CMN 568 INTRO TO FAMILY NP
FINAL EXAM PRACTICE
COMPLETE GUIDE WITH QUESTIONS AND VERIFIED
ANSWERS
1. 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?
Answer
an inhaled corticosteroid (ICS)
2. 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
Answer A
3. Which of these is NOT a common indoor trigger for asthma?
, @LECTJULIESOLUTIONSSTUVIA
4. Upon examination, you notice that Alex, an obese 63yo male, has moderate dyspnea
and purulent sputum. His lungs are normal upon percussion. Labo- ratory results
reveal an increased hematocrit level. Given the most likely di- agnosis, 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
Answer
D. montelukast
5. 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
Answer B
6. 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
,and clear mucus. A physical exam also indicates an increased chest antero- posterior
diameter and hyperresonance on percussion. Given the most likely diagnosis, which
class of medications is best suited for long-term tx?
Answer
anti- cholinergics
8. 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
Answer C
9. 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?
Answer
9 months
10. Common symptoms of COPD are
Answer
cough, dyspnea, sputum production
11. Is a chest x-ray needed to diagnose COPD?
Answer
No. Chest x-ray may show hyperinflation, but PFTs are the standard for diagnosis. PFT may
, @LECTJULIESOLUTIONSSTUVIA
FEV1 <0.7
13. Does every patient with asthma need a SABA?
Answer
yes
14. 30yo patient with persistent asthma, what are the essential components of their
care plan? (select all that apply)
A. Asthma action plan
B. Flu and pneumonia vaccine
C. Rescue inhaler
D. LABA
Answer
A, B, C
15. T or F. Asthma patients and COPD pts both need rescue inhalers?
Answer
true
16. Most common side effects of long-term inhaled steroid use?
Answer
Bone dem- ineralization (osteopenia) and cataracts
17. A 12yo patient presents to the clinic with wheezing, SOB, a feeling of
tightness in the chest. He is afebrile. Which of the following would be the best test to
confirm diagnosis?
FINAL EXAM PRACTICE
COMPLETE GUIDE WITH QUESTIONS AND VERIFIED
ANSWERS
1. 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?
Answer
an inhaled corticosteroid (ICS)
2. 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
Answer A
3. Which of these is NOT a common indoor trigger for asthma?
, @LECTJULIESOLUTIONSSTUVIA
4. Upon examination, you notice that Alex, an obese 63yo male, has moderate dyspnea
and purulent sputum. His lungs are normal upon percussion. Labo- ratory results
reveal an increased hematocrit level. Given the most likely di- agnosis, 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
Answer
D. montelukast
5. 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
Answer B
6. 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
,and clear mucus. A physical exam also indicates an increased chest antero- posterior
diameter and hyperresonance on percussion. Given the most likely diagnosis, which
class of medications is best suited for long-term tx?
Answer
anti- cholinergics
8. 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
Answer C
9. 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?
Answer
9 months
10. Common symptoms of COPD are
Answer
cough, dyspnea, sputum production
11. Is a chest x-ray needed to diagnose COPD?
Answer
No. Chest x-ray may show hyperinflation, but PFTs are the standard for diagnosis. PFT may
, @LECTJULIESOLUTIONSSTUVIA
FEV1 <0.7
13. Does every patient with asthma need a SABA?
Answer
yes
14. 30yo patient with persistent asthma, what are the essential components of their
care plan? (select all that apply)
A. Asthma action plan
B. Flu and pneumonia vaccine
C. Rescue inhaler
D. LABA
Answer
A, B, C
15. T or F. Asthma patients and COPD pts both need rescue inhalers?
Answer
true
16. Most common side effects of long-term inhaled steroid use?
Answer
Bone dem- ineralization (osteopenia) and cataracts
17. A 12yo patient presents to the clinic with wheezing, SOB, a feeling of
tightness in the chest. He is afebrile. Which of the following would be the best test to
confirm diagnosis?
