CMN 568 practice questions and
answers
A @\thin @\patient @\w/ @\a @\slight @\build @\present @\with @\constant @\difficulty @\breathing @\and @\
clear @\mucus. @\A @\physical @\exam @\also @\indicates @\an @\increased @\chest @\anteroposterior @\
diameter @\and @\hyperresonance @\on @\percussion. @\Given @\the @\most @\likely @\diagnosis, @\which
@\class @\of @\medications @\is @\best @\suited @\for @\long-term @\tx? @\- @\(correct @\answer) @\-
anticholinergics
Which @\of @\these @\manifestations @\is @\LEAST @\likely @\to @\present @\with @\the @\onset @\of @\
asthma?
A. @\Plugging @\the @\airways @\by @\thick @\mucus
B. @\Hypertrophy @\of @\the @\mucus @\glands
C. @\Thinning @\of @\the @\epithelial @\basement @\membrane
D. @\Hypertrophy @\of @\smooth @\muscle @\- @\(correct @\answer) @\-C
Your @\patient @\was @\seen @\by @\a @\pulmonologist @\2 @\months @\ago @\and @\diagnosed @\with @\
asthma. @\The @\pulmonologist @\ordered @\a @\short @\acting @\beta-2 @\agonist @\for @\initial @\
symptom @\relief. @\However, @\on @\today's @\visit @\to @\your @\office, @\the @\patient @\states, @\"I @\
don't @\think @\this @\stuff @\is @\really @\working @\because @\I'm @\still @\short @\of @\breath." @\You @\
refer @\the @\patient @\back @\to @\the @\pulmonologist. @\Which @\of @\the @\following @\would @\you @\
anticipate @\being @\the @\next @\step @\in @\the @\patient's @\management @\following @\the @\latest @\
national @\guidelines? @\- @\(correct @\answer) @\-an @\inhaled @\corticosteroid @\(ICS)
Jackie, @\a @\25-yo @\female, @\comes @\to @\the @\clinic @\experiencing @\respiratory @\distress @\and @\
difficulty @\speaking. @\Her @\lungs @\are @\hyperresonant @\and @\show @\hyperinflation @\on @\the @\x-
ray. @\Which @\result @\would @\most @\strongly @\indicate @\that @\Jackie @\should @\be @\admitted @\to
@\a @\hospital?
A. @\Forced @\expiratory @\volume @\is @\below @\30%
,B. @\Respiratory @\rate @\is @\25 @\breaths/minute
C. @\Pulsus @\paradoxus @\of @\8 @\mmHg
D. @\Pulse @\is @\112 @\bpm @\- @\(correct @\answer) @\-A
Which @\of @\these @\is @\NOT @\a @\common @\indoor @\trigger @\for @\asthma?
Cockroaches
Dust @\mites
Exercise
Termites @\- @\(correct @\answer) @\-termites
Upon @\examination, @\you @\notice @\that @\Alex, @\an @\obese @\63yo @\male, @\has @\moderate @\
dyspnea @\and @\purulent @\sputum. @\His @\lungs @\are @\normal @\upon @\percussion. @\Laboratory @\
results @\reveal @\an @\increased @\hematocrit @\level. @\Given @\the @\most @\likely @\diagnosis, @\which
@\of @\the @\following @\drugs @\would @\you @\be @\LEAST @\likely @\to @\prescribe @\for @\the @\patient's
@\condition?
A. @\Ipratropium @\bromide
B. @\Albuterol
C. @\Budesonide
D. @\Montelukast @\- @\(correct @\answer) @\-D. @\montelukast
Which @\of @\the @\following @\medications @\is @\considered @\to @\be @\the @\mainstay @\of @\treatment
@\for @\chronic @\obstructive @\pulmonary @\disease?
A. @\Budesonide
B. @\Ipratropium @\bromide
C. @\Salmeterol
D. @\Triamcinolone @\- @\(correct @\answer) @\-B
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)
Winston, @\a @\42yo @\male, @\is @\an @\HIV-positive @\patient @\whose @\TB @\skin @\test @\returns @\with
@\an @\elevation @\of @\5mm. @\After @\confirming @\a @\diagnosis @\of @\TB, @\you @\prescribe @\a @\
traditional @\drug @\regimen. @\For @\what @\minimum @\period @\of @\time @\is @\Winston @\expected @\
to @\continue @\his @\regimen? @\- @\(correct @\answer) @\-9 @\months
Common @\symptoms @\of @\COPD @\are: @\- @\(correct @\answer) @\-cough, @\dyspnea, @\sputum @\
production
Is @\a @\chest @\x-ray @\needed @\to @\diagnose @\COPD? @\- @\(correct @\answer) @\-No. @\Chest @\x-ray @\
may @\show @\hyperinflation, @\but @\PFTs @\are @\the @\standard @\for @\diagnosis. @\PFT @\may @\be @\
able @\to @\diagnose @\prior @\to @\the @\presentation @\of @\symptoms.
What @\is @\the @\PFT @\result @\need @\for @\diagnosis @\of @\COPD? @\- @\(correct @\answer) @\-FEV1 @\
<0.7
Does @\every @\patient @\with @\asthma @\need @\a @\SABA? @\- @\(correct @\answer) @\-yes
30yo @\patient @\with @\persistent @\asthma, @\what @\are @\the @\essential @\components @\of @\their @\
care @\plan? @\(select @\all @\that @\apply)
A. @\Asthma @\action @\plan
B. @\Flu @\and @\pneumonia @\vaccine
C. @\Rescue @\inhaler
D. @\LABA @\- @\(correct @\answer) @\-A, @\B, @\C
T @\or @\F: @\Asthma @\patients @\and @\COPD @\pts @\both @\need @\rescue @\inhalers? @\- @\(correct @\
answer) @\-true
Most @\common @\side @\effects @\of @\long-term @\inhaled @\steroid @\use? @\- @\(correct @\answer) @\-
Bone @\demineralization @\(osteopenia) @\and @\cataracts
A @\12yo @\patient @\presents @\to @\the @\clinic @\with @\wheezing, @\SOB, @\a @\feeling @\of @\tightness
@\in @\the @\chest. @\He @\is @\afebrile. @\Which @\of @\the @\following @\would @\be @\the @\best @\test @\
to @\confirm @\diagnosis? @\- @\(correct @\answer) @\-PFT
answers
A @\thin @\patient @\w/ @\a @\slight @\build @\present @\with @\constant @\difficulty @\breathing @\and @\
clear @\mucus. @\A @\physical @\exam @\also @\indicates @\an @\increased @\chest @\anteroposterior @\
diameter @\and @\hyperresonance @\on @\percussion. @\Given @\the @\most @\likely @\diagnosis, @\which
@\class @\of @\medications @\is @\best @\suited @\for @\long-term @\tx? @\- @\(correct @\answer) @\-
anticholinergics
Which @\of @\these @\manifestations @\is @\LEAST @\likely @\to @\present @\with @\the @\onset @\of @\
asthma?
A. @\Plugging @\the @\airways @\by @\thick @\mucus
B. @\Hypertrophy @\of @\the @\mucus @\glands
C. @\Thinning @\of @\the @\epithelial @\basement @\membrane
D. @\Hypertrophy @\of @\smooth @\muscle @\- @\(correct @\answer) @\-C
Your @\patient @\was @\seen @\by @\a @\pulmonologist @\2 @\months @\ago @\and @\diagnosed @\with @\
asthma. @\The @\pulmonologist @\ordered @\a @\short @\acting @\beta-2 @\agonist @\for @\initial @\
symptom @\relief. @\However, @\on @\today's @\visit @\to @\your @\office, @\the @\patient @\states, @\"I @\
don't @\think @\this @\stuff @\is @\really @\working @\because @\I'm @\still @\short @\of @\breath." @\You @\
refer @\the @\patient @\back @\to @\the @\pulmonologist. @\Which @\of @\the @\following @\would @\you @\
anticipate @\being @\the @\next @\step @\in @\the @\patient's @\management @\following @\the @\latest @\
national @\guidelines? @\- @\(correct @\answer) @\-an @\inhaled @\corticosteroid @\(ICS)
Jackie, @\a @\25-yo @\female, @\comes @\to @\the @\clinic @\experiencing @\respiratory @\distress @\and @\
difficulty @\speaking. @\Her @\lungs @\are @\hyperresonant @\and @\show @\hyperinflation @\on @\the @\x-
ray. @\Which @\result @\would @\most @\strongly @\indicate @\that @\Jackie @\should @\be @\admitted @\to
@\a @\hospital?
A. @\Forced @\expiratory @\volume @\is @\below @\30%
,B. @\Respiratory @\rate @\is @\25 @\breaths/minute
C. @\Pulsus @\paradoxus @\of @\8 @\mmHg
D. @\Pulse @\is @\112 @\bpm @\- @\(correct @\answer) @\-A
Which @\of @\these @\is @\NOT @\a @\common @\indoor @\trigger @\for @\asthma?
Cockroaches
Dust @\mites
Exercise
Termites @\- @\(correct @\answer) @\-termites
Upon @\examination, @\you @\notice @\that @\Alex, @\an @\obese @\63yo @\male, @\has @\moderate @\
dyspnea @\and @\purulent @\sputum. @\His @\lungs @\are @\normal @\upon @\percussion. @\Laboratory @\
results @\reveal @\an @\increased @\hematocrit @\level. @\Given @\the @\most @\likely @\diagnosis, @\which
@\of @\the @\following @\drugs @\would @\you @\be @\LEAST @\likely @\to @\prescribe @\for @\the @\patient's
@\condition?
A. @\Ipratropium @\bromide
B. @\Albuterol
C. @\Budesonide
D. @\Montelukast @\- @\(correct @\answer) @\-D. @\montelukast
Which @\of @\the @\following @\medications @\is @\considered @\to @\be @\the @\mainstay @\of @\treatment
@\for @\chronic @\obstructive @\pulmonary @\disease?
A. @\Budesonide
B. @\Ipratropium @\bromide
C. @\Salmeterol
D. @\Triamcinolone @\- @\(correct @\answer) @\-B
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)
Winston, @\a @\42yo @\male, @\is @\an @\HIV-positive @\patient @\whose @\TB @\skin @\test @\returns @\with
@\an @\elevation @\of @\5mm. @\After @\confirming @\a @\diagnosis @\of @\TB, @\you @\prescribe @\a @\
traditional @\drug @\regimen. @\For @\what @\minimum @\period @\of @\time @\is @\Winston @\expected @\
to @\continue @\his @\regimen? @\- @\(correct @\answer) @\-9 @\months
Common @\symptoms @\of @\COPD @\are: @\- @\(correct @\answer) @\-cough, @\dyspnea, @\sputum @\
production
Is @\a @\chest @\x-ray @\needed @\to @\diagnose @\COPD? @\- @\(correct @\answer) @\-No. @\Chest @\x-ray @\
may @\show @\hyperinflation, @\but @\PFTs @\are @\the @\standard @\for @\diagnosis. @\PFT @\may @\be @\
able @\to @\diagnose @\prior @\to @\the @\presentation @\of @\symptoms.
What @\is @\the @\PFT @\result @\need @\for @\diagnosis @\of @\COPD? @\- @\(correct @\answer) @\-FEV1 @\
<0.7
Does @\every @\patient @\with @\asthma @\need @\a @\SABA? @\- @\(correct @\answer) @\-yes
30yo @\patient @\with @\persistent @\asthma, @\what @\are @\the @\essential @\components @\of @\their @\
care @\plan? @\(select @\all @\that @\apply)
A. @\Asthma @\action @\plan
B. @\Flu @\and @\pneumonia @\vaccine
C. @\Rescue @\inhaler
D. @\LABA @\- @\(correct @\answer) @\-A, @\B, @\C
T @\or @\F: @\Asthma @\patients @\and @\COPD @\pts @\both @\need @\rescue @\inhalers? @\- @\(correct @\
answer) @\-true
Most @\common @\side @\effects @\of @\long-term @\inhaled @\steroid @\use? @\- @\(correct @\answer) @\-
Bone @\demineralization @\(osteopenia) @\and @\cataracts
A @\12yo @\patient @\presents @\to @\the @\clinic @\with @\wheezing, @\SOB, @\a @\feeling @\of @\tightness
@\in @\the @\chest. @\He @\is @\afebrile. @\Which @\of @\the @\following @\would @\be @\the @\best @\test @\
to @\confirm @\diagnosis? @\- @\(correct @\answer) @\-PFT
