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CNM 586 CERTIFIED NURSE MIDWIVES’ UNIT 3 (Asthma) QUESTIONS AND ACCURATE SOLUTIONS RATED A.
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CNM 586 CERTIFIED NURSE MIDWIVES’ UNIT 3 (Asthma) QUESTIONS AND ACCURATE SOLUTIONS RATED A.
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CNM 586 CERTIFIED NURSEMIDWIVES’ UNIT 3(Asthma)
QUESTIONS AND ACCURATE
SOLUTIONS RATED A.
, lOMoAR cPSD| 19857451
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-inflammatory 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.
- Oxygen should be given to keep sat >90%
- systemic corticosteroids should be administered.
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
, lOMoAR cPSD| 19857451
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
- Fluticasone (Flovent)
- Mometasone
- Triamcinolone acetonide
(papa 253)
Name 3 systemic corticosteroids used for long term therapy in patients with
refractory, poorly controlled asthma. ⬛
✓ - Methylprednisolone
- Prednisolone
- Prednisone
(papa 251)
, lOMoAR cPSD| 19857451
The strongest identifiable predisposing factor for the development of asthma
is , but obesity is increasingly recognized as a risk factor. ✓
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. ⬛ ✓ ...
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 ✓
⬛ 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. ⬛✓ False: Wheezing during normal
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