cough

Question 1

classcification of cough

Answer 1

acute–< 2 wks
sub-acute—2 to 4 wks
chronic— > 8 wks / for children > 4 wks

Question 2

possible causes for chronic cough

Answer 2

infection (assocaited with other sx like fever)
asthma / COPD / non eosinophilic bronchitis / chronic bronchitis
upper airway cough syndrome (post nasal drip—rhinitis)
reflex diseases (GORD—assocaited w heartburn)
lung cancer (pay attention to newly developed cough / change in cough pattern / blood in the sputum
medication (ACE inhibitor）

Question 3

specific treatment is better than non-specific treatment Y/N

Answer 3

Y

Question 4

specific treatment for infection-induced cough

Answer 4

macrolide / trimethoprim-sulfomethoxazole

Question 5

specific treatment for asthma-induced cough

Answer 5

generally respond well to rountine asthma tx
ICS / bronchodilator
prednisone

Question 6

specific treeatment for rhinitis-induced cough (post-nasal drip）

Answer 6

antihistamine/ intranasal corticosteroid

Question 7

non-eosinophilic bronchitis will respond to the ICS Y/N

Answer 7

N

Question 8

non-specific treatments include

Answer 8

neuromodulator (work at CNS / peripheral)
mucolytic agent

Question 9

list the drugs for non-specific treatment (neuromodulator)

Answer 9

codeine / morphine
dextromethorphan
amitriptyline
gabapentin / pregabalin

Question 10

should those non-specific tx be given to small children Y/N

Answer 10

N

Question 11

common cuases for infection

Answer 11

pertussis / pneumonia