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MD Licensing Exam

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A 25-year-old man is treated for a severe asthma attack in the emergency room. He also feels queasy and reports having diarrhea and vomiting. With many hospitalizations and one intubation five years ago, the patient has a long history of severe asthma. He started having breathing problems two days ago, and they have been getting worse ever since. He attempted home nebulizers for ipratropium, cromolyn treatment, and albuterol, but nothing helped his symptoms. Peak flow rates in the hospital are over 50% lower than they were at baseline. Which medication from the list below needs to be added to the patient's treatment plan in order to help him with his present symptoms?
Correct Answer:
Intravenous hydrocortisone

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