Deck 46: Asthma in Adolescents and Adults

Question 1

The strongest predictor for developing asthma is:

A) Upper respiratory infections
B) Atopy
C) Acute bronchitis
D) Cigarette smoking

Answer 1

B

Question 2

Asthma is described as:

A) Bronchospasm leading to chronic airway inflammation
B) Bronchospasm leading to loss of airway elasticity
C) Acute airway inflammation leading to fixed airway obstruction
D) Chronic airway inflammation leading to reversible airway obstruction

Answer 2

D

Question 3

Understanding of the pathogenesis of asthma is evolving but is thought to be related to:

A) Predominance of leukocytes in the airways
B) Imbalance of Th1 and Th2 lymphocyte cytokines in the airways
C) Predominance of Th1 lymphocytes in the airways
D) Gender and phenotypic variations in presentation

Answer 3

B

Question 4

A 32-year-old woman with asthma presents in your clinic with a 2-week history of symptoms on most days of chest tightness, shortness of breath, and intermittent wheezing that also awaken her at night two times per week. Spirometry reveals FEV1 of 64% predicted. You classify her asthma severity and asthma control as:

A) Intermittent severity, well controlled
B) Mild severity, not well controlled
C) Moderate severity, not well controlled
D) Severe severity, very poorly controlled

Question 5

A 45-year-old man presents in your clinic with an acute exacerbation of his normally well-controlled asthma. He is using albuterol every 2 hours without relief. After assessing him you decide to send him directly to the emergency department based on his:

A) Inability to speak a complete sentences
B) Diffuse wheezing on auscultation
C) Frequent coughing
D) Sensation of chest tightness

Question 6

The most effective medication for reducing airway inflammation is:

A) Albuterol
B) Theophylline
C) Leukotriene modifier
D) Inhaled corticosteroid

Question 7

The response to asthma therapy is assessed by:

A) Ease of achieving asthma control
B) Spirometry
C) Allergen skin testing
D) Auscultation of the lungs

Question 8

The flow-volume loop shown in Figure 46-1 shows:

A) Inspiratory airflow obstruction
B) Expiratory airflow obstruction
C) Maximal vital capacity
D) Maximal peak flow

Question 9

Triggers of asthma symptoms include allergens, irritants, medications, and sulfite-containing foods. Which of the following is the most important airway irritant exposure to teach your patient to avoid?

A) Dust mites
B) Animal dander
C) Perfume
D) Tobacco smoke

Question 10

When teaching self-management of asthma the patients who can benefit most from peak flow measurement are those with:

A) Intermittent asthma
B) Mild persistent asthma
C) Moderate or severe persistent asthma with variable airflow obstruction
D) Moderate or severe persistent asthma with fixed airflow obstruction

Question 11

When titrating asthma treatment to achieve control of asthma, you should try to step-down therapy when asthma is well controlled:

A) On the highest doses of inhaled and oral therapy
B) For at least 3 months
C) For at least 6 months
D) For at least 12 months