CMN 568 -Unit 3 Combo updated
questions with verified
answers 100% rated by experts
2024 graded a+
Which of the following infections predisposes a patient to acute exacerbations of
asthma and may underlie chronic, severe asthma?
a. rhinovirus
b. Mycoplasma pneumoniae
c. Chlamydophila pneumoniae
d. all of the above - CORRECT ANSWER>>>>d. all of the above
(papa 256)
True or False: Doubling the dose of ICSs is not effective in the acute setting and is not
recommended in the NAEPP 3 guidelines. - CORRECT ANSWER>>>>True
(papa 256)
When classifying the severity of a patients asthma, it is important to assess what?
a. risk
b. control
c. impairment
d. a and c - CORRECT ANSWER>>>>d. a and c
Classification goes mostly by the frequency of symptoms and need for rescue
meds.
(papa 244)
A 12 year old has asthma symptoms about once a week requiring the use of a SABA,
and had night-time awakening twice a month with no interference in daily activity.
Where would he be classified in severity of asthma?
a. Intermittent
b. Mild Persistent
c. Moderate Persistent
d. Severe Persistent - CORRECT ANSWER>>>>a. Intermittent
(papa 244)
An asthma patient on theophylline (which is a methylxanthine, and second line agent)
must have blood monitoring done. Theophylline levels must be maintained at:
A) 1-5 mcg/ml
B) 2-10 mcg/ml
C) 5-10 mcg/ml
D) 5-15 mcg/ml - CORRECT ANSWER>>>>d. 5-15 mcg/ml at steady-state: At least
48 hours on same dosage.
,(papa 252)
Preferred treatment for intermittent asthma? - CORRECT ANSWER>>>>SABA PRN
(papa249)
A 15 year old with asthma symptoms 4 days a week requiring SABA use, with nighttime
awakenings 3-4 times a month and minor limitation of normal activity, would be
classified as having what severity of asthma?
a. Intermittent
b. Mild Persistent
c. Moderate Persistent
d. Severe Persistent - CORRECT ANSWER>>>>b. Mild Persistent
(papa 244)
Preferred treatment for a 14 year old with asthma symptoms 3 days a week and
dyspnea with activity.
a. SABA PRN
b. Low-dose ICS and SABA PRN
c. Low-dose ICS and LABA
d. Medium-dose ICS and SABA PRN - CORRECT ANSWER>>>>b. Low-dose ICS
and SABA PRN
(papa 249)
A 12 year old with daily asthma symptoms requiring rescue SABA inhaler use,
awakening more than once a week with an FEV < 80% predicted would be classified as
having what severity of asthma?
a. Intermittent
b. Mild Persistent
c. Moderate Persistent
d. Severe Persistent - CORRECT ANSWER>>>>c. Moderate Persistent
(papa 244)
A 12 year old has daily asthma symptoms requiring rescue SABA inhaler use,
awakening 3 nights a week, and an FEV < 80% predicted. What step of tx should you
initiate, what is the recommended tx? - CORRECT ANSWER>>>>- Pt has moderate
persistent asthma.
- Step 3
Low dose ICS + LABA
OR
Medium-dose ICS + LABA
Which is often the initial symptom of asthma?
A) cough
B) sneezing
C) chills and fever
D) breathlessness - CORRECT ANSWER>>>>A. cough
,T/F: Before you step up a patient's asthma medication therapy, FIRST check
adherence, environmental control, and comorbid conditions - CORRECT
ANSWER>>>>True
T/F: Improper inhaler technique is a critical component in treatment failure for asthma
patients. - CORRECT ANSWER>>>>True
If systemic corticosteroids are prescribed for an asthma exacerbation, how long should
the duration of treatment be?
A) less than 3 days
B) 3-10 days
C) 2-3 weeks - CORRECT ANSWER>>>>b. 3-10 days
You may consider stepping down a patient's asthma medication therapy if they have
been well controlled for at least how long?
A) 1 month
B) 3 months
C) 6 months
D) 1 year - CORRECT ANSWER>>>>B. 3 months
ALL asthma patients get which of the following meds for step 1? (No matter what!)
A) SABAs
B) ICSs
C) LRTAs
D) oral steroids - CORRECT ANSWER>>>>A. SABAs
True/ false: for asthma, the level of control is based on the most severe impairment or
risk category. - CORRECT ANSWER>>>>True
For an asthma patient, you would assess impairment domain by a patient's recall of the
past:
A) week
B) 2-4 weeks
C) 2 months
D) 3 months - CORRECT ANSWER>>>>B. 2-4 weeks
T/F Intravenous magnesium sulfate in contraindicated in a severe asthma exacerbation.
- CORRECT ANSWER>>>>False
(papa 256)
What is the strongest identifiable predisposing factor for the development of asthma?
A) hypertension
B) obesity
C) atopy
D) smoke exposure - CORRECT ANSWER>>>>C. atopy
, During severe asthma exacerbations, airflow may be very limited and your only
diagnostic clue upon auscultation may be?
A) severe wheezing
B) globally reduced breath sounds
C) rales
D) stridor - CORRECT ANSWER>>>>B. globally reduced breath sounds
T/F: When educating a patient on how to manage an asthma exacerbation at home you
tell them for initial treatment use the SABA inhaler up to 2 times, 20 minutes apart of 2-6
puffs by MDI or neb. - CORRECT ANSWER>>>>True
(papa 257)
Nasal polyps are not usually seen in children. If they are this could be a sign of?
A) asthma
B) cystic fibrosis
C) seasonal allergies (Hay fever)
D) all of the above - CORRECT ANSWER>>>>B. Cystic Fibrosis
For moderate persistant asthma, symptoms occur - CORRECT ANSWER>>>>Daily
For moderate persistant asthma, SABA use is - CORRECT ANSWER>>>>Daily
For moderate persistant asthma, FEV1/FVC ages over 12 - CORRECT
ANSWER>>>>less than 5%
For moderate persistant asthma, exacerbations requiring oral corticosteroids, ages 0-4 -
CORRECT ANSWER>>>>>=2times/6 months or >= 4 wheezing episodes in a year that
last longer than a day AND risk factors for persistent asthma.
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