CMN 568 -Unit 3 Combo Test Questions And Answers Verified 100% Correct

CMN 568 -Unit 3 Combo Test Questions And Answers
Verified 100% Correct


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

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

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 26 weeks

After starting treatment for asthma, you should reevaluate the
patient in - ANSWER 2-6 weeks

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 FEV1<50%
predicted

Stage 1 - Mild COPD has a FEV1 of - ANSWER FEV1> 80%
predicted

Stage 4 - Very severe COPD has a FEV1 of - ANSWER
FEV1<30% predicted

, Stage 2 - Mod COPD has a FEV1 of - ANSWER FEV1<80%
predicted

All COPD patients have a FEV1/FEV of - ANSWER <70% or
0.70

When are bronchodilators prescribed in COPD? - ANSWER As needed
to relieve intermittent or worsening symptoms, and on a
regular basis to prevent or reduce persistent symptoms

When are inhaled glucocorticoids prescribed in COPD? - ANSWER
symptomatic patients with an FEV1<50% predicted and repeated
exacerbations.

Mild COPD treatment - ANSWER Flu vaccine,SABA

Mod COPD treatment - ANSWER Flu vaccine, SABA, LABA,
Rehab

Severe COPD treatment - ANSWER Flu vaccine, SABA, LABA,
Rehab, ICS

Very severe COPD treatment - ANSWER Flu vaccine, SABA,
LABA, Rehab, ICS, O2 (worn 15 hrs/daily)

SABAs: - ANSWER Levalbuterol, Albuterol, Terbutaline,
Fenoterol

LABAs: - ANSWER Formoterol, Salmeterol, Indacaterol,
Arformoterol

Anticholinergics: - ANSWER Ipratropium bromide

ICS: - ANSWER Budenoside, Fluticasone, Beclomethasone