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Medical Emergencies · single question

A 14-year-old girl (with her mother) is asthmatic, uses albuterol, and has a nut allergy. Her mother says the girl dislikes her teeth. All of the following are appropriate history questions EXCEPT:

  1. When was the last time you had an asthma episode?
  2. Does any member of your family have asthma?
  3. What kind of reaction did you have to nuts?
  4. What medication do you use for your asthma?
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Correct answer: B. Does any member of your family have asthma?

  • A. Timing/frequency of her last attack tells you how well-controlled and how high-risk her asthma is.
  • B. Correct (the EXCEPT). Family history of asthma does not change your immediate, individualized treatment-safety plan for THIS patient, so it is the least useful of the four to ask before treating her.
  • C. The nature of her nut reaction (e.g., anaphylaxis vs. mild) is critical allergy/safety information.
  • D. Knowing her asthma medication is essential (e.g., to have her inhaler available and gauge control).

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