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NSG 6420 MIDTERM REAL EXAM PRACTICE QUESTIONS AND ANSWERS 2024 LATEST UPDATE $19.99   Add to cart

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NSG 6420 MIDTERM REAL EXAM PRACTICE QUESTIONS AND ANSWERS 2024 LATEST UPDATE

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NSG 6420 MIDTERM REAL EXAM PRACTICE QUESTIONS AND ANSWERS 2024 LATEST UPDATE NSG 6420 MIDTERM REAL EXAM PRACTICE QUESTIONS AND ANSWERS 2024 LATEST UPDATE

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  • August 6, 2024
  • 31
  • 2024/2025
  • Exam (elaborations)
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NSG 6420 MIDTERM REAL EXAM

PRACTICE QUESTIONS AND ANSWERS

2024 LATEST UPDATE


COPD Stage I - ANSWERSMILD

FEV1/FVC <70%

FEV1</80%

*Chronic cough/sputum production

*Pt unaware lung function is abnormal



COPD Stage II - ANSWERSMODERATE

FEV1/FVC <70%

FEV1 50-80%

SOB with exertion

Cough and sputum production present



COPD Stage III - ANSWERSSEVERE

FEV1/FVC < 70%

FEV1 30-50%

Greater SOB

,Reduced exercise capacity

Fatigue

Repeated exacerbations with impact on QOL



COPD Stage IV - ANSWERSVERY SEVERE

FEV1/FVC<70%

FEV1<30%

Resp. Failure

Cor Pulmonale (elevation of JVP and pitting ankle edema)

QOL very impaired

Exacerbations may be life threatening



How does FEV1 decrease? - ANSWERSInflammation

Narrowing of peripheral airways

Airway collapse in severe emphysema



COPD diagnosis? - ANSWERSSPIROMETRY is key



Primarily Inflammatory with superimposed bronchospasm - ANSWERSAsthma



Most common chronic respiratory disorder among all age groups -

ANSWERSAsthma

,Atophy - ANSWERSexaggerated IgE mediated immune response; all atophic

disorders are type I hypersensitivity disorders



Type I hypersensitivity reaction - ANSWERSImmediate hypersensitivity

IgE-mediated

Antigen binds to IgE that is bound to tissue mast cells and blood basophils,

triggering release of preformed mediators (histamine, proteases, chemotactic

factors) and synthesis of other mediators (prostaglandins, leukotrienes, platelet-

activating factor, cytokines)

-causes vasodilation, increased cap. permeability, mucus hypersecretion

**atopic disorders (allergic asthma, rhinitis, conjunctivitis), anaphylaxis, some

cases of angioedema, urticarial, and latex and some food allergies

**Develop <1h after exposure to antigen



Allergic triad of symptoms - ANSWERSallergies, eczema, and asthma



Samter's Triad - ANSWERSNasal polyps, asthma, and ASA allergy



Most common symptom of asthma - ANSWERSwheezing



Common only symptom of asthma? - ANSWERSCough

, -can often delay dx of asthma

AKA cough variant asthma



Best way to confirm asthma dx? - ANSWERSbronchial provocation



Intermittent asthma - ANSWERSsx </2days/week

PM awakenings </2/month

SABA use </2 days/week

No interference with norm. activity

0-1 exacerbations requiring oral steroids / yr



Tx for intermittent asthma - ANSWERSstep 1



Mild asthma - ANSWERSSx >/2days/week but not daily

pm awakenings 3-4x/month

SABA use >2 days/week but not daily

minor limitation



Intermittent asthma lung function - ANSWERSnormal FEV1 bt exacerbations

FEV1>80% predicted

FEV1/FVC normal

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