NGR6200 Exam 3 Questions With Complete Solutions
1. Calculate pack years Correct Answers It is calculated by
multiplying the number of packs of cigarettes smoked per day
by the number of years the person has smoked. For example, 1
pack year is equal to smoking 1 pack per day for 1 year, or 2
packs per day for half a year, and so on.
A 36 year old man with asthma also needs antihypertensive
therapy. Which agent would you avoid prescribing? Correct
Answers propranolol
A child weighing 44 lb. is in need of an oral prednisone burst for
an asthma exacerbation. The prednisolone is supplied at 15
mg/5ml. What would be the daily amount of mL for 1.5
mg/kg/day dosage? Correct Answers 10 mL
A child with CAP weighing 27 kg would need the following mL
every 12 hours of amoxicillin/clavulanate (use Augmentin ES-
600/42.9/5mL and dose it at 90 mg/kg/day PO divided q 12
hours) Correct Answers 10 mL
A muscarinic agonist would cause (bronchodilation or
bronchoconstriction)? Correct Answers Bronchoconstriction
which is a vagal response. Remember "Mr. Pathetic?"
A muscarinic antagonist would cause (bronchodilation or
bronchoconstriction)? Correct Answers Bronchodilation occurs
when muscarinic receptors are blocked
,A nodule that grows rapidly is more likely to be (cancerous or
infectious)? Correct Answers Infectious
A patient that has asthma symptoms 2 times a week would be
classified as___________? Correct Answers Intermittent
A patient that has daily asthma symptoms would be classified
as: Correct Answers Moderate or Severe Persistent
A patient that has nighttime awakenings with cough and chest
tightness three times a month would be classified as having mild
(intermittent or persistent) asthma? Would an inhaled
corticosteroid (ICS) be recommended in this patient? Correct
Answers Persistent. Yes this patient would benefit from an ICS.
A patient that has nighttime awakenings with cough and chest
tightness two times a month would be classified as having mild
(intermittent or persistent) asthma? Would an ICS be
recommended in this patient? Correct Answers Mild
Intermittent. ICS are not usually needed unless there is an
exacerbation
A patient that has symptoms 3 times a week would be classified
as___________? Correct Answers Mild persistent
A patient that has symptoms once every month or only when
they get a URI would be classified as___________? Correct
Answers Mild intermittent and require only a PRN
bronchodilator
,A patient that is using more than two canisters a month of a
SABA is at risk of______? Correct Answers Sudden death from
asthma
A patient that smokes and develops pneumonia would be at risk
of having what type of infecting organism? Correct Answers H.
influenzae (Gram negative)
A patient with bronchitis has been coughing for 10 days. When
would you consider antibiotics? Correct Answers The American
College of Chest Physicians recommends considering an
antibiotic if there is not at least some improvement of the cough
by day 7 of the illness
A patient with COPD has been prescribed home oxygen. How
often must the patient wear the nasal cannula for optimal
benefit? Correct Answers 18 hours a day
A patient with hypertension would have worsening respiratory
symptoms with which class of drugs? Correct Answers Non
selective beta adrenergic antagonists such as propranolol,
carvedilol, and labetalol
A patient with no risk factors and an induration of 10 mm after
PPD is considered (negative or positive)? Correct Answers
Negative
A patient with pneumonia from Legionella sp. would need to be
treated with______? Correct Answers Macrolides, doxycycline,
and fluoroquinolones are active against atypical organism such
as Legionella sp.
, A tumor nodule must be at least _____ mm before it is visible
on the chest radiograph? Correct Answers 2-3mm
According to the USPSTF when should a low dose CT scan be
done? Correct Answers -Annually
-In smokers with 30 pack years
-Age 55-80
-In current smokers
-In former smokers that quit within the past 15 years
Acute exacerbation of chronic bronchitis can be caused by:
Correct Answers Streptococcus pneumoniae most common,
Haemophilus influenzae and Moraxella catarrhalis. Pathogens
that cause bronchitis are mostly of viral origin. This is why
antibiotics are not indicated, unless there are s/s of PNA
Advair inherited a Black Box Warning because of the
__________component of the combination drug. Correct
Answers Salmeterol
AEDs such as phenobarbital, phenytoin, and rifampin induce
hepatic drug metabolizing enzymes which causes theophylline
levels to (increase or decrease)? How should theophylline doses
be adjusted? Correct Answers Induction would decrease
theophylline levels and require larger doses.
After starting a LTRA, why is it important to monitor the
patient's mood? Correct Answers Depression and suicidality
have been noted with LTRAs
1. Calculate pack years Correct Answers It is calculated by
multiplying the number of packs of cigarettes smoked per day
by the number of years the person has smoked. For example, 1
pack year is equal to smoking 1 pack per day for 1 year, or 2
packs per day for half a year, and so on.
A 36 year old man with asthma also needs antihypertensive
therapy. Which agent would you avoid prescribing? Correct
Answers propranolol
A child weighing 44 lb. is in need of an oral prednisone burst for
an asthma exacerbation. The prednisolone is supplied at 15
mg/5ml. What would be the daily amount of mL for 1.5
mg/kg/day dosage? Correct Answers 10 mL
A child with CAP weighing 27 kg would need the following mL
every 12 hours of amoxicillin/clavulanate (use Augmentin ES-
600/42.9/5mL and dose it at 90 mg/kg/day PO divided q 12
hours) Correct Answers 10 mL
A muscarinic agonist would cause (bronchodilation or
bronchoconstriction)? Correct Answers Bronchoconstriction
which is a vagal response. Remember "Mr. Pathetic?"
A muscarinic antagonist would cause (bronchodilation or
bronchoconstriction)? Correct Answers Bronchodilation occurs
when muscarinic receptors are blocked
,A nodule that grows rapidly is more likely to be (cancerous or
infectious)? Correct Answers Infectious
A patient that has asthma symptoms 2 times a week would be
classified as___________? Correct Answers Intermittent
A patient that has daily asthma symptoms would be classified
as: Correct Answers Moderate or Severe Persistent
A patient that has nighttime awakenings with cough and chest
tightness three times a month would be classified as having mild
(intermittent or persistent) asthma? Would an inhaled
corticosteroid (ICS) be recommended in this patient? Correct
Answers Persistent. Yes this patient would benefit from an ICS.
A patient that has nighttime awakenings with cough and chest
tightness two times a month would be classified as having mild
(intermittent or persistent) asthma? Would an ICS be
recommended in this patient? Correct Answers Mild
Intermittent. ICS are not usually needed unless there is an
exacerbation
A patient that has symptoms 3 times a week would be classified
as___________? Correct Answers Mild persistent
A patient that has symptoms once every month or only when
they get a URI would be classified as___________? Correct
Answers Mild intermittent and require only a PRN
bronchodilator
,A patient that is using more than two canisters a month of a
SABA is at risk of______? Correct Answers Sudden death from
asthma
A patient that smokes and develops pneumonia would be at risk
of having what type of infecting organism? Correct Answers H.
influenzae (Gram negative)
A patient with bronchitis has been coughing for 10 days. When
would you consider antibiotics? Correct Answers The American
College of Chest Physicians recommends considering an
antibiotic if there is not at least some improvement of the cough
by day 7 of the illness
A patient with COPD has been prescribed home oxygen. How
often must the patient wear the nasal cannula for optimal
benefit? Correct Answers 18 hours a day
A patient with hypertension would have worsening respiratory
symptoms with which class of drugs? Correct Answers Non
selective beta adrenergic antagonists such as propranolol,
carvedilol, and labetalol
A patient with no risk factors and an induration of 10 mm after
PPD is considered (negative or positive)? Correct Answers
Negative
A patient with pneumonia from Legionella sp. would need to be
treated with______? Correct Answers Macrolides, doxycycline,
and fluoroquinolones are active against atypical organism such
as Legionella sp.
, A tumor nodule must be at least _____ mm before it is visible
on the chest radiograph? Correct Answers 2-3mm
According to the USPSTF when should a low dose CT scan be
done? Correct Answers -Annually
-In smokers with 30 pack years
-Age 55-80
-In current smokers
-In former smokers that quit within the past 15 years
Acute exacerbation of chronic bronchitis can be caused by:
Correct Answers Streptococcus pneumoniae most common,
Haemophilus influenzae and Moraxella catarrhalis. Pathogens
that cause bronchitis are mostly of viral origin. This is why
antibiotics are not indicated, unless there are s/s of PNA
Advair inherited a Black Box Warning because of the
__________component of the combination drug. Correct
Answers Salmeterol
AEDs such as phenobarbital, phenytoin, and rifampin induce
hepatic drug metabolizing enzymes which causes theophylline
levels to (increase or decrease)? How should theophylline doses
be adjusted? Correct Answers Induction would decrease
theophylline levels and require larger doses.
After starting a LTRA, why is it important to monitor the
patient's mood? Correct Answers Depression and suicidality
have been noted with LTRAs
