NM 703- EXAM 1 BLUEPRINT 2024
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
First line treatment of asthma - ANSWERS-Initial tx: inhaled SABA up to 2 tx 20
min apart, 2-6 puffs by MDI or nebulizer
-Tx individualized
-Achieve and maintain control of symptoms
-Prevent exacerbation/hospitalization/mortality
]-Maintain/return to normal activities
-Maintain pulmonary function
-Avoid adverse effects of asthma meds
QUESTION 2
What is the classic and PE presentation for bronchitis? - ANSWERS--cough
(productive or non-productive) usually lasting 10-20 days to 5-6 weeks
-difficulty breathing (dyspnea)
-low-grade fever
-wheezing, rhonchi, rales,
-decreased FEV (esp. in pertussis)
END OF
PAGE 1
, NM 703- EXAM 1 BLUEPRINT 2024
-usually occurs following resolution of URI (inf A/B)
-if chronic-productive cough most days of month x 3 months x 2 year
QUESTION 3
Referral indicators of bronchitis - ANSWERS--progressive dyspnea
-decreased 02 Sara
-s/s of sepsis and need IV abx
QUESTION 4
First line treatment of bronchitis - ANSWERS--Self limiting NO ABX!!
-tx underlying cause
-fever- antipyretic
-cough-dextromethorphan
-wheezing/asthma- bronchodilator/hot black tea (theophylline in small amounts)
-fluids to thin secretions
-abx if b. Pertussis (macrolides, mycin meds) w/i 5-7 days of symptoms
-if viral to w/ vir meds with 48 hrs of symptoms
END OF
PAGE 2
, NM 703- EXAM 1 BLUEPRINT 2024
QUESTION 5
Client education of bronchitis - ANSWERS--no need for abx if viral
-smoking cessation
-humidifier
-vicks
-steamy showers
-avoid air pollution
-will have cough 10-14 days
QUESTION 6
Clinical presentation of CAP - ANSWERS-Typical -step pna
-pleuritic chest pain
-high fever
-shaking
-chills
-malaise
-dyspnea
-cough w/sputum production (rust or mucopurulent)
END OF
PAGE 3
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
First line treatment of asthma - ANSWERS-Initial tx: inhaled SABA up to 2 tx 20
min apart, 2-6 puffs by MDI or nebulizer
-Tx individualized
-Achieve and maintain control of symptoms
-Prevent exacerbation/hospitalization/mortality
]-Maintain/return to normal activities
-Maintain pulmonary function
-Avoid adverse effects of asthma meds
QUESTION 2
What is the classic and PE presentation for bronchitis? - ANSWERS--cough
(productive or non-productive) usually lasting 10-20 days to 5-6 weeks
-difficulty breathing (dyspnea)
-low-grade fever
-wheezing, rhonchi, rales,
-decreased FEV (esp. in pertussis)
END OF
PAGE 1
, NM 703- EXAM 1 BLUEPRINT 2024
-usually occurs following resolution of URI (inf A/B)
-if chronic-productive cough most days of month x 3 months x 2 year
QUESTION 3
Referral indicators of bronchitis - ANSWERS--progressive dyspnea
-decreased 02 Sara
-s/s of sepsis and need IV abx
QUESTION 4
First line treatment of bronchitis - ANSWERS--Self limiting NO ABX!!
-tx underlying cause
-fever- antipyretic
-cough-dextromethorphan
-wheezing/asthma- bronchodilator/hot black tea (theophylline in small amounts)
-fluids to thin secretions
-abx if b. Pertussis (macrolides, mycin meds) w/i 5-7 days of symptoms
-if viral to w/ vir meds with 48 hrs of symptoms
END OF
PAGE 2
, NM 703- EXAM 1 BLUEPRINT 2024
QUESTION 5
Client education of bronchitis - ANSWERS--no need for abx if viral
-smoking cessation
-humidifier
-vicks
-steamy showers
-avoid air pollution
-will have cough 10-14 days
QUESTION 6
Clinical presentation of CAP - ANSWERS-Typical -step pna
-pleuritic chest pain
-high fever
-shaking
-chills
-malaise
-dyspnea
-cough w/sputum production (rust or mucopurulent)
END OF
PAGE 3
