NSG 6420 MIDTERM Study Guide Questions and Correct Answers
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Course
NU1426
Institution
NU1426
NSG 6420 MIDTERM Study Guide Questions and Correct Answers
COPD Stage I
COPD Stage II
COPD Stage III
COPD Stage IV
How does FEV1 decrease?
COPD diagnosis?
Primarily Inflammatory with superimposed bronchospasm
Most common chronic respiratory disorder among all age groups
Atophy
Type I hype...
NSG 6420 MIDTERM Study Guide Questions and
Correct Answers
1). Copd stage i
Ans: MILD
FEV1/FVC <70%
FEV1*Chronic cough/sputum production
*Pt unaware lung function is abnormal
2). Copd stage ii
Ans: MODERATE
FEV1/FVC <70%
FEV1 50-80%
SOB with exertion
Cough and sputum production present
3). Copd stage iii
Ans: SEVERE
FEV1/FVC < 70%
FEV1 30-50%
Greater SOB
Reduced exercise capacity
Fatigue
Repeated exacerbations with impact on QOL
4). Copd stage iv
Ans: VERY SEVERE
FEV1/FVC<70%
FEV1<30%
Resp. Failure
Cor Pulmonale (elevation of JVP and pitting ankle edema)
QOL very impaired
Exacerbations may be life threatening
5). How does fev1 decrease?
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, Ans: Inflammation
Narrowing of peripheral airways
Airway collapse in severe emphysema
6). Copd diagnosis?
Ans: SPIROMETRY is key
7). Primarily inflammatory with superimposed bronchospasm
Ans: Asthma
8). Most common chronic respiratory disorder among all age groups
Ans: Asthma
9). Atophy
Ans: exaggerated IgE mediated immune response; all atophic disorders are type I
hypersensitivity disorders
10). Type i hypersensitivity reaction
Ans: Immediate hypersensitivity
IgE-mediated
Antigen binds to IgE that is bound to tissue mast cells and blood basophils, triggering
release of preformed mediators (histamine, proteases, chemotactic factors) and
synthesis of other mediators (prostaglandins, leukotrienes, platelet-activating factor,
cytokines)
-causes vasodilation, increased cap. permeability, mucus hypersecretion
**atopic disorders (allergic asthma, rhinitis, conjunctivitis), anaphylaxis, some cases of
angioedema, urticarial, and latex and some food allergies
**Develop <1h after exposure to antigen
11). Allergic triad of symptoms
Ans: allergies, eczema, and asthma
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, 12). Samter's triad
Ans: Nasal polyps, asthma, and ASA allergy
13). Most common symptom of asthma
Ans: wheezing
14). Common only symptom of asthma?
Ans: Cough
-can often delay dx of asthma
AKA cough variant asthma
15). Best way to confirm asthma dx?
Ans: bronchial provocation
16). Intermittent asthma
Ans: sx PM awakenings SABA use No interference with norm. activity
0-1 exacerbations requiring oral steroids / yr
17). Tx for intermittent asthma
Ans: step 1
18). Mild asthma
Ans: Sx >/2days/week but not daily
pm awakenings 3-4x/month
SABA use >2 days/week but not daily
minor limitation
19). Intermittent asthma lung function
Ans: normal FEV1 bt exacerbations
FEV1>80% predicted
FEV1/FVC normal
20). Mild asthma lung function
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