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NR-601 Primary Care of the Maturing & Aged Family Practicum Midterm Exam Actual Exam Questions and Answers | 100% Pass | Grades A+| Guaranteed Success$15.49
NR-601 Primary Care of the Maturing &
Aged Family Practicum 2024-2025
Midterm Exam Actual Exam Questions
and Answers | 100% Pass | Grades A+|
Guaranteed Success
David Mungai
[COMPANY NAME] [Company address]
, NR-601 Primary Care of the Maturing &
Aged Family Practicum 2024-2025
Midterm Exam Actual Exam Questions
and Answers | 100% Pass | Grades A+|
Guaranteed Success
What are the signal symptoms of COPD? - Answer>>
Dyspnea
Chronic cough w/sputum
Decreased activity tolerance
Wheezing
What are characteristics of COPD? - Answer>> Common,
preventable, treatable.
Characterized by persistent airflow limitation.
Usually progressive, associated with enhanced chronic
inflammatory response in airways and lungs to noxious
particles/gases
What are risk factors for COPD? - Answer>> Smoking
(increasing w/number of pack years)
Second hand smoke
Environmental pollution (endotoxins, coal dust, mineral
dust)
,What is seen on phys exam in COPD? - Answer>> May be
normal in early states
As severity progresses: lung hyperinflation, decreased
breath sounds, wheezes at bases, distant heart tones (b/c
of hyperinflation, so S1/S2 sounds off in distance),
accessory muscle use, pursed lip breathing, increased
expiratory phase, neck vein distention.
How is COPD diagnosed? - Answer>> Spirometry is gold
standard (pre and post bronchodilator).
Irreversible airflow limitation is hallmark.
How is COPD treated? - Answer>> Bronchodilators: beta
agonists (long/short), anticholinergics (long/short), or
combo.
What is the MOA of beta agonists? - Answer>>
Stimulates beta-2-adrenergic receptors, increasing cyclic
AMP, resulting in relaxing airways.
What is the MOA of anticholinergics? - Answer>> Block
the effect of acetylcholine on muscarinic type 3
receptors, resulting in bronchodilation.
Why are long-acting beta agonists prescribed for COPD? -
Answer>> They are for moderate airflow limitation.
They relieve symptoms, increase exercise tolerance,
reduce number of exacerbations, improve QOL.
What are some non pulmonary diagnoses that result in
COPD-type symptoms? - Answer>> CHF
Hyperventilation syndrome
What are signal symptoms of asthma? - Answer>>
Wheezing
Shortness of breath
Cough (esp at night)
Chest tightness
What is chronic bronchitis? - Answer>> Daily chronic
cough w/increased sputum for at least 3 consecutive
months in at least 2 consecutive years.
Usually worse on wakening.
May or may not be associated with COPD.
What is emphysema? - Answer>> Characterized by
obstruction to airflow caused by abnormal airspace
enlargement distal to terminal bronchioles.
Chronic inflammation/remodeling, trapping air, hindering
effective O2/CO2 exchange (all due to inflammatory
mediators infiltrating airways).
What are signal symptoms of ischemic heart dz? -
Answer>> Chest pain
Chest tightness
Chest discomfort
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