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CMN 568 Final Practice Exam: Respiratory Disorders – Asthma, COPD, TB, Lung Cancer – Q&A Bank

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This comprehensive practice exam bank is designed for CMN 568 final exam preparation, focusing on respiratory disorders. It contains actual exam-style questions with verified correct answers and detailed rationales. Core topics include: asthma pathophysiology (bronchoconstriction, airway inflammation, atopy, triggers including tobacco smoke, cold air, exercise, barometric pressure changes), classification (intermittent, mild/moderate/severe persistent), pharmacotherapy (SABA albuterol/levalbuterol, ICS budesonide, LABA salmeterol, leukotriene receptor antagonists montelukast, omalizumab/Xolair for severe allergic asthma, stepwise NAEPP guidelines), status asthmaticus management (oxygen, high-dose SABA, systemic corticosteroids, avoid benzodiazepines/mucolytics), peak expiratory flow monitoring, PFT interpretation (FEV1/FVC 0.70 for obstruction, post-bronchodilator improvement), COPD (GOLD classification: FEV1 30-49% GOLD 3, 30% GOLD 4, CAT/mMRC scoring, exacerbation triggers – viral most common), pharmacotherapy (ipratropium bromide first-line anticholinergic, SABA, LABA, ICS + LABA/LAMA for group E, roflumilast, theophylline for sleep disorders), alpha-1 antitrypsin deficiency as cause of COPD under age 40, pulmonary rehab, home oxygen (≥15 hours/day), TB and LTBI (Mantoux/TST interpretation: 5mm positive for HIV, 10mm for at-risk peds/healthcare workers/IV drug users, 15mm for low-risk general population; IGRA vs. TST limitations, BCG vaccine false-positive, 2-8 weeks seroconversion, RIPE regimen: rifampin, isoniazid, pyrazinamide, ethambutol; INH with B6 for pregnant women, DOT for all patients, baseline LFTs), drug-induced peripheral neuropathy (INH + pyridoxine), lung cancer screening (low-dose helical CT for 20 pack-year smokers within 15 years of quitting), TNM staging, solitary pulmonary nodule (coin lesion) benign vs. malignant, small cell vs. non-small cell (aggressive, 16-18 weeks survival), mesothelioma (asbestos exposure, shipbuilding, unilateral non-pleuritic chest pain), bronchogenic carcinoma risk factors, silicosis with TB co-infection, sarcoidosis (cough, dyspnea, erythema nodosum, parotid enlargement, hypercalcemia, long-term prednisone 0.5-1 mg/kg/day), asbestosis (inspiratory crackles, clubbing, cyanosis), bronchiectasis (foul-smelling copious blood-tinged sputum), Goodpasture syndrome (hemoptysis + glomerulonephritis), bronchial carcinoid tumors (slow-growing, rarely metastasize), middle lobe syndrome (foreign body), exercise-induced bronchospasm (longer warm-up), subcutaneous immunotherapy for allergic asthma step 2+, anaphylaxis (not always IgE-mediated), smoke inhalation (100% oxygen, thermal injury, hypoxia), urticaria (first-line antihistamines), and medication safety (propranolol contraindicated in asthma due to beta blockade). Ideal for CMN 568 final exam candidates, family nurse practitioner (FNP) students, and respiratory-focused NP programs.

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CMN 568 FINAL PRACTICE EXAM QUESTION

BANK EXAM

QUESTIONS AND CORRECT DETAILED

ANSWERS TESTED AND GRADED A+ LATEST
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Which drug class is never used to treat COPD?

a. LABA

b. Long-acting anticholinergic

c. Leukotriene blockers

d. Systemic steroids - ✔✔✔ Correct Answer > c



Which patient might be expected to have the worst FEV!?

A. An asthma patient in the green zone

B. A 65-year-old with emphysema

C. A 60-year-old with PNA

D. Patient with bronchiolitis - ✔✔✔ Correct Answer > B



Which meds cannot be used to treat LTBI?


Page 1 of 37

,a. INH

b. Rifampin

c. Pyrazinamide

d. ING-rifapetine - ✔✔✔ Correct Answer > c



Triggers for asthma include which of the following (select all that apply)?

a. tobacco smoke

b. cold air

c. exercise

d. rapid changes in barometric pressure

e. sedentary lifestyle - ✔✔✔ Correct Answer > a, b, c, d



Which of the following is always present in a COPD pt?

A. Productive cough

B. Obstructed airways

C. SOB

D. Hypercapnia - ✔✔✔ Correct Answer > B



What is most likely to appear on a chest x-ray of a person during an acute
severe asthma attack? - ✔✔✔ Correct Answer > hyperinflation




Page 2 of 37

,The cornerstone of moderate persistent asthma drug therapy is the use of: -
✔✔✔ Correct Answer > ICS



In the treatment of asthma, leukotriene receptor antagonists should be used as: -
✔✔✔ Correct Answer > Controllers to inhibit inflammatory responses.



After inhaled corticosteroid is initiated, improvement in control is usually seen:
- ✔✔✔ Correct Answer > Within 2-8 days.



Compared with albuterol, levalbuterol (Xopenex) has: A. A different
mechanism of action.

B. The ability potentially to provide greater bronchodilation with a lower dose.

C.An anti-inflammatory effect similar to that of an inhaled corticosteroid.

D. A contraindication to use in elderly patients. - ✔✔✔ Correct Answer > B



Which of the following statements is false regarding the use of omalizumab
(Xolair)?

A. Its use is recommended for pts with mild persistent asthma to prevent
asthma flares.

B. The medication selectively binds to IgE to reduce exacerbations.

C. Labeled indication is for patients with poorly controlled asthma with
frequent exacerbations.




Page 3 of 37

, D. Special evaluation is required prior to its use and ongoing monitoring is
needed during use. - ✔✔✔ Correct Answer > A



A patient comes to you with the complaint that he cannot stop coughing. He has
trouble speaking in sentences but manages to describe a tight feeling in his
chest. A physical exam indicates his pulse is 115. The pt explains that he used
his albuterol and inhaled budesonide today but is still having symptoms. Of the
following, which would be the most appropriate treatment option?

a. Add oral prednisone.

b. Add an inhaled ipratropium bromide.

c. Increase the dosage of albuterol.

d. Add a regular dose of salmetero - ✔✔✔ Correct Answer > d



Victor, a stocky 40yo male, presents to the clinic with complaints of difficulty
breathing and "endless amounts of gunk whenever he coughs." During the visit,
he coughs up a substantial amount of yellow phlegm. A blood test reveals an
increased hematocrit level, and a physical exam detects lungs that are normal
upon percussion. You order a pulmonary lab for the patient. Given the most
likely condition, which of the following findings would you LEAST expect?

A. Increased forced expiratory volume in 1 second

B. Increased total lung capacity

C. Increased functional residual capacity

D. Increased residual volume - ✔✔✔ Correct Answer > A. (this is an
indication of healthy lung functioning)


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