Pediatric asthma

Question 1

transient wheezers are associated with that type of RTI?

Answer 1

URTI

Question 2

nonatopic wheezers are associated with what airway conditions?

Answer 2

increased airway reactivity
increased incidence of RSV infections
persistent wheezing after age 3

Question 3

atopic wheezers are associated with what airway conditions?

Answer 3

most likely to develop persistent asthma
elevated IgE levels
more profound PFT deficits

Question 4

what is the most consistently effective long term controller medication for asthma?

Answer 4

inhaled corticosteroids

Question 5

what is the MOA of long acting beta agonists?

Answer 5

airway b2 receptor stimulation
increased cAMP concentration
relaxes airway smooth muscle

Question 6

what is the indication for long acting beta agonists?

Answer 6

combination with inhaled corticosteroids for moderate / severe persistent asthma

Question 7

when are anticholinergics used for asthma?

Answer 7

1. provides additive benefit to short acting beta agonists

2. use in acute moderate / severe exacerbations in emergency care setting

Question 8

what are the indications for systemic corticosteroids?

Answer 8

moderate / severe asthma exacerbations