Pam, after five sleepless nights caused by coughing up a yellowish phlegm all night, makes an appointment to see her physician. She is concerned because her cough isn’t going away. Her family physician, Dr. Jamison, asks Pam some questions about her cough. When he checks her lungs and heart he hears a wheezing noise and adds a note to Pam’s electronic health record (EHR). Dr. Jamison tells Pam that her airways seem constricted and asks her if she has ever been diagnosed with asthma. Pam replies “no” as Dr. Jamison adds notes into Pam’s EHR. Dr. Jamison asks Pam questions about the kind of work she does, how long she has been doing it and about her smoking habits. Dr. Jamison then has her blow into a spirometer.

1. Review Pam’s PCP EHR: What are Pam’s symptoms, as listed in the Patient Information section?
   

   A. Shortness of breath, chronic cough, hives, fatigue
   B. Shortness of breath, wheezing, chronic cough, rash, sneezing
   C. Shortness of breath with wheezing, chronic cough, phlegm, tires easily (with exercise)
   D. Shortness of breath with wheezing, chronic cough, rash, sneezing




2. Internet Research: Using the symptoms you selected from the previous question, what condition or disease could be Pam’s diagnosis? Select all that apply.
   

   A. Stroke	D. Emphysema
   B. Asthma	E. Ulcer
   C. Common Cold	F. Chronic obstructive pulmonary disease (COPD)




3. Internet Research: What does a spirometer measure?
   

   A. Many different things about your lungs.

   B. How much air you can breathe in and breathe out.

   C. Oxygen levels in the lobes of the lung.

   D. Oxygen capacity of the alveoli.



4. Internet Research: How is a spirometry test performed?
   

   A. The patient breathes in fully followed by blowing out all the air in the lungs, then a measurement is taken.

   B. The patient breathes in fully followed by quickly blowing out the air from the lungs, then a measurement is taken

   C. The patient breathes in fully and blows out twice, before taking the measurement.