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Asked by myriambaka
For each scenario:
Using the information provided, determine if the results indicate an obstructive, restrictive, or mixed pattern of deficit.
Determine whether the pattern is reversible or non-reversible. Grade the severity of the disorder using the GOLD guidelines as appropriate.
Provide the most likely diagnosis for the client.
For each client, list one treatment strategy including rationale.

1. A 50-year-old male presents for evaluation of a productive cough in the morning. He is a non-smoker 
who has worked in a chemical factory for the past 25 years. Post-bronchodilator spirometry test results 
are below. 

                   Result (% predicted)
FEV1/FVC  68           2 ( % change)
FEV              85           4 ( % change)
FVC             85             1 ( %change)
 

Scenario 2 
A 16-year-old male presents with complaints of shortness of breath and coughing when running. He first 
noticed it 1 week ago during pre-season training for track. The symptoms worsen 5-10 minutes after 
sprinting and usually resolve within 20-30min on their own. He denies smoking or vaping history. He has 
no previous medical history except allergies to cats and dust. He reports no symptoms at this time. Post-
bronchodilator spirometry results are below. 

Test Result (% 
Predicted 
% 
Change 
FEV1/FVC 95      2 ( % change)
FEV 91                 0 ( % change)
FVC 99                1 ( % change)
 

Scenario 3 

A 45-year-old, male presents with recent onset of shortness of breath with exertion and a night-time 
cough. He is a painter and non-smoker. He has a history of childhood rhinitis and asthma which he 
thought he “grew out of”. Post-bronchodilator spirometry results are below. 

Test Result (% 
Predicted 
% 
Change 
FEV1/FVC 63    20 ( % change)
FEV 69              38 ( % change)
FVC 85             18 ( % change)

 

SCIENCE
HEALTH SCIENCE
NURSING
NURSING FN NR601

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