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  • August 25, 2024
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  • 2024/2025
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CMN 568 practice questions and
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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)

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 \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?

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

Does \every \patient \with \asthma \need \a \SABA? \- \(correct \answer) \-yes

30yo \patient \with \persistent \asthma, \what \are \the \essential \components \of \their \care \plan? \
(select \all \that \apply)

A. \Asthma \action \plan

B. \Flu \and \pneumonia \vaccine

C. \Rescue \inhaler

D. \LABA \- \(correct \answer) \-A, \B, \C

T \or \F: \Asthma \patients \and \COPD \pts \both \need \rescue \inhalers? \- \(correct \answer) \-true

Most \common \side \effects \of \long-term \inhaled \steroid \use? \- \(correct \answer) \-Bone \
demineralization \(osteopenia) \and \cataracts

A \12yo \patient \presents \to \the \clinic \with \wheezing, \SOB, \a \feeling \of \tightness \in \the \chest. \He \
is \afebrile. \Which \of \the \following \would \be \the \best \test \to \confirm \diagnosis? \- \(correct \
answer) \-PFT

T \or \F: \USPSTF \recommends \screening \with \low-dose \helical \CT \scans \for \lung \cancer? \- \(correct \
answer) \-true \(small \vs \large \cell \carcinoma)

T \or \F: \Women \are \more \likely \to \be \diagnosed \with \mesothelioma? \- \(correct \answer) \-false

What \are \symptoms \of \TB? \- \(correct \answer) \-Cough \(3+ \weeks), \hemoptysis, \chest \pain, \
sputum \production, \weight \loss, \anorexia, \fatigue

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