CMN 568 Quiz with Solutions
Kyle, a 32 year old male, is HIV+. When initiating a TB skin test, which result
would show the minimal amount of elevation that would indicate he is positive for
TB? - ✅✅ 5mm
What baseline labs should be obtained prior to starting TB medication regimens? -
✅✅ lfts (AST, ALT); CBC, serum creatinine
A prisoner has a TB skin test with a 10mm induration. What does this tell the NP?
- ✅✅ Positive result, needs treatment
Which of the following best describes asthma? - ✅✅ Chronic airway
inflammation with superimposed bronchospasm
The patient you are evaluating is having a severe asthma flare. You have assessed
that his condition is appropriate for office treatment. You expect to find the
following on physical examination:
A. Tripod posture
B. Inspiratory crackles
C. Increased vocal fremitus
D. Hyperresonance on thoracic percussion - ✅✅ D
Peak expiratory flow meters:
A. Should only be used in the presence of a medical professional
B. Provide a convenient method to check lung function at home.
C. Are as accurate as spirometry.
D. Should not be used more than once daily. - ✅✅ B
What is most likely to appear on a chest x-ray of a person during an acute severe
asthma attack? - ✅✅ hyperinflation
The cornerstone of moderate persistent asthma drug therapy is the use of: - ✅✅
ICS
In the treatment of asthma, leukotriene receptor antagonists should be used as: -
✅✅ Controllers to inhibit inflammatory responses.
,After inhaled corticosteroid is initiated, improvement in control is usually seen: -
✅✅ 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. - ✅✅ B
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? - ✅✅ 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 - ✅✅ 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? - ✅✅ 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 - ✅✅ A
Which of these is NOT a common indoor trigger for asthma?
Cockroaches
, Dust mites
Exercise
Termites - ✅✅ 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 - ✅✅ 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 - ✅✅ 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 - ✅✅ 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? - ✅✅ 9 months
Common symptoms of COPD are: - ✅✅ cough, dyspnea, sputum production
Kyle, a 32 year old male, is HIV+. When initiating a TB skin test, which result
would show the minimal amount of elevation that would indicate he is positive for
TB? - ✅✅ 5mm
What baseline labs should be obtained prior to starting TB medication regimens? -
✅✅ lfts (AST, ALT); CBC, serum creatinine
A prisoner has a TB skin test with a 10mm induration. What does this tell the NP?
- ✅✅ Positive result, needs treatment
Which of the following best describes asthma? - ✅✅ Chronic airway
inflammation with superimposed bronchospasm
The patient you are evaluating is having a severe asthma flare. You have assessed
that his condition is appropriate for office treatment. You expect to find the
following on physical examination:
A. Tripod posture
B. Inspiratory crackles
C. Increased vocal fremitus
D. Hyperresonance on thoracic percussion - ✅✅ D
Peak expiratory flow meters:
A. Should only be used in the presence of a medical professional
B. Provide a convenient method to check lung function at home.
C. Are as accurate as spirometry.
D. Should not be used more than once daily. - ✅✅ B
What is most likely to appear on a chest x-ray of a person during an acute severe
asthma attack? - ✅✅ hyperinflation
The cornerstone of moderate persistent asthma drug therapy is the use of: - ✅✅
ICS
In the treatment of asthma, leukotriene receptor antagonists should be used as: -
✅✅ Controllers to inhibit inflammatory responses.
,After inhaled corticosteroid is initiated, improvement in control is usually seen: -
✅✅ 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. - ✅✅ B
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? - ✅✅ 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 - ✅✅ 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? - ✅✅ 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 - ✅✅ A
Which of these is NOT a common indoor trigger for asthma?
Cockroaches
, Dust mites
Exercise
Termites - ✅✅ 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 - ✅✅ 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 - ✅✅ 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 - ✅✅ 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? - ✅✅ 9 months
Common symptoms of COPD are: - ✅✅ cough, dyspnea, sputum production
