CMN 568 - UNIT 3: ASTHMA Questions with Correct Answers 100% Verified 2024/2025
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Course
CMN 568
Institution
CMN 568
CMN 568 - UNIT 3: ASTHMA Questions with Correct Answers 100% Verified 2024/2025
The strongest identifiable predisposing factor for the development of asthma is _________, but obesity is increasingly recognized as a risk factor. - Correct Answer Atopy
A syndrome characterized by a tendency to be ...
CMN 568 - UNIT 3: ASTHMA Questions
with Correct Answers 100% Verified
2024/2025
The strongest identifiable predisposing factor for the development of asthma is _________, but
obesity is increasingly recognized as a risk factor. - Correct Answer Atopy
A syndrome characterized by a tendency to be "hyperallergic".
(papa 243)
Essentials of Asthma Diagnosis:
- Episodic or chronic symptoms of airflow obstruction.
- Reversibility of airflow obstruction, either spontaneously or following bronchodilator therapy.
- Symptoms frequently worse at night or in the early morning.
- Prolonged expiration and diffuse wheezes on physical exam.
- Limitation of airflow on pulmonary function testing or positive bronchoprovocation challenge. -
Correct Answer ...
Which of the following findings on physical exam increase the probability of asthma?
a. nasal mucosal swelling
b. increased nasal secretions
c. nasal polyps
d. all of the above - Correct Answer d. all of the above
All are often seen in pts with allergic asthma.
(papa 246)
True or False: Wheezing during forced expiration correlates well with the presence of air flow
obstruction. - Correct Answer False: Wheezing during normal breathing correlates well with the
presence of air flow obstruction, not during forced expiration.
(papa 246)
What findings on an ABG may indicate impending respiratory failure of an asthmatic pt and need for
mechanical ventilation?
a. Decreased PaCO2 and respiratory acidosis.
,b. Increased PaCO2 and respiratory acidosis.
c. Increased PaCO2 and respiratory alkalosis.
d. Decreased PaCO2 and respiratory alkalosis. - Correct Answer b. Increased PaCO2 and 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.
b. positive bronchial provocation
c. positive methacholine test of bronchial provocation.
d. none of the above - Correct Answer c. Positive methacholine test of bronchial provocation.
A negative test has a negative predictive value of asthma of 95%.
(papa 247)
When instructing your patient on how to use the PEF meter to monitor asthma control, when do you
tell him to use it for the most accurate measurements?
a. After morning bronchodilator dose and before dinner.
b. As soon as he wakes up after bronchodilator and right before he goes to bed.
c. As soon as he wakes up before bronchodilator and early afternoon after bronchodilator.
d. Directly after morning bronchodilator dose and then again directly after lunchtime bronchodilator
dose. - Correct Answer c. As soon as he wakes up before bronchodilator and early afternoon after
bronchodilator.
PEF is generally lowest on first awakening and highest several hours before the midpoint of the
waking day. A 20% change in PEF values from morning to afternoon suggests inadequately controlled
asthma.
(papa 247)
When considering the differential diagnosis of asthma, what lower airway disorder can mimic asthma
in patients who have atypical symptoms or poor response to therapy?
a. laryngotracheal masses
b. bronchiolitis obliterans
c. churg-strauss syndrome
d. episodic laryngeal dyskinesis. - Correct Answer b. bronchiolitis obliterans
, All answers are considered in the differential diagnosis, but are not lower airway disorders.
Other lower airway disorders that can mimic asthma include COPD, bronchiectasis, allergic
bronchopulmonary mycosis, CF, and eosinophilic pneumonia.
(papa 248)
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 - Correct Answer b. ICSs
Daily anti-inflammtory therapy with inhaled corticosteroids.
(papa 250)
True or False: The use of an inhalation chamber coupled with mouth washing after DPI use decreases
local side effects and systemic absorption. - Correct Answer 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. - Correct Answer - Beclomethasone HFA
- Budesonide DPI (Pulmicort)
- Flunisolide
- Fluticasone (Flovent)
- Mometasone
- Triamcinolone acetonide
(papa 253)
Name 3 systemic corticosteroids used for long term therapy in patients with refractory, poorly
controlled asthma. - Correct Answer - Methylprednisolone
- Prednisolone
- Prednisone
(papa 251)
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