CMN 568 -Unit 3 Combo Test Questions With Verified Answers | updated

CMN 568 -Unit 3 Combo Test Questions With Verified Answers | updated For moderate persistant asthma, symptoms occur - ANSWER Daily For moderate persistant asthma, SABA use is - ANSWER Daily For moderate persistant asthma, nighttime awakenings ages 0-4 - ANSWER 3-4 times/month For moderate persistant asthma, nighttime awakenings for 5 - ANSWER once a week, not nightly For moderate persistant asthma, interference with normal activity - ANSWER Some For moderate persistant asthma, Lung function FEV1 or PEF (personal best), 12 - ANSWER 60-80& For moderate persistant asthma, FEV1/FVC, ages 5-11 - ANSWER 75-80% For moderate persistant asthma, FEV1/FVC ages over 12 - ANSWER less than 5% For moderate persistant asthma, exacerbations requiring oral corticosteroids, ages 0-4 - ANSWER =2times/6 months or = 4 wheezing episodes in a year that last longer than a day AND risk factors for persistent asthma. For moderate persistant asthma, exacerbations requiring oral corticosteroids, = 5 years - ANSWER = 2 times/year of exacerbations For moderate persistant asthma, exacerbations, recommended step for starting treatment - ANSWER Step 3 and reevaluate in 2- 6 weeks After starting treatment for asthma, you should reevaluate the patient in - ANSWER 2-6 weeks When is treatment not appropriate when using SABAs PRN? - ANSWER When more than 1 canister/month is used Can LABAs be used as mono therapy? - ANSWER No, administer with ICS What is the action of Theophylline? - ANSWER relaxes and opens airways, rarely used because it requires careful monitoring How and why is Omalizumab given? - ANSWER Sub-q every 2-4 weeks; given to patients over 12 with mod to persistent asthma with positive skin test. What is the action of ICS? - ANSWER prevent inflammation of the airways What is the hallmark on CXR for miliary TB? - ANSWER Snowstorm Treatment of TB in pregnancy: - ANSWER 2 mos: INH, RIF, EMB 7 mos: INH, RIF What drug cannot be used in pregnancy when treating TB? - ANSWER PZA Side effect of RIF? - ANSWER Orange secretions SIde effect of PZA? - ANSWER Hyperuricemia; hepatotoxicity - (reason not given in LTBI) Side effect of EMB: - ANSWER optic neuritis Side effect of INH: - ANSWER Peripheral neuropathy What drug is added to INH therapy? - ANSWER Vit B6 A false negative TB test can result in: - ANSWER malnourished, overwhelming disease, 10% of kids Does a negative TST exclude TB? - ANSWER No You should consider COPD, and perform spirometry if any of these indicators are present in an individual over age 40: - ANSWER Dyspnea (progressive, worse with exercise, persistent daily, described as air hunger, gasping, etc), Chronic cough, chronic sputum production, and history of exposure (tobacco smoke, occupational dusts and chemicals, smoke from home cooking and heating fuel) Diagnosis of COPD should be confirmed by - ANSWER Spirometry and clinical symptoms and signs Why is a low peak flow inconsistent with diagnosing COPD? - ANSWER poor specificity; low peak flow can be caused by other diseases and by poor performance What drug is contraindicated in COPD and asthma? - ANSWER Beta blockers Stage III - Severe COPD has a FEV1 of - ANSWER FEV150% predicted Stage 1 - Mild COPD has a FEV1 of - ANSWER FEV1 80% predicted Stage 4 - Very severe COPD has a FEV1 of - ANSWER FEV130% predicted Stage 2 - Mod COPD has a FEV1 of - ANSWER FEV180% predicted All COPD patients have a FEV1/FEV of - ANSWER 70%