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CMN 568 Unit 3- Asthma Study Guide with complete solutions |Latest 2024/2025
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CMN 568 Unit 3- Asthma Study Guide with complete solutions |Latest 2024/2025
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CMN 568 Unit 3- Asthma Study Guide _`- _`- _`- _`- _`- _`- _`-with complete solutions. _`- _`-
NAEPP 3 recommends daily therapy with which drugs as the cornerstone or
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
first line therapy for persistent asthma?
_`- _`- _`- _`- _`-
a. SABAs
_`-
b. ICSs
_`-
c. LABAs
_`-
d. None of the above
_`- _`- _`- _`- _`-_`- _`- b. ICSs_`-
Daily anti-inflammtory therapy with inhaled corticosteroids.
_`- _`- _`- _`- _`- _`-
(papa 250) _`-
A 12 year old comes in to your office have an acute asthma exacerbation,
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
his PEFR is under 40% predicted..What is your treatment plan?
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`-
According to Hay 1136: _`- _`- _`- _`-
- Initial tx should be with a high-dose SABA + ipratropium bromide by neb
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
or continuously for the first hour.
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- Oxygen should be given to keep sat >90%
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- systemic corticosteroids should be administered.
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When discharging a 10 year old pt from your office after an asthma
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
exacerbation, a pt should have a sustained response for how long after
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
bronchodilator therapy? _`-
a. 30 min
_`- _`-
b. 1 hour
_`- _`-
,c. 90 min
_`- _`-
d. 2 hours
_`- _`- _`-_`- _`- b. 1 hour
_`- _`-
(hay 1136) _`-
True or False: The use of an inhalation chamber coupled with mouth
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
washing after DPI use decreases local side effects and systemic absorption.
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`-
False: The use of an inhalation chamber coupled with mouth washing
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
after MDI use decreases local side effects, such as cough, dysphonia and
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
oropharyngeal candidiasis and systemic absorption. _`- _`- _`- _`- _`-
(papa 250) _`-
Name at least 4 ICSs used for daily treatment of asthma.
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`- -
_`- _`-
Beclomethasone HFA _`-
- Budesonide DPI (Pulmicort)
_`- _`- _`-
- Flunisolide
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- Fluticasone (Flovent)
_`- _`-
- Mometasone
_`- _`-
- Triamcinolone acetonide
_`- _`-
(papa 253) _`-
Name 3 systemic corticosteroids used for long term therapy in patients with
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refractory, poorly controlled asthma. - Methylprednisolone
_`- _`- _`- _`-_`- _`- _`-
- Prednisolone
_`-
- Prednisone
_`-
(papa 251) _`-
,The strongest identifiable predisposing factor for the development of asthma
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is _________, but obesity is increasingly recognized as a risk factor.
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`-
Atopy
A syndrome characterized by a tendency to be "hyperallergic".
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(papa 243) _`-
Essentials of Asthma Diagnosis: _`- _`- _`-
- Episodic or chronic symptoms of airflow obstruction.
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- Reversibility of airflow obstruction, either spontaneously or following
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bronchodilator therapy. _`-
- Symptoms frequently worse at night or in the early morning.
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- Prolonged expiration and diffuse wheezes on physical exam.
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- Limitation of airflow on pulmonary function testing or positive
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bronchoprovocation challenge. ... _`- _`-_`- _`-
Which of the following findings on physical exam increase the probability of
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asthma?
a. nasal mucosal swelling
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b. increased nasal secretions
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c. nasal polyps
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d. all of the above
_`- _`- _`- _`- _`-_`- _`- d. all of the above
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All are often seen in pts with allergic asthma.
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(papa 246) _`-
True or False: Wheezing during forced expiration correlates well with the
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presence of air flow obstruction. False: Wheezing during normal
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, breathing correlates well with the presence of air flow obstruction, not
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during forced expiration.
_`- _`-
(papa 246)
_`-
What findings on an ABG may indicate impending respiratory failure of an
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
asthmatic pt and need for mechanical ventilation?
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a. Decreased PaCO2 and respiratory acidosis.
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b. Increased PaCO2 and respiratory acidosis.
_`- _`- _`- _`- _`-
c. Increased PaCO2 and respiratory alkalosis.
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d. Decreased PaCO2 and respiratory alkalosis.
_`- _`- _`- _`- _`- _`-_`- _`- b. Increased PaCO2 and
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respiratory acidosis. _`-
(papa 246)
_`-
During a PFT, a patient inhales methacholine causing a ≥ 20% decrease in his
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
FEV1. Is this a positive or negative test, and what is the test called?
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
a. negative methacholine test of bronchial provocation.
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b. positive bronchial provocation
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c. positive methacholine test of bronchial provocation.
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d. none of the above
_`- _`- _`- _`- _`-_`- _`- c. Positive methacholine test of bronchial
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provocation.
A negative test has a negative predictive value of asthma of 95%.
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(papa 247)
_`-
When instructing your patient on how to use the PEF meter to monitor
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asthma control, when do you tell him to use it for the most accurate
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measurements?
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