Deck 14: Asthma

Question 1

How many components of care are included in the NAEPP asthma management guidelines?

A) Three
B) Four
C) Five
D) Six

Answer 1

Four

Question 2

After the inhalation of a bronchodilator, what percentage change in peak expiratory flow (PEFR) would be required to demonstrate reversible air flow limitation consistent with asthma?

A) 5%
B) 10%
C) 15%
D) >20%

Answer 2

>20%

Question 3

The physician asks you to suggest an inhaled corticosteroid for a patient with asthma. Which of the following medications are appropriate?

A) Flovent HFA
B) Solu-Medrol
C) Serevent
D) Montelukast

Answer 3

Flovent HFA

Question 4

Which of the following factors are associated with intrinsic asthma?
1) Emotional stress
2) Cockroach allergen
3) GERD
4) Dust mites

A)2, 4
B)1, 3
C)3, 4
D)2, 3, 4

Question 5

Which of the following is the acronym for the bronchospasm and airway inflammation resulting from the Aspergillus fungus?

A) ABPA
B) AGA
C) ACOS
D) AEC

Question 6

If a beta₂-agonist agent and an anticholinergic agent were administered concurrently to a patient during an acute asthma episode, what result would be expected?

A) Bronchial smooth muscle contraction will occur.
B) Airway edema will increase.
C) The medications oppose each other, resulting in no airway changes.
D) Bronchial smooth muscle relaxation will occur.

Question 7

A fractional concentration of exhaled nitric oxide level greater than _____ ppb is an indication of airway inflammation requiring controller medication increase.

A) 20
B) 30
C) 40
D) 50

Question 8

What findings on a chest radiograph would be expected during a prolonged asthma episode?
1) Depressed diaphragm
2) Increased anterior-posterior diameter
3) Asymmetric lung inflation
4) Translucent lung fields

A)1, 2
B)3, 4
C)1, 2, 4
D)1, 2, 3

Question 9

A sputum sample from a patient has been sent to the laboratory for analysis. Which of the following findings could help confirm the diagnosis of extrinsic asthma?

A) Increased IgE level
B) Increased erythrocyte count
C) Colonization of Pseudomonas aeruginosa
D) Decreased IgE level

Question 10

What term is used to describe the situation when an initial asthmatic response occurs within 1 hour of exposure to an allergen followed by a delayed asthmatic response hours later?

A) Deferred dyspneic response
B) Asynchronous activation response
C) Biphasic response
D) Bipolar response

Question 11

Which of the following recurrent symptoms are commonly associated with asthma?
1) Cough
2) Chest tightness
3) Fever
4) Wheeze

A)1, 3
B)1, 2, 4
C)2, 3, 4
D)1, 2, 3

Question 12

At what age does asthma severity peak in males?

A) 1 to 3 years
B) 5 to 7 years
C) 18 to 20 years
D) 30 to 32 years

Question 13

What is the term for an inspiratory fall in systolic blood pressure exceeding 10 mm Hg?

A) Pulsus paradoxus
B) Stage I hypotension
C) Swanson's phenomenon
D) Hoover's sign

Question 14

What is the name for the microscopic structures formed from the breakdown of eosinophils in allergic asthma?

A) Charlene-Lichty crystals
B) Charcot-Leyden crystals
C) Colleen-Lyndahl clusters
D) Charles-Lahr casts

Question 15

Which of the following ABG values would be consistent with ventilatory failure with hypoxemia in a patient with severe status asthmaticus?
1) Increased PaCO₂
2) Decreased SaO₂
3) Increased pH
4) Decreased pH

A)1, 2
B)2, 3
C)1, 2, 4
D)1, 3, 4

Question 16

Which of the following are associated with extrinsic asthma?
1) Furred animal dander
2) Mold
3) Emotional stress
4) Male gender

A)1, 2
B)2, 3
C)1, 2, 3
D)1, 3, 4

Question 17

Which of the following would be expected when a chest assessment is performed on a patient during an asthmatic episode?
1) Inverse I:E ratio
2) Decreased vocal fremitus
3) Increased vesicular breath sounds
4) Hyperresonant percussion note

A)1, 4
B)2, 4
C)2, 3, 4
D)1, 2, 3