CMN 568 -Unit 3 Exam Questions And Complete Answers
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Course
CMN 568
Institution
CMN 568
CMN 568 -Unit 3 Exam Questions And Complete Answers
_______ may be the predominant pathogen of wheezing in infants in the ER setting.
a. rhinovirus
b. RSV
c. parainfluenza
d. influenza - Answer-b. RSV
(hay 1123)
._________ can be classified according to the level or intensity of medicati...
_______ may be the predominant pathogen of wheezing in infants in the ER setting.
a. rhinovirus
b. RSV
c. parainfluenza
d. influenza - Answer-b. RSV
(hay 1123)
._________ can be classified according to the level or intensity of medication
requirement to maintain adequate asthma management.
a. severity
b. control - Answer-a. severity
(hay 1126)
._________ is the most commonly identified virus with wheezing episodes in children.
a. rhinovirus
b. RSV
c. parainfluenza
d. influenza - Answer-a. rhinovirus
(hay 1123)
.__________ refers to the degree to which symptoms, ongoing functional impairments,
and risk of adverse events are minimized and goals of therapy are met.
a. severity
b. control - Answer-b. control
(hay 1127)
.___________ ___________ is a clinical diagnosis defined by excessive secretion of
bronchial mucus and is manifested by daily productive couch for 3 months or more in at
least 2 consecutive years. - Answer-Chronic Bronchitis
(Papa 259)
.____________ is a pathologic diagnosis that denotes abnormal permanent
enlargement of air spaces distal to the terminal bronchiole, with destruction of their walls
and without obvious fibrosis. - Answer-Emphysema
(Papa 259)
.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? - Answer-According to Hay 1136:
- Initial tx should be with a high-dose SABA + ipratropium bromide by neb or
continuously for the first hour.
- Oxygen should be given to keep sat >90%
,- systemic corticosteroids should be administered.
.A 12 year old has asthma symptoms about once a week requiring the use of a SABA,
and had night-time awakening twice a month with no interference in daily activity.
Where would he be classified in severity of asthma?
a. Intermittent
b. Mild Persistent
c. Moderate Persistent
d. Severe Persistent - Answer-a. Intermittent
(papa 244)
.A 12 year old has daily asthma symptoms requiring rescue SABA inhaler use,
awakening 3 nights a week, and an FEV < 80% predicted. What step of tx should you
initiate, what is the recommended tx? - Answer-- Pt has moderate persistent asthma.
- Step 3
Low dose ICS + LABA
OR
Medium-dose ICS + LABA
.A 12 year old with daily asthma symptoms requiring rescue SABA inhaler use,
awakening more than once a week with an FEV < 80% predicted would be classified as
having what severity of asthma?
a. Intermittent
b. Mild Persistent
c. Moderate Persistent
d. Severe Persistent - Answer-c. Moderate Persistent
(papa 244)
.A 15 year old with asthma symptoms 4 days a week requiring SABA use, with nighttime
awakenings 3-4 times a month and minor limitation of normal activity, would be
classified as having what severity of asthma?
a. Intermittent
b. Mild Persistent
c. Moderate Persistent
d. Severe Persistent - Answer-b. Mild Persistent
(papa 244)
.A 20 year old presents to your office having an asthma exacerbation, you instruct him
to take 2-6 puffs of the SABA inhaler, he appears to quickly respond to treatment. How
long should you wait after the SABA dose to send him home.
a. 15 minutes
b. 30 minutes
c. 1 hour
d. Instruct him to go to the ER to make sure the symptoms dont come back. - Answer-b.
30 minutes
,.A 4 year old allergic to shellfish presents with a BP of 76/44, his mother states he ate a
crawfish 30 minutes ago. What is the initial treatment of choice?
a. IVF 20-30 cc/kg/hr
b. Diphenhydramine 1-2 mg/kg
c. Epinephrine 1:1000 0.01 mg/kg
d. Methylprednisolone 1 mg/kg - Answer-c. Epinephrine
- anaphylaxis if < 70 SBP 1mo-1yr
<(70+[2 x age]) if 1-10yr
< 90 SBP if 11-17
.A 55 year old man presents in your office with c/o nonproductive cough and wheezing
for the last week. He had smoked 1ppd for 30 years. On spirometry, his FEV1 is 40%
predicted. What stage of COPD is he in and what should his treatment plan include? -
Answer-Stage II
- Actively reduce risk factors: smoking cessation, get vaccinations, refer for pulmonary
rehab.
- Start a SABA prn with regular treatment with one or two LABAs.
(GOLD)
.A false negative TB test can result in: - Answer-malnourished, overwhelming disease,
10% of kids
.A false negative TB test can result in: - Answer-malnourished, overwhelming disease,
10% of kids
.A FEV1/FVC of < 0.70 and FEV1 >/= 80% predicted and may have symptoms of
chronic cough and sputum production is characteristic of what stage in COPD?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV - Answer-a. Stage I
(GOLD)
.A FEV1/FVC of < 0.70 and FEV1 of 50 to 79% predicted, with DOE and productive
cough, typically causing a patient to seek medical attention is characteristic of what
stage in COPD?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV - Answer-b. Stage II
(GOLD)
.A patient allergic to latex may also be allergic to what food?
a. avocado
b. bananas
c. chestnuts
, d. all of the above
e. b and c - Answer-d. all of the above
(hay 1153)
.According to GOLD, what is central to symptom management in stable COPD?
a. Supplemental O2
b. Inhaled Bronhodilators
c. Inhaled glucocorticosteroids
d. Systemic Glucocorticoid therapy - Answer-b. Inhaled Bronchodilators
(GOLD)
.According to Hay, the diagnosis of asthma in children is largely based on what?
a. clinical judgement
b. assessment of symptoms
c. activity limitation and QOL
d. all of the above - Answer-d. all of the above
(hay 1124)
.Acute urticaria can be induce by which of the following agents except:
a. opiate analgesics
b. polymyxin B
c. radiocontrast media
d. acetaminophen - Answer-d. acetaminophen
- Also can be induced by tubocurarine, ASA, NSAIDs
.After a patient has been treated for anaphlyaxis, a reasonable time for observation is:
a. 1-2 hrs
b. 2-4 hrs
c. 3-5 hrs
d. 4-6 hrs - Answer-d. 4-6 hours
(hay 1149)
.After exposure to an allergen, a pt with allergic rhinoconjunctivitis will most likely
experience...
a. Sneezing
b. Itching of nose and eyes
c. Clear rhinorrhea or nasal congestion
d. all of the above - Answer-d. all of the above
(hay 1137)
.After initial treatment at home, a patient continues to have persistent wheezing and
tachypnea with a PEF of 60% predicted, what should be done?
a. Add oral systemic corticosteroid
b. Continue inhaled SABA
c. Contact clinician that day for further instruction.
d. all of the above - Answer-d. all of the above
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