CMN 568 FINAL EXAM LATEST UPDATE 2024-2025 WITH
COMPLETE QUESTIONS & CORRECT ANSWERS 100% VERIFIED
ALREADY GRADED BY EXPERTS
What is the preferred first line agent for COPD: SABA or ipratropium bromide? - CORRECT
ANSWER✔✔Ipratropium bromide
Should ICS alone ever be used as a first line agent for COPD? - CORRECT ANSWER✔✔No, 1st line
are anticholinergics
What is a "coin lesion"? What does it indicate? - CORRECT ANSWER✔✔A solitary, pulmonary
nodule. Indicates likely malignancy
Are corticosteroids and antibiotics recommended in pts with smoke inhalation? - CORRECT
ANSWER✔✔no
T or F: Patient with a TNM stage B cancer would benefit from surgery? - CORRECT
ANSWER✔✔no
, Page 2 of 36
In cases of asthma, the trachea and bronchi typically become more: - CORRECT
ANSWER✔✔responsive
Which of these manifestations is least likely to present with the onset of asthma?
A. Plugging airways with thick mucus
B. Hypertrophy of the mucus glands
C. Thinning of the epithelial basement membrane
D. Hypertrophy of smooth muscle - CORRECT ANSWER✔✔C
What is the hallmark sign of asthma? - CORRECT ANSWER✔✔bronchoconstriction
Upon physical exam of a 19yo female presenting with c/o an asthma exacerbation during
exercise, you auscultate her lungs and hear: - CORRECT ANSWER✔✔exp. wheezes
Rodney, age 27, comes into your clinic. He is a non-smoker who has fall seasonal allergies. It's
October. He's been waking up about once/week with trouble breathing, wheezing, and he's
been using his rescue inhaler about every day. How would you describe his asthma and what is
the next step in management? - CORRECT ANSWER✔✔Mild, persistent, not-well controlled; rx
low dose ICS, and continue with SABA PRN
, Page 3 of 36
Mrs. Rodriguez has been your patient for 2 months. She has a history of obesity, eczema, atopic
dermatitis, and asthma. She states she is having a severe asthma attack. Upon assessment, you
hear no wheezing, but you hear reduced breath sounds and note prolonged expiration. Her
shoulders are hunched. Based on this information, the NP assumes: - CORRECT ANSWER✔✔She
is quite possibly having a severe asthma exacerbation.
Katie, 42, is a new patient of yours. During the p thx, you find out that she has been on "bursts"
of prednisolone for several years. You ask her what supplements she is taking, and she answers,
"a multivitamin." You ask if she has ever had a bone density screening, she says no. You know
that: - CORRECT ANSWER✔✔She should be taking concurrent vitamin D and calcium
supplementation and should be sent for a bone mineral
density test.
T or F: Inhaled corticosteroids are the first line of rescue treatment for acute asthma
exacerbations? - CORRECT ANSWER✔✔False, SABA
T or F: Inhaled nebulized meds are always more effective than inhaled meds from MDI? -
CORRECT ANSWER✔✔False; you can provide a higher dose of the med, but it is more effective
for pts who are unable to coordinate inhalation of meds from MDI d/t age, coordination,
agitation, or severity of exacerbation (Papadakis p 253, top right-hand side of page)
T or F: LTBI radiographs are typically abnormal - CORRECT ANSWER✔✔false
, Page 4 of 36
Pt received Mantoux TB test and returned to the office 24 hrs. later with no reaction, is this a
negative result? - CORRECT ANSWER✔✔No, needs to be 48-72 hrs.
A 4yo is being tested for TB via the Mantoux test. What induration size would indicate a positive
result? - CORRECT ANSWER✔✔10mm
What is the BCG vaccine? Does it affect how you test patients for TB? - CORRECT
ANSWER✔✔Bacille Calmette-Guerin vaccine, it's a vaccine used typically outside the US, in
countries with high prevalence of TB. For them, their TB Mantoux skin tests will give a false-
positive. Blood tests are not affected by the BCG vaccine.
Pt presents with night sweats, fever, fatigue, and blood in urine. What do these symptoms
indicate to the NP? What could the patient potentially have? - CORRECT
ANSWER✔✔Extrapulmonary TB (located in the kidneys); autoimmune disease
What are the CDC recommendations for sputum cultures for TB testing? - CORRECT
ANSWER✔✔Collect at least 3 sputum' at 8-24hr intervals, with at least 1 in the morning
What is the gold standard for confirming the diagnosis of TB? - CORRECT ANSWER✔✔sputum
culture
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