Problem:
Your patient, James, C/O intermittent wheezing and SOB for the past 18 months. These symptoms have become more severe over the past 2 months and he has decided to seek healthcare. He is a smoker x14 years and has had 3 unsuccessful attempts to quit in the past two years. He denies a productive cough, ETOH, or illicit drug use. Physical exam reveals BP 108/74, R 22/min, and use of accessory muscles to breathe. (use James's scenario for the next two questions) What further history is most important to obtain from James? (need to ask first) Group of answer choices Surgical history Social history Family history Psychosocial history