QUESTIONS AND CORRECT
ANSWERS NEW EXAM UPDATE TESTED AND
APPROVED!!
You see a 14-year-old female with moderate persistent asthma who has had two
emergency department visits in the last 3 months for asthma exacerbations.
During the discussion with the patient and her father about how they are
monitoring her symptoms and what steps they are taking to actively manage her
disease at home, they indicate that they would benefit from more information.
You develop an asthma action plan with them.
Which one of the following is true regarding asthma action plans?
- ✔✔✔ Correct Answer > B. Individual studies have shown that the use of
asthma action plans reduces hospitalizations and emergency department visits
when used in the context of asthma selfmanagement programs
Which one of the following is a risk factor for asthma-related death? - ✔✔✔
Correct Answer > B. Use of more than one metered-dose inhaler of a short-
acting β-agonist per month
A previously healthy 46-year-old female who is an avid runner presents to your
office in January because she has noted the onset of wheezing, dyspnea, and
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,chest tightness as she has increased her training mileage in preparation for a
marathon she plans to run in the spring. Spirometry before and after exercise
confirms a diagnosis of exercise-induced bronchospasm. She is willing to try
inhaler use before her long runs, but asks about measures she could take in
addition to medication.
Which one of the following would reduce the likelihood of exercise-induced
bronchospasm in this patient? - ✔✔✔ Correct Answer > A. Performing a low-
or variable-intensity warmup before she begins running
A 2-year-old male is brought to your office because of a cough and wheezing.
His mother states that on at least four other occasions during the past year he
has experienced episodes of wheezing precipitated by "colds."
Which one of the following is a risk factor for developing persistent asthma? -
✔✔✔ Correct Answer > A. House dust mite exposure
A 22-year-old female with mild persistent asthma informs you that she would
like to become pregnant in the near future. Which one of the following asthma
agents would be preferred during her pregnancy? - ✔✔✔ Correct Answer > A.
Inhaled corticosteroids
A 12-year-old male who has intermittent asthma is brought to your office by his
father. The patient's asthma was well controlled until the beginning of soccer
season. He is a forward and reports that he has experienced increasing shortness
of breath and coughing that begins during training runs and long practices. His
wheezing peaks about 5-10 minutes after he stops. He notes that the use of his
albuterol (Proventil, Ventolin) inhaler does help attenuate his symptoms but
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, does not completely relieve them, and his exercise tolerance seems to be
worsening.
Which one of the following has been shown to be most effective for use before
exercise, as the next step in treatment of his condition? - ✔✔✔ Correct Answer
> C. Budesonide/formoterol (Symbicort)
The 2020 focused updates to the asthma management guidelines recommend
which one of the following allergen avoidance measures as part of a
multifaceted, comprehensive approach for patients sensitive to house dust mite
allergens? - ✔✔✔ Correct Answer > A. Encasing pillows and mattresses in an
allergenimpermeable cover
The use of long-acting β-agonists as monotherapy in asthma has been associated
with an increased risk for - ✔✔✔ Correct Answer > E.
severe asthma exacerbations
A patient with moderate persistent asthma presents to your office urgently
because of dyspnea and wheezing that have worsened over the last 36 hours.
She reports that she developed mild upper respiratory symptoms several days
ago that are now worse, but she does not have any fever, sputum production, or
chest pain. She says that her efforts to manage the exacerbation at home have
been unsuccessful. On examination she appears anxious and prefers to remain
upright on the examination table due to dyspnea. She has a respiratory rate of
26/min and her oxygen saturation is 95% on room air.
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