CMN 568 - UNIT 3: ASTHMA ACTUAL EXAM GUIDE
NEWEST COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) | ALREADY
GRADED A+.
A 12 year old has daily asthma symptoms requiring rescue SABA inhaler use,
awakening 3 nights a week, and an FEV < 80% predicted. What step of tx
should you initiate, what is the recommended tx? - Pt has moderate
persistent asthma.
- Step 3
Low dose ICS + LABA
OR
Medium-dose ICS + LABA
Which is often the initial symptom of asthma?
A) cough
B) sneezing
C) chills and fever
D) breathlessness A. cough
T/F: Before you step up a patient's asthma medication therapy, FIRST check
adherence, environmental control, and comorbid conditions True
,T/F: Improper inhaler technique is a critical component in treatment failure
for asthma patients. True
If systemic corticosteroids are prescribed for an asthma exacerbation, how
long should the duration of treatment be?
A) less than 3 days
B) 3-10 days
C) 2-3 weeks b. 3-10 days
You may consider stepping down a patient's asthma medication therapy if
they have been well controlled for at least how long?
A) 1 month
B) 3 months
C) 6 months
D) 1 year B. 3 months
ALL asthma patients get which of the following meds for step 1? (No matter
what!)
A) SABAs
B) ICSs
C) LRTAs
D) oral steroids A. SABAs
,True/ false: for asthma, the level of control is based on the most severe
impairment or risk category. True
For an asthma patient, you would assess impairment domain by a patient's
recall of the past:
A) week
B) 2-4 weeks
C) 2 months
D) 3 months B. 2-4 weeks
T/F Intravenous magnesium sulfate in contraindicated in a severe asthma
exacerbation. False
(papa 256)
What is the strongest identifiable predisposing factor for the development of
asthma?
A) hypertension
B) obesity
C) atopy
D) smoke exposure C. atopy
During severe asthma exacerbations, airflow may be very limited and your
only diagnostic clue upon auscultation may be?
A) severe wheezing
, B) globally reduced breath sounds
C) rales
D) stridor B. globally reduced breath sounds
T/F: When educating a patient on how to manage an asthma exacerbation at
home you tell them for initial treatment use the SABA inhaler up to 2 times,
20 minutes apart of 2-6 puffs by MDI or neb. True
(papa 257)
Nasal polyps are not usually seen in children. If they are this could be a sign
of?
A) asthma
B) cystic fibrosis
C) seasonal allergies (Hay fever)
D) all of the above B. Cystic Fibrosis
After initial treatment at home, a patient continues to have persistent
wheezing and tachypnea with a PEF of 60% predicted, what should be done?
a. Add oral systemic corticosteroid
b. Continue inhaled SABA
c. Contact clinician that day for further instruction.
d. all of the above d. all of the above
(papa 257)
NEWEST COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) | ALREADY
GRADED A+.
A 12 year old has daily asthma symptoms requiring rescue SABA inhaler use,
awakening 3 nights a week, and an FEV < 80% predicted. What step of tx
should you initiate, what is the recommended tx? - Pt has moderate
persistent asthma.
- Step 3
Low dose ICS + LABA
OR
Medium-dose ICS + LABA
Which is often the initial symptom of asthma?
A) cough
B) sneezing
C) chills and fever
D) breathlessness A. cough
T/F: Before you step up a patient's asthma medication therapy, FIRST check
adherence, environmental control, and comorbid conditions True
,T/F: Improper inhaler technique is a critical component in treatment failure
for asthma patients. True
If systemic corticosteroids are prescribed for an asthma exacerbation, how
long should the duration of treatment be?
A) less than 3 days
B) 3-10 days
C) 2-3 weeks b. 3-10 days
You may consider stepping down a patient's asthma medication therapy if
they have been well controlled for at least how long?
A) 1 month
B) 3 months
C) 6 months
D) 1 year B. 3 months
ALL asthma patients get which of the following meds for step 1? (No matter
what!)
A) SABAs
B) ICSs
C) LRTAs
D) oral steroids A. SABAs
,True/ false: for asthma, the level of control is based on the most severe
impairment or risk category. True
For an asthma patient, you would assess impairment domain by a patient's
recall of the past:
A) week
B) 2-4 weeks
C) 2 months
D) 3 months B. 2-4 weeks
T/F Intravenous magnesium sulfate in contraindicated in a severe asthma
exacerbation. False
(papa 256)
What is the strongest identifiable predisposing factor for the development of
asthma?
A) hypertension
B) obesity
C) atopy
D) smoke exposure C. atopy
During severe asthma exacerbations, airflow may be very limited and your
only diagnostic clue upon auscultation may be?
A) severe wheezing
, B) globally reduced breath sounds
C) rales
D) stridor B. globally reduced breath sounds
T/F: When educating a patient on how to manage an asthma exacerbation at
home you tell them for initial treatment use the SABA inhaler up to 2 times,
20 minutes apart of 2-6 puffs by MDI or neb. True
(papa 257)
Nasal polyps are not usually seen in children. If they are this could be a sign
of?
A) asthma
B) cystic fibrosis
C) seasonal allergies (Hay fever)
D) all of the above B. Cystic Fibrosis
After initial treatment at home, a patient continues to have persistent
wheezing and tachypnea with a PEF of 60% predicted, what should be done?
a. Add oral systemic corticosteroid
b. Continue inhaled SABA
c. Contact clinician that day for further instruction.
d. all of the above d. all of the above
(papa 257)
