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CMN 568 Practice Questions And Answers Well illustrated.
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CMN 568 Practice Questions And Answers Well illustrated.
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CMN 568 Practice Questions And AnswersWell illustrated.
Abthinbpatientbw/babslightbbuildbpresentbwithbconstantbdifficultybbreathingbandbclearbmucus.
bAbphysicalbexambalsobindicatesbanbincreasedbchestbanteroposteriorbdiameterbandbhyperr
esonancebonbpercussion.bGivenbthebmostblikelybdiagnosis,bwhichbclassbofbmedicationsbisb
bestbsuitedbforblong-termbtx?b-bcorrectbanswer.bbbbanticholinergics
WhichbofbthesebmanifestationsbisbLEASTblikelybtobpresentbwithbthebonsetbofbasthma?
A.bPluggingbthebairwaysbbybthickbmucus
B.bHypertrophybofbthebmucusbglands
C.bThinningbofbthebepithelialbbasementbmembrane
D.bHypertrophybofbsmoothbmuscleb-bcorrectbanswer.bbbbC
Yourbpatientbwasbseenbbybabpulmonologistb2bmonthsbagobandbdiagnosedbwithbasthma.bT
hebpulmonologistborderedbabshortbactingbbeta-
2bagonistbforbinitialbsymptombrelief.bHowever,bonbtoday'sbvisitbtobyourboffice,bthebpatientbst
ates,b"Ibdon'tbthinkbthisbstuffbisbreallybworkingbbecausebI'mbstillbshortbofbbreath."bYoubreferbt
hebpatientbbackbtobthebpulmonologist.bWhichbofbthebfollowingbwouldbyoubanticipatebbeingbt
hebnextbstepbinbthebpatient'sbmanagementbfollowingbtheblatestbnationalbguidelines?b-
bcorrectbanswer.bbbbanbinhaledbcorticosteroidb(ICS)
Jackie,bab25-
yobfemale,bcomesbtobthebclinicbexperiencingbrespiratorybdistressbandbdifficultybspeaking.b
Herblungsbarebhyperresonantbandbshowbhyperinflationbonbthebx-
ray.bWhichbresultbwouldbmostbstronglybindicatebthatbJackiebshouldbbebadmittedbtobabhospit
al?
,A.bForcedbexpiratorybvolumebisbbelowb30%
B.bRespiratorybratebisb25bbreaths/minute
C.bPulsusbparadoxusbofb8bmmHg
D.bPulsebisb112bbpmb-bcorrectbanswer.bbbbA
WhichbofbthesebisbNOTbabcommonbindoorbtriggerbforbasthma?
Cockroaches
Dustbmites
Exercise
Termitesb-bcorrectbanswer.bbbbtermites
Uponbexamination,byoubnoticebthatbAlex,banbobeseb63yobmale,bhasbmoderatebdyspneaba
ndbpurulentbsputum.bHisblungsbarebnormalbuponbpercussion.bLaboratorybresultsbrevealban
bincreasedbhematocritblevel.bGivenbthebmostblikelybdiagnosis,bwhichbofbthebfollowingbdrug
sbwouldbyoubbebLEASTblikelybtobprescribebforbthebpatient'sbcondition?
A.bIpratropiumbbromide
B.bAlbuterol
C.bBudesonide
D.bMontelukastb-bcorrectbanswer.bbbbD.bmontelukast
Whichbofbthebfollowingbmedicationsbisbconsideredbtobbebthebmainstaybofbtreatmentbforbchr
onicbobstructivebpulmonarybdisease?
A.bBudesonide
B.bIpratropiumbbromide
C.bSalmeterol
D.bTriamcinoloneb-bcorrectbanswer.bbbbB
Victor,babstockyb40yobmale,bpresentsbtobthebclinicbwithbcomplaintsbofbdifficultybbreathingba
ndb"endlessbamountsbofbgunkbwheneverbhebcoughs."bDuringbthebvisit,bhebcoughsbupbabsu
bstantialbamountbofbyellowbphlegm.bAbbloodbtestbrevealsbanbincreasedbhematocritblevel,ba
ndbabphysicalbexambdetectsblungsbthatbarebnormalbuponbpercussion.bYouborderbabpulmon
aryblabbforbthebpatient.bGivenbthebmostblikelybcondition,bwhichbofbthebfollowingbfindingsbwo
uldbyoubLEASTbexpect?
A.bIncreasedbforcedbexpiratorybvolumebinb1bsecond
B.bIncreasedbtotalblungbcapacity
C.bIncreasedbfunctionalbresidualbcapacity
D.bIncreasedbresidualbvolumeb-
bcorrectbanswer.bbbbA.b(thisbisbanbindicationbofbhealthyblungbfunctioning)
Winston,bab42yobmale,bisbanbHIV-
positivebpatientbwhosebTBbskinbtestbreturnsbwithbanbelevationbofb5mm.bAfterbconfirmingbab
diagnosisbofbTB,byoubprescribebabtraditionalbdrugbregimen.bForbwhatbminimumbperiodbofbti
mebisbWinstonbexpectedbtobcontinuebhisbregimen?b-bcorrectbanswer.bbbb9bmonths
CommonbsymptomsbofbCOPDbare:b-
bcorrectbanswer.bbbbcough,bdyspnea,bsputumbproduction
, Isbabchestbx-raybneededbtobdiagnosebCOPD?b-bcorrectbanswer.bbbbNo.bChestbx-
raybmaybshowbhyperinflation,bbutbPFTsbarebthebstandardbforbdiagnosis.bPFTbmaybbebableb
tobdiagnosebpriorbtobthebpresentationbofbsymptoms.
WhatbisbthebPFTbresultbneedbforbdiagnosisbofbCOPD?b-bcorrectbanswer.bbbbFEV1b<0.7
DoesbeverybpatientbwithbasthmabneedbabSABA?b-bcorrectbanswer.bbbbyes
30yobpatientbwithbpersistentbasthma,bwhatbarebthebessentialbcomponentsbofbtheirbcarebpla
n?b(selectballbthatbapply)
A.bAsthmabactionbplan
B.bFlubandbpneumoniabvaccine
C.bRescuebinhaler
D.bLABAb-bcorrectbanswer.bbbbA,bB,bC
TborbF:bAsthmabpatientsbandbCOPDbptsbbothbneedbrescuebinhalers?b-
bcorrectbanswer.bbbbtrue
Mostbcommonbsidebeffectsbofblong-termbinhaledbsteroidbuse?b-
bcorrectbanswer.bbbbBonebdemineralizationb(osteopenia)bandbcataracts
Ab12yobpatientbpresentsbtobthebclinicbwithbwheezing,bSOB,babfeelingbofbtightnessbinbthebch
est.bHebisbafebrile.bWhichbofbthebfollowingbwouldbbebthebbestbtestbtobconfirmbdiagnosis?b-
bcorrectbanswer.bbbbPFT
TborbF:bUSPSTFbrecommendsbscreeningbwithblow-
dosebhelicalbCTbscansbforblungbcancer?b-
bcorrectbanswer.bbbbtrueb(smallbvsblargebcellbcarcinoma)
TborbF:bWomenbarebmoreblikelybtobbebdiagnosedbwithbmesothelioma?b-
bcorrectbanswer.bbbbfalse
WhatbarebsymptomsbofbTB?b-
bcorrectbanswer.bbbbCoughb(3+bweeks),bhemoptysis,bchestbpain,bsputumbproduction,bweig
htbloss,banorexia,bfatigue
TBbinterpretationbofbthebMantouxbtest:bWhatbarebsomebpatientbpopulationsbthatbab>10mmb
indurationbwouldbbebclassifiedbasbpositive?b-
bcorrectbanswer.bbbbAtbriskbpeds,blabbworkers,bhealthcarebworkers,bIVbdrugbusers
CanbyoubdobabTSTbtestbonbabpregnantbwoman;bandbwhenbwouldbyoubdobit?b-
bcorrectbanswer.bbbbYes,bhighbriskbgroupborbshowingbsignsb/bsymptoms
CanbIGRAsbbebusedbtobdifferentiatebbetweenbTBbandbLTBI?b-
bcorrectbanswer.bbbbAnswer:bNo,bIGRAsbcannotbdifferentiatebbetweenbthebtwo
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