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CMN 568 practice questions andswer
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CMN 568 practice questions andswer2024-2025
A thin patient w/ a slight build present with constant
difficulty breathing and clear mucus. A physical exam
also indicates an increased chest anteroposterior
diameter and hyperresonance on percussion. Given the
most likely diagnosis, which class of medications is best
suited for long-term tx? - correct answer
anticholinergics
Which of these manifestations is LEAST likely to present
with the onset of asthma?
A. Plugging the airways by thick mucus
B. Hypertrophy of the mucus glands
C. Thinning of the epithelial basement membrane
D. Hypertrophy of smooth muscle - correct answer C
Your patient was seen by a pulmonologist 2 months ago
and diagnosed with asthma. The pulmonologist ordered a
short acting beta-2 agonist for initial symptom relief.
However, on today's visit to your office, the patient
states, "I don't think this stuff is really working because
I'm still short of breath." You refer the patient back to the
pulmonologist. Which of the following would you
anticipate being the next step in the patient's
management following the latest national guidelines? -
correct answer an inhaled corticosteroid (ICS)
,CMN 568 practice questions andswer
2024-2025
Jackie, a 25-yo female, comes to the clinic experiencing
respiratory distress and difficulty speaking. Her lungs are
hyperresonant and show hyperinflation on the x-ray.
Which result would most strongly indicate that Jackie
should be admitted to a hospital?
A. Forced expiratory volume is below 30%
B. Respiratory rate is 25 breaths/minute
C. Pulsus paradoxus of 8 mmHg
D. Pulse is 112 bpm - correct answer A
Which of these is NOT a common indoor trigger for
asthma?
Cockroaches
Dust mites
Exercise
Termites - correct answer termites
Upon examination, you notice that Alex, an obese 63yo
male, has moderate dyspnea and purulent sputum. His
lungs are normal upon percussion. Laboratory results
reveal an increased hematocrit level. Given the most
,CMN 568 practice questions andswer
2024-2025
likely diagnosis, which of the following drugs would you
be LEAST likely to prescribe for the patient's condition?
A. Ipratropium bromide
B. Albuterol
C. Budesonide
D. Montelukast - correct answer D. montelukast
Which of the following medications is considered to be
the mainstay of treatment for chronic obstructive
pulmonary disease?
A. Budesonide
B. Ipratropium bromide
C. Salmeterol
D. Triamcinolone - correct answer B
Victor, a stocky 40yo male, presents to the clinic with
complaints of difficulty breathing and "endless amounts
of gunk whenever he coughs." During the visit, he coughs
up a substantial amount of yellow phlegm. A blood test
reveals an increased hematocrit level, and a physical
exam detects lungs that are normal upon percussion. You
order a pulmonary lab for the patient. Given the most
likely condition, which of the following findings would you
LEAST expect?
, CMN 568 practice questions andswer
2024-2025
A. Increased forced expiratory volume in 1 second
B. Increased total lung capacity
C. Increased functional residual capacity
D. Increased residual volume - correct answer A. (this is
an indication of healthy lung functioning)
Winston, a 42yo male, is an HIV-positive patient whose TB
skin test returns with an elevation of 5mm. After
confirming a diagnosis of TB, you prescribe a traditional
drug regimen. For what minimum period of time is
Winston expected to continue his regimen? - correct
answer 9 months
Common symptoms of COPD are: - correct answer
cough, dyspnea, sputum production
Is a chest x-ray needed to diagnose COPD? - correct
answer No. Chest x-ray may show hyperinflation, but
PFTs are the standard for diagnosis. PFT may be able to
diagnose prior to the presentation of symptoms.
What is the PFT result need for diagnosis of COPD? -
correct answer FEV1 <0.7
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