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salbutamol

Practice targeted AMC-style multiple-choice questions on salbutamol.

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A 7-year-old boy with a history of asthma presents to the clinic with increased wheezing and shortness of breath over the past week. He has been using his salbutamol inhaler more frequently, but his symptoms persist. His mother reports that he has been waking up at night due to coughing. What is the most appropriate next step in managing this child's asthma?

A. Prescribe an oral corticosteroid
B. Add a long-acting beta-agonist
C. Start an inhaled corticosteroid
D. Refer to a pulmonologist
E. Increase the dose of salbutamol
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A 7-year-old boy is brought to the emergency department by his parents due to sudden onset wheezing and difficulty breathing. He has a history of asthma, for which he uses a salbutamol inhaler as needed. His parents report that he had a cold over the past few days, and today he started wheezing and became short of breath. On examination, he is in moderate respiratory distress, with a respiratory rate of 30 breaths per minute, oxygen saturation of 92% on room air, and widespread wheezing on auscultation. What is the most appropriate initial management step for this child?

A. Administer nebulized salbutamol
B. Provide supplemental oxygen
C. Initiate inhaled corticosteroids
D. Start oral corticosteroids
E. Administer intravenous magnesium sulfate
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A 10-year-old boy with a history of asthma presents to the emergency department with wheezing and shortness of breath. His mother reports that he has been using his salbutamol inhaler more frequently over the past two days. On examination, he has a respiratory rate of 28 breaths per minute, and his oxygen saturation is 92% on room air. What is the most appropriate initial management step?

A. Administer nebulized salbutamol
B. Administer intravenous magnesium sulfate
C. Provide supplemental oxygen
D. Increase the dose of inhaled corticosteroids
E. Start oral corticosteroids
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A 68-year-old man with known severe COPD presents with a 3-day history of increased cough, purulent sputum, and worsening dyspnoea. He uses salbutamol more frequently. On examination, he is afebrile, respiratory rate 24, SpO2 90% on air. Scattered wheezes are heard. Which of the following is the most appropriate initial management step?

A. Initiate oral corticosteroids and antibiotics.
B. Administer high-flow oxygen via nasal cannula.
C. Prepare for non-invasive ventilation.
D. Order an urgent chest X-ray.
E. Give intravenous salbutamol infusion.
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A 35-year-old woman presents to her GP with worsening shortness of breath, cough, and wheeze over 2 days, requiring her salbutamol reliever daily and waking her at night. Her PEF is 60% of her personal best. She is alert, speaking in sentences, RR 22, HR 95. Based on Australian guidelines, what is the most appropriate initial management step?

A. Prescribe a course of oral prednisolone.
B. Order a chest X-ray to rule out pneumonia.
C. Increase the dose of her regular inhaled corticosteroid.
D. Arrange immediate transfer to the nearest emergency department.
E. Administer inhaled salbutamol via spacer and reassess clinical status and PEF.
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A 70-year-old man with severe COPD (FEV1 35%) presents with increased cough, purulent sputum, and dyspnoea over 48 hours. He uses salbutamol PRN and tiotropium daily. His oxygen saturation is 88% on room air. Chest X-ray shows hyperinflation but no new consolidation. What is the most appropriate initial management step?

A. Administer controlled oxygen therapy targeting SpO2 88-92%.
B. Perform arterial blood gas analysis.
C. Initiate intravenous antibiotics.
D. Prescribe high-dose inhaled corticosteroids.
E. Administer nebulised salbutamol and ipratropium bromide.
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66-year-old man, smoker with mild COPD, on salbutamol and tiotropium, confused regarding usage. Back for GPMP. Care plan?

A. Recommend zoster and pneumococcal vaccines.
B. Increase salbutamol dose.
C. Advise to cut down on smoking.
D. Recommend flu, COVID, and pneumococcal vaccines.
E. Refer for pulmonary function tests.
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