exact cause of dyspnoea in this case?

Question 13

In bronchiectasis, what is the reason for using a bronchodilator if the

airways are already dilated?

Question 14

Why is it that asthmatics having a severe attack can be seen clawing their

hands?

Question 15

Practical use of steroids:

Which form of regimen is better (alternate-day, daily or in pulse form)?

What should be the dose (once daily or three times daily or {2/3} in

the morning)?

For how long, especially when to give short courses as in asthmatics,

when we don't need to taper it down?

Question 16

In pregnancy, what is the recommended treatment for bronchial asthma?

Is the use of the long-acting beta-adrenergic agonist Seretide, the

corticosteroid Symbicort and leucotriene receptor antagonists (LTRAs)

recommended?

Question 17

In asthma patients, which is the safest analgesic to use?

Question 18

Is the use of nebulized heparin in the treatment of asthmatic attacks

recommended?

Question 19

I would like to ask you about pneumonia and its classifications in

particular; what are they?

Question 20

What are the pathological differences in typical and atypical pneumonia?