9. Your patient present to your office after notice a 18 month history of progressively worsening shortness of breath. You have sent him for outpatient pulmonary function tests. Based on the data below, what is the best management option?
Pre Bronchodilator
FVC 49% Prediceted
FEV1 47% Predicted
TLC 45% Predicted
RV 42% Predicted
Post Bronchodilator
FVC 47% Predicted
FEV1 45% Predicted
DLCO 38% Predicted
A. Start the patient a burst of Prednisone and re-evaluate the patient in a month to see if they responded.
B. Start the patient on albuterol 4 times a day with an inhaled glucocorticoid
C. Start the patient on singulair 10 mg daily
D. Start the patient in Pulmonary Rehabilitation and refer to patient to pulmonary.
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