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CMN 568 Unit 3 Combo Latest Update 2024-2025
Actual Exam 500 Questions and 100% Verified
Correct Answers Guaranteed A+ Approved by
the Professor
≥ 15 mm induration TST reaction, what type of pt is this considered + in? - CORRECT
ANSWER: persons with no known risk factors.
1st. line treatment agent for all pt w/persistent asthma (long term controller) -
CORRECT ANSWER: Inhaled Corticosteroids
A patient has a PEF> 80% and minor changes in airway function. What severity of
asthma exacerbation does this patient have? - CORRECT ANSWER: Mild asthma
exacerbation
A patient has an exacerbation of asthma, what is the most effective treatment to achieve
prompt control? - CORRECT ANSWER: Systemic (oral) corticosteroids
A patient is experiencing mild asthma exacerbation and currently not taking an inhaled
corticosteroid, what can the FNP do? - CORRECT ANSWER: initiate one
A patient with sarcoidosis has the following symptoms how should they be treated? iritis,
hypercalcemia, uveitis, arthritis, CNS involvement, cardiac involvement, hepatitis,
cutaneous lesions other than erythema nodosum and progressive pulmonary lesions -
CORRECT ANSWER: Oral corticosteroids 0.5-1 mg/kg/day
A pt presents with (severe) Acute Asthma Exacerbation, what should the patient be
treated with? - CORRECT ANSWER: Immediately- Oxygen, high doses of inhaled
SABA, and systemic corticosteroids
A pt. reports that they have a 20% change in PEF. What does this information tell the
FNP? - CORRECT ANSWER: suggests inadequately controlled asthma
,Are PO bronchodilators preferred over inhaled bronchodilators for a patient w/COPD -
CORRECT ANSWER: NO
Are solitary pulmonary nodules usually malignant? - CORRECT ANSWER: Yes, high
probability of malignancy >30yo. larger tumor increases risk of malignancy.
-spiculated margins and peripheral halo seen on CT are highly associated with
malignancy.
-cavitary lesions w/thick walls (>16mm) much more likely to be malignant
-PET (negative) usually correctly excludes cancer
Blue bloaters are predominately? - CORRECT ANSWER: Chronic bronchitis
Overweight due to activity intolerance, elevated hemoglobin, peripheral edema r/t right
HF, rhonchi, wheezing, chronic productive cough, PaCO2 elevated
Can a physical exam confirm or rule out TB disease - CORRECT ANSWER: No
Can the FNP start an oral corticosteroid if the patient is already taking an inhaled
corticosteroid? - CORRECT ANSWER: Yes
Characteristics of COPD - CORRECT ANSWER: presence of airflow obstruction due to
chronic bronchitis and emphysema, may be accompanied by airway hyper reactivity and
may be partially reversible.
Characteristics of extrapulmonary TB (outside the lungs) - CORRECT ANSWER:
usually non infectious unless a person has concomitant pulmonary disease, extra-
pulmonary disease of oral cavity or larynx, or with open site (aerosolized fluid)
Course of oral corticosteroids started when pt has acute asthma exacerbation? -
CORRECT ANSWER: Prednisone, methylprednisolone, or prednisolone- 0.5 mg-
1mg/kg (40-60mg) in either single dose or divided BID x 7 days
,Criteria to admit pt. with acute exacerbation of asthma to hospital - CORRECT
ANSWER: -poor response to SABA after 2 tx 20 min. apart
-hypoxia- SPO2 < 95% on RA
-Marked breathlessness- inability to speak sentences
-use of accessory muscles
- changes in alertness
- *** PEF of <50% personal best
Daily progression of thermal injury to upper airway and lung parenchyma - CORRECT
ANSWER: day 1-2 = develop ARDs
day 2-3 = sloughing of bronchiolar mucosa » airway obstruction, atelectasis, worsening
hypoxemia
day 5-7 = bacterial colonization & pneumonia
Definition of chronic bronchitis - CORRECT ANSWER: excessive secretion of bronchial
mucus, daily productive cough for 3 months or more for 2 consecutive years
Does a CXR confirm TB? - CORRECT ANSWER: No. Can suggest
does more acidic or more alkaline GI aspirated contents cause chemical pneumonitis -
CORRECT ANSWER: More acidic
Does smoking increase prevalence of coal-workers pneumonconiosis? - CORRECT
ANSWER: No, but it may have detrimental effects on ventilatory status
Dose of oral corticosteroids for adults during exacerbation of asthma - CORRECT
ANSWER: 40-60 mg/day
either as a single dose of divided BID
Dose of oral corticosteroids for children during exacerbation of asthma - CORRECT
ANSWER: 1-2 mg/kg/day.
, Can be either a single dose or divided BID.
MAX 60 mg/day
Doses of Albuterol (SABA) for ALL cases of asthma? - CORRECT ANSWER: *MDI- 90
mcg/spray
*Nebulizer- give 0.05 mg/kg (max 5 mg)
-use either 1 puff of MDI or 1 nebulizer and repeat every 20 min x 3 for acute
exacerbation
Duration of treatment of oral corticosteroids for asthma exacerbation - CORRECT
ANSWER: 3-10 days or until symptoms resolve
(no evidence that tapering dose of PO steroids prevents relapse)
Early management of thermal injury to upper airway includes? - CORRECT ANSWER:
high-humidity face mask w/supplemental O2, gentle suctioning, elevated HOB 30º,
topical epi (reduces edema of oropharyngeal mucous membrane)
History to obtain when evaluating pt. for TB - CORRECT ANSWER: symptoms of
disease (how long),
hx of TB exposure, infection, disease
past TB treatment
demographic RF for TB
Medical conditions that increase risk of TB (HIV, child <5)
How and when can latent TB infection (LTBI) be detected. - CORRECT ANSWER: 2-8
weeks after infection
by TST or interferon-gamma release assay (IGRA)
How are LABA's delivered? - CORRECT ANSWER: dry powder
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