MN568 Midterm Exam Questions and
Answers Graded A+
You are doing a cerumen extraction and touch the external meatus of your pt's ear.
He winces and starts coughing. What is the name of this reflex? - Correct answer-
Arnold Reflex
Sam, age 78, presents to the clinic w/respiratory symptoms. His PFTs are as
follows: normal total lung capacity, decreased PaO2, increased PaCO2. On
assessment, you auscultate course crackles and forced expiratory wheezes. What is
your dx? - Correct answer-Chronic Bronchitis
George has COPD and an 80% forced expiratory volume in 1 second. How would
you classify the severity of his COPD? - Correct answer-Stage 1 mild COPD
African American pt's seems to have a negative reaction to which of the following
asthma meds? - Correct answer-Long-term beta-agonist bronchodilators
You are using the CURB-65 clinical prediction tool to decide whether Mabel,
whom you have diagnosed with community-acquired pneumonia (CAP), should be
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,hospitalized or treated at home. Her score is 3. What should you do? - Correct
answer-Hospitalize and consider admitting her to the ICU
Why do you suspect that your pt may have a decreased response to the TB test? -
Correct answer-She has been on long-term corticosteroid therapy
Marci has been started on a TB regimen. Because isoniazid (INH) may cause
peripheral neuropathy, you consider ordering which of the following drugs
prophilactically? - Correct answer-Pyroxidine
Jolene has breast cancer that has been staged as T1, N0, M0. What might this
mean?
A. The tumor size cannot be evaluated; the cancer has not spread to the lymph
nodes; and the distant spread cannot be evaluated.
B. The cancer is in situ; it is spreading into the lymph nodes but the spread cannot
be evaluated otherwise.
C. The cancer is less than 3 cm in size and has not spread to the lymph nodes or
other parts of the body.
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,D. The cancer is about 5 cm in size; nearby lymph nodes cannot be evaluated; and
there is no evidence of distant spreading. - Correct answer-The cancer is less than
3cm in size and has not spread to the lymph nodes or other parts of the body
Nathan, a 32yo policeman, has a 15-pack-year history of smoking and continues to
smoke heavily. During every visit, he gets irate when you try to talk to him about
quitting. What should you do? - Correct answer-Continue to ask him at every visit
if he is ready to quit
Your pt has decided to try to quit smoking with Chantix. You are discussing his
quit date and he will begin taking the med tomorrow. When should he plan to quit
smoking? - Correct answer-His quit date should be in 1 week
Which info should be included when you are teaching your pt about the use of
nicotine gum? - Correct answer-The gum must be correctly chewed to a softened
state and then placed in the buccal mucosa
Cydney presents with a h/o asthma. She has not been treated for a while. She c/o
daily but not continual symptoms, greater than 1 week and at nighttime. She has
been using her rescue inhaler. Her FEV1 is 60-80% predicted. How would you
classify her asthma severity? - Correct answer-Moderate persistent
Joyce is taking a long-acting beta agonist for her asthma. What additional med
should she be taking? - Correct answer-Inhaled corticosteroid
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, Your pt is on theophylline (Therabid) for his asthma. You want to maintain his
serum levels between: - Correct answer-5-15mcg/mL
Which of the following statements regarding TST is true? - Correct answer-The
size of the TST reaction has nothing to do with erythema but is based solely on
induration
Which obstructive lung disease is classified as reversible? - Correct answer-asthma
You have taught Jennifer, age 15, about using a flow meter to assess how to
manage her asthma exacerbations. She calls you today because her peak expiratory
flow rate is 65%. What would you tell her? - Correct answer-Use your rescue
inhaler, begin the Rx of PO glucocorticoids you have, and call back tomorrow."
Which statement about adenocarcinoma of the lung is accurate? - Correct answer-It
is the most prevalent carcinoma of the lungs in both sexes and in nonsmokers,
representing 35-40% of all tumors
Jason, age 62, has obstructive sleep apnea. What do you think is one of his
contributing factors? - Correct answer-His collar size is 17in
The forced vital capacity is decreased in:
a. Asthma
b. Chronic bronchitis
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Answers Graded A+
You are doing a cerumen extraction and touch the external meatus of your pt's ear.
He winces and starts coughing. What is the name of this reflex? - Correct answer-
Arnold Reflex
Sam, age 78, presents to the clinic w/respiratory symptoms. His PFTs are as
follows: normal total lung capacity, decreased PaO2, increased PaCO2. On
assessment, you auscultate course crackles and forced expiratory wheezes. What is
your dx? - Correct answer-Chronic Bronchitis
George has COPD and an 80% forced expiratory volume in 1 second. How would
you classify the severity of his COPD? - Correct answer-Stage 1 mild COPD
African American pt's seems to have a negative reaction to which of the following
asthma meds? - Correct answer-Long-term beta-agonist bronchodilators
You are using the CURB-65 clinical prediction tool to decide whether Mabel,
whom you have diagnosed with community-acquired pneumonia (CAP), should be
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,hospitalized or treated at home. Her score is 3. What should you do? - Correct
answer-Hospitalize and consider admitting her to the ICU
Why do you suspect that your pt may have a decreased response to the TB test? -
Correct answer-She has been on long-term corticosteroid therapy
Marci has been started on a TB regimen. Because isoniazid (INH) may cause
peripheral neuropathy, you consider ordering which of the following drugs
prophilactically? - Correct answer-Pyroxidine
Jolene has breast cancer that has been staged as T1, N0, M0. What might this
mean?
A. The tumor size cannot be evaluated; the cancer has not spread to the lymph
nodes; and the distant spread cannot be evaluated.
B. The cancer is in situ; it is spreading into the lymph nodes but the spread cannot
be evaluated otherwise.
C. The cancer is less than 3 cm in size and has not spread to the lymph nodes or
other parts of the body.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,D. The cancer is about 5 cm in size; nearby lymph nodes cannot be evaluated; and
there is no evidence of distant spreading. - Correct answer-The cancer is less than
3cm in size and has not spread to the lymph nodes or other parts of the body
Nathan, a 32yo policeman, has a 15-pack-year history of smoking and continues to
smoke heavily. During every visit, he gets irate when you try to talk to him about
quitting. What should you do? - Correct answer-Continue to ask him at every visit
if he is ready to quit
Your pt has decided to try to quit smoking with Chantix. You are discussing his
quit date and he will begin taking the med tomorrow. When should he plan to quit
smoking? - Correct answer-His quit date should be in 1 week
Which info should be included when you are teaching your pt about the use of
nicotine gum? - Correct answer-The gum must be correctly chewed to a softened
state and then placed in the buccal mucosa
Cydney presents with a h/o asthma. She has not been treated for a while. She c/o
daily but not continual symptoms, greater than 1 week and at nighttime. She has
been using her rescue inhaler. Her FEV1 is 60-80% predicted. How would you
classify her asthma severity? - Correct answer-Moderate persistent
Joyce is taking a long-acting beta agonist for her asthma. What additional med
should she be taking? - Correct answer-Inhaled corticosteroid
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, Your pt is on theophylline (Therabid) for his asthma. You want to maintain his
serum levels between: - Correct answer-5-15mcg/mL
Which of the following statements regarding TST is true? - Correct answer-The
size of the TST reaction has nothing to do with erythema but is based solely on
induration
Which obstructive lung disease is classified as reversible? - Correct answer-asthma
You have taught Jennifer, age 15, about using a flow meter to assess how to
manage her asthma exacerbations. She calls you today because her peak expiratory
flow rate is 65%. What would you tell her? - Correct answer-Use your rescue
inhaler, begin the Rx of PO glucocorticoids you have, and call back tomorrow."
Which statement about adenocarcinoma of the lung is accurate? - Correct answer-It
is the most prevalent carcinoma of the lungs in both sexes and in nonsmokers,
representing 35-40% of all tumors
Jason, age 62, has obstructive sleep apnea. What do you think is one of his
contributing factors? - Correct answer-His collar size is 17in
The forced vital capacity is decreased in:
a. Asthma
b. Chronic bronchitis
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
