Не говорится про алкоголь?. Ну может авторы задачи попутали.
The correct answer is A. Patients with alpha-1 antitrypsin deficiency are prone to developing pulmonary emphysema and cirrhosis of the liver. Tobacco and alcohol use can greatly accelerate these processes. Given the prevalence of tobacco and alcohol in the college-age population, these are critical issues to discuss with this patient.
Trauma (choice B) is an important issue to discuss with all young patients, as it is the leading cause of death in this age group. It must be part of the routine counseling that you provide to all patients at the student health clinic. In this particular patient, however, the increased risk of alcohol and tobacco in the setting of alpha-1 antitrypsin deficiency must be discussed.
A majority of recommended vaccinations (choice C) have been administered at this time. Determination of vaccination history is a routine part of an exam. In this particular patient, as the question asks, the increased risk of alcohol and tobacco in the setting of alpha-1 antitrypsin deficiency must be discussed.
Safe sex practices (choice D) are particularly important in the college age patient. It must be part of the routine counseling that you provide to all patients at the student health clinic. In this particular patient, the increased risk of alcohol and tobacco in the setting of alpha-1 antitrypsin deficiency must be discussed, aside from the routine counseling.
Seatbelt use (choice E) is an important issue to discuss with all young patients, as motor vehicle accidents are the most common cause of death in this age group. This must be included in all counseling of patients in the student health clinic. In addition to routine counseling, due to his condition, the increased risk of alcohol and tobacco in the setting of alpha-1 antitrypsin deficiency must be discussed.
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