NURS 5433 Module 2: Respiratory
Exam Questions With 100% Pass
/. ICS - Answer-✅Inhaled corticosteroids used for asthma management.
/.Low ICS - Answer-✅*Budesonide: 180-360 mcg/day (Pulmicort) and Fluticasone
propionate: 100-250 mcg/day (Flovent)
Beclomethasone: 80-160 mcg/day
Mometasone: 110 mcg/day
/.Medium ICS - Answer-✅• Budesonide: 361-720 mcg/day (Pulmicort )
• Fluticasone propionate: 251-500 mcg/day (Flovent )
• Beclomethasone: 161-320 mcg/day
• Mometasone: 220-440 mcg/day
/.High ICS - Answer-✅• Budesonide: >720 mcg/day (Pulmicort)
• Fluticasone propionate: >500 mcg/day (Flovent HFA)
• Beclomethasone: >320 mcg/day
• Mometasone: >440 mcg/day
/.SABA - Answer-✅Short-acting beta agonists such as salbutamol (albuterol) and
terbutaline.
/.LAMA - Answer-✅Long-acting muscarinic antagonists like tiotropium and
beclomethasone-formoterol glycopyrronium.
/.LABA - Answer-✅Long-acting beta agonists such as salmeterol and formoterol.
/.ICS and LABA combo - Answer-✅Combination medications like
beclomethasone/formoterol and budesonide/formoterol.
/.SAMA - Answer-✅Short-acting muscarinic antagonists such as ipratropium bromide
and oxitropium bromide (combo with SABA).
/.Oral corticosteroids - Answer-✅Prednisone, prednisolone, and methylprednisolone.
/.Anti-IgE - Answer-✅Omalizumab, a medication used for asthma management.
, /.Leukotriene modifiers (LTRA) - Answer-✅Medications such as montelukast,
pranlukast, and zileuton.
/.Sustained step-up treatment - Answer-✅Increase treatment for at least 2-3 months if
symptoms persist despite controller treatment.
/.Common issues to consider before stepping up asthma tx - Answer-✅Incorrect inhaler
technique, poor adherence, modifiable risk (smoking)
/.Short-term step-up treatment - Answer-✅Temporary increase in treatment for 1-2
weeks during exacerbations.
/.Day-to-day adjustment - Answer-✅Using as-needed low dose ICS-formoterol for mild
asthma or ICS-formoteral as a maintenance and reliever therapy.
/.Stepping down treatment - Answer-✅Reduce treatment once good asthma control has
been achieved for 3 months.
Reduce ICS dose by 20-50% at 2-3 month intervals.
/.Asthma action plan - Answer-✅A written plan to manage asthma, including medication
adjustments.
/.GINA guidelines - Answer-✅Global Initiative for Asthma guidelines for asthma
management.
Inhaled corticosteroids used for both RESUCE and MAINTENANCE.
/.GINA Step 3: SMART - Answer-✅Single inhaler maintenance and reliever therapy
using LABA with ICS.
/.Pathophysiology of Asthma - Answer-✅Involves inflammation, airway narrowing,
excess mucus production, and overreaction to triggers.
/.Presenting S&S of Asthma - Answer-✅Symptoms include dyspnea, cough, chest
tightness, wheezing, tachypnea, and tachycardia.
/.Diagnostics for Asthma - Answer-✅Includes CXR and spirometry with FEV1/FVC ratio
of <0.7 indicating airway obstruction.
/.COPD - Answer-✅Chronic Obstructive Pulmonary Disease characterized by chronic
inflammation, airway obstruction, mucus overproduction, and emphysema.
/.Presenting S&S of COPD - Answer-✅Symptoms that are slowly progressive,
CHRONIC COUGH, wheezing, chest tightness, frequent resp infection,
Exam Questions With 100% Pass
/. ICS - Answer-✅Inhaled corticosteroids used for asthma management.
/.Low ICS - Answer-✅*Budesonide: 180-360 mcg/day (Pulmicort) and Fluticasone
propionate: 100-250 mcg/day (Flovent)
Beclomethasone: 80-160 mcg/day
Mometasone: 110 mcg/day
/.Medium ICS - Answer-✅• Budesonide: 361-720 mcg/day (Pulmicort )
• Fluticasone propionate: 251-500 mcg/day (Flovent )
• Beclomethasone: 161-320 mcg/day
• Mometasone: 220-440 mcg/day
/.High ICS - Answer-✅• Budesonide: >720 mcg/day (Pulmicort)
• Fluticasone propionate: >500 mcg/day (Flovent HFA)
• Beclomethasone: >320 mcg/day
• Mometasone: >440 mcg/day
/.SABA - Answer-✅Short-acting beta agonists such as salbutamol (albuterol) and
terbutaline.
/.LAMA - Answer-✅Long-acting muscarinic antagonists like tiotropium and
beclomethasone-formoterol glycopyrronium.
/.LABA - Answer-✅Long-acting beta agonists such as salmeterol and formoterol.
/.ICS and LABA combo - Answer-✅Combination medications like
beclomethasone/formoterol and budesonide/formoterol.
/.SAMA - Answer-✅Short-acting muscarinic antagonists such as ipratropium bromide
and oxitropium bromide (combo with SABA).
/.Oral corticosteroids - Answer-✅Prednisone, prednisolone, and methylprednisolone.
/.Anti-IgE - Answer-✅Omalizumab, a medication used for asthma management.
, /.Leukotriene modifiers (LTRA) - Answer-✅Medications such as montelukast,
pranlukast, and zileuton.
/.Sustained step-up treatment - Answer-✅Increase treatment for at least 2-3 months if
symptoms persist despite controller treatment.
/.Common issues to consider before stepping up asthma tx - Answer-✅Incorrect inhaler
technique, poor adherence, modifiable risk (smoking)
/.Short-term step-up treatment - Answer-✅Temporary increase in treatment for 1-2
weeks during exacerbations.
/.Day-to-day adjustment - Answer-✅Using as-needed low dose ICS-formoterol for mild
asthma or ICS-formoteral as a maintenance and reliever therapy.
/.Stepping down treatment - Answer-✅Reduce treatment once good asthma control has
been achieved for 3 months.
Reduce ICS dose by 20-50% at 2-3 month intervals.
/.Asthma action plan - Answer-✅A written plan to manage asthma, including medication
adjustments.
/.GINA guidelines - Answer-✅Global Initiative for Asthma guidelines for asthma
management.
Inhaled corticosteroids used for both RESUCE and MAINTENANCE.
/.GINA Step 3: SMART - Answer-✅Single inhaler maintenance and reliever therapy
using LABA with ICS.
/.Pathophysiology of Asthma - Answer-✅Involves inflammation, airway narrowing,
excess mucus production, and overreaction to triggers.
/.Presenting S&S of Asthma - Answer-✅Symptoms include dyspnea, cough, chest
tightness, wheezing, tachypnea, and tachycardia.
/.Diagnostics for Asthma - Answer-✅Includes CXR and spirometry with FEV1/FVC ratio
of <0.7 indicating airway obstruction.
/.COPD - Answer-✅Chronic Obstructive Pulmonary Disease characterized by chronic
inflammation, airway obstruction, mucus overproduction, and emphysema.
/.Presenting S&S of COPD - Answer-✅Symptoms that are slowly progressive,
CHRONIC COUGH, wheezing, chest tightness, frequent resp infection,
