Pulmonology Lect 3- Asthma

75 Questions | Total Attempts: 76

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Asthma Quizzes & Trivia

Asthma, bronchiectasis: both treatment, signs, symptoms, diagnostics


Questions and Answers
  • 1. 
    T/F The normal peak flow is what the patient's peak flow is when he is at his best
    • A. 

      True

    • B. 

      False

  • 2. 
    The peak flow system is broken down into zones; the green zone implies _______ control: the PEF > ____. The patient has no asthma symptoms and medications should be taken as usual.
    • A. 

      Caution, 50 to 80%

    • B. 

      Bad, 80%

    • C. 

      Good, 80%

    • D. 

      Medical alert, 50%

  • 3. 
    The peak flow system is broken down into zones; the red  zone implies _______ control: the PEF  ____. The patient should use a short-acting inhaled beta-agonist, and call the provider or go to the emergency room.
    • A. 

      Caution, 50-80%

    • B. 

      A medical alert, < 50%

    • C. 

      Good control, >80%

  • 4. 
    The peak flow system is broken down into zones; the yellow zone implies _______ control: the PEF  ____. The patient should use a short-acting inhaled beta-agonist
    • A. 

      Medical alert,

    • B. 

      Caution, 50-80%

    • C. 

      Good control, >80%

    • D. 

      Caution, 60-80%

    • E. 

      Caution, 30-70%

  • 5. 
    T/F A routine chest x ray on an asthmatic does not show hyperinflation and peri-bronchial "cuffing"(bilateral, peri-hilar opacificaiton)
    • A. 

      True

    • B. 

      False

  • 6. 
    Which of the following are indications for ordering an arterial blood gas (ABG)?
    • A. 

      Mental status changes, signs of severe asthma, lack of improvement after 15 minutes of aggressive therapy

    • B. 

      Coughing, signs of severe asthma, lack of improvement after 20 minutes of aggressive therapy

    • C. 

      Mental status changes, signs of severe asthma, lack of improvement after 30 to 60 minutes of aggressive therapy

  • 7. 
    What are the complications of asthma?
    • A. 

      Exercise induced asthma, dehydration, airway infection, cor pulmonale, tussive syncope, headaches

    • B. 

      Exhaustion, dehydration, airway infection, cor pulmonale, tussive syncope

    • C. 

      Chronic cough, dehydration, airway infection, cor pulmonale, hemoptosis, CVA

  • 8. 
    The term ____________ is used to describe a prolonged, severe asthma attack that does not respond to treatment, and involves bronchospasm so sever that the patient is at risk for respiratory failure.
    • A. 

      Cor pulmonale

    • B. 

      Status asthmaticus

    • C. 

      Dyspnea

    • D. 

      Apnea

    • E. 

      Status bronchospasmus

  • 9. 
    What are the age groups for treatment recommendations accoring to EPR-3?
    • A. 

      0-4, 5-11, 12 and older

    • B. 

      0-2, 2-11, 12 and older

    • C. 

      0-10, 10-15, 16 and older

  • 10. 
    What are the three classifications of severity of asthma?
    • A. 

      Mild persistent, moderate persistent, severe persistent

    • B. 

      Intermittent, mild persistent, moderate persistent, severe persistent

    • C. 

      Exertion persistent, mild persistent, moderate persistent, severe persistent

  • 11. 
    "The likelihood of either asthma exacerbations, progressive decline in lung function, or risk of adverse effects from medicine" is defined by what term
    • A. 

      Impairment

    • B. 

      Risk

    • C. 

      Functional limitations

    • D. 

      Intensity of symptoms

  • 12. 
    ___________ is defined as "the frequency and intensity of symptoms and functional limitations the patient is experiencing, or has recently experienced.
    • A. 

      Risk

    • B. 

      Intensity

    • C. 

      Hypoxia

    • D. 

      Agitation

    • E. 

      Impairment

  • 13. 
    What is the treatment for persistent asthma?
    • A. 

      Short- acting bronchoconstrictors

    • B. 

      Daily anti-inflammatory therapy with inhaled corticosteroids

    • C. 

      Short-acting bonchodilators

    • D. 

      Long-acting bronchodilators only

  • 14. 
    Asthma medications can be broken down into 2 types: _____________ medications which are taken daily to achieve and maintain control of persistent asthma and _______ medications which are taken to promote prompt reversal of acute airflow obstruction and relief of accompaning sumptoms by direct relaxation of bronchial smooth muscle
    • A. 

      Quick relief, long-term control

    • B. 

      Long-term control, quick-relief (rescue)

  • 15. 
    T/F Maintenance, control, and preventive medications act to attenuate airway inflammation
    • A. 

      True

    • B. 

      False

  • 16. 
    What therapy is reserved for acutely ill patients and those that have trouble coordinating other therapies?
    • A. 

      Metered-dose inhalers

    • B. 

      Helium-oxygen

    • C. 

      Small volume nebulizers

  • 17. 
    Corticosteroids, long acting bronchodilators and leukotriene antagonists are what type of pharmacologic agents for asthma
    • A. 

      Long-term control medications

    • B. 

      Short acting medications

    • C. 

      Quick-relief medications

  • 18. 
    ________ is/are the most potent and consistently effetive anti-inflammatory agents currently available.
    • A. 

      B blockers

    • B. 

      Corticosteriods

    • C. 

      Bronchodilators

    • D. 

      Leukotreine antagonists

  • 19. 
    Why do you need to advise your patient to rinse their mouth out after using inhaled corticosteroids?
    • A. 

      Systemic side effects of cough, dysphonia, oropharyngeal candidiasis and systemic absorption

    • B. 

      Local side effects of cough, dysphonia, oropharyngeal candidiasis and systemic absorption

    • C. 

      Local side effects of cough, dysphagia, oropharyngeal candidiasis and systemic absorption

  • 20. 
    What medication do you use for preventing exercise induced bronchospasm and to treat nocturnal symptoms?
    • A. 

      Anti-intflammatory medications will treat the patient promptly in both cases

    • B. 

      Beta- adrenergic agents- long acting bronchodilators- these should not replace anti-inflammatory therapy

    • C. 

      Beta- adrenergic agents- long acting bronchodilators- these are safe to replace anti-inflammatory therapy

  • 21. 
    T/F Theohylline is a beta adrenergic agent
    • A. 

      True

    • B. 

      False

  • 22. 
    T/F Theophylline needs to be monitored closely due to the drugs narrow toxic-to- therapeutic range (5-15micrograms/mL), individuals metabolize it differently, and the effects of many factors on the drug absorption and metabolism.
    • A. 

      True

    • B. 

      False

  • 23. 
    Why does a nebulizer work better for asthmatics than the metered dose inhaler
    • A. 

      Metered Dose Inhalers are difficult to use correctly therefore the patient doesn't get an adequate dose

    • B. 

      The dose delivered by nebulizer is 35-30 times greater than that of an inhaler

    • C. 

      Nebulizers prevent asthma symptoms from recurring

    • D. 

      The dose delivered by a nebulizer is 10-25 times greater than that of an inhaler

  • 24. 
    Why would an asthmatic be irritable?
    • A. 

      Thay may be hypoxic

    • B. 

      They may be hypoxic or hypocapnic

    • C. 

      They may be hypoxic or hypercapnic

  • 25. 
    What is the most effective bronchodilator during asthma exacerbations?
    • A. 

      Leukotrienes

    • B. 

      Short-acting inhaled beta-adrenergic agonists- albuterol

    • C. 

      Corticosteroids

    • D. 

      Anticholinergic agents- ipratoropium MDI

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