Asthma

Question 1

Reversible chronic inflammatory airway disorder, characterized by increased responsiveness of the tracheobronchial tree to various stimuli resting in episodic reversible narrowing of the airway

Answer 1

Asthma

Question 2

Most common type of asthma

Answer 2

occupational

Question 3

Which immune responses are responsible for the development of asthma?

Answer 3

Th1 type and Th2 type cytokine response.

Question 4

Th1 type does what

Answer 4

fights infection

Question 5

Th2 type immune response does what

Answer 5

contributes to the development of asthma

Question 6

Inducer stimuli that cause inflammation are

Answer 6

1. inhaled allergens
2. low molecular weight sensitizers
3. viral of mycoplasmal respiratory infections
4. noxious gases

Question 7

Which inducers cause asthmatic bronchoconstriction

Answer 7

1. Exercise
2. Cold air
3. laughter
4. emotional upset
5. inhaled irritants

Question 8

What are triggers responsive for sudden severe bronco constriction

Answer 8

1. Acetylsalicylic acid
2. non steroidal antiinflammatory drugs
3. B-adrenergic blockers
4. food allergies
5. certain food additives
6. stings
7. bites
8. injections
9. inhaled allergens

Question 9

What type of asthma is this:
Symptoms <2 days a week
night-time <2 times/month
SABA use <2/days week
effect on normal activity none
Lung function test Normal FEV > 80% FEV/FVC normal

Answer 9

Intermittent asthma

Question 10

Symptoms: > 2 days a week/not daily
nighttime 3-4 times/month
SABA use: >2 days/week not daily and not more than once on any day
Effect on activity: minor limitation
Lung function test: FEV >80% of predicted value
FEV/FVC normal

Answer 10

mild persisten asthma

Question 11

Symptoms: daily
night time awakening: once a week not nightly
SABA use: daily
Effect on activity: some limitation
Lung function: FEV > 60% but less than 80%
FEV/FVC reduced

Answer 11

moderate

Question 12

Symptoms: throughout the day
night time: often 7 times a week
SABA use: several times a day
Effect on function: severe limitation
lung function: FEV <60% FEV/FVC reduced

Answer 12

severe

Question 13

What are possible co-morbidities for asthma

Answer 13

1. Glaucoma
2. HTN
3. GERD
4. DM
5. Arthritis
6. Neoplasm

Question 14

Are serum IgE levels decreased or increased with patients with asthma

Answer 14

Total IgE is elevated in people with asthma which is associated with disease severity

Question 15

Why does the color of the patients sputum change during an asthma attack

Answer 15

Eosinophil peroxidase

Question 16

What are the causes of PNA

Answer 16

1. Fungal
2. Bacterial
3. Viral

Question 17

Which breath sounds are likely to be heard while assessing for PNA?

1. Bronchial breath sounds
2. Egophony
3. Bronchial breath sounds and egophony?
4. Rales

Answer 17

3. Bronchial breath sounds and egophony

Question 18

How is PNA caused by mycoplasma treated?

Answer 18

Macrolide antibiotics

Question 19

Pneumonic for treating mycoplasma PNA

Answer 19

Mycoplasma
Atypical
Mild symtoms
Macrolide

Question 20

What are the two main types of asthma medications?

Answer 20

1. Controller

2. Reliever

Question 21

What are the types of controller asthma medications?

Answer 21

1. ICS

2. Long acting beta agonist bronchodilator

Question 22

What are add on controller asthma medications?

Answer 22

1. Anticholinergic
2. Anti IgE
3. Anti-IL5
4. Systemic cortico steroids

Question 23

List asthma reliever medication names

Answer 23

1. Short acting B2 agonist bronchodilators
2. low-dose ICS fomoterol
3. Short acting anticholinergics

Question 24

Which step is this?
High dose IGC + LABA+oral glucocorticoid
no alternative
SABA

Answer 24

STEP 6

Question 25

What step in asthma treatment is this? High-dose IGC+LABA SABA

Answer 25

Step 5

Question 26

Asthma treatment which is this? Medium dose IGC +LABA Alt Medium-dose IGC+ either LTRA, theophylline or Zileuton

Answer 26

Step 4

Question 27

This is step what? Low-dose IGC + LABA or medium dose IGC Low-dose IGC + either LTRA, theophylline, or Zileuton

Answer 27

Step 3

Question 28

This is what step in the asthma treatment stepwise approach? Low dose IGC Alt Cromolyn, LTRA or theophylline

Answer 28

Step 2

Question 29

No daily medication needed | Saba this is step number?

Answer 29

Step 1

Question 30

Regular low dose ICS is the recommendation for what types of patients?

Answer 30

Regular low dose ICS is recommended for all patients with asthma who have symptoms more often than twice a month, waking with asthma more than once a month and any asthma symptoms plus risk factor exacerbations

Question 31

A patient with seasonal asthma, what is the ideal treatment for seasonal allergic asthma?

Answer 31

start ICS immediately upon onset of symptoms and discontinue 4 weeks after exposure ends

Question 32

When should asthma be treated with an antibiotic?

Answer 32

1. Fever 2. Purulent sputum 3. evidence of pneumonia 4. Bacterial sinusitis

Question 33

What is the purpose of peak flow in patients with | Periodic severe asthma exacerbations

Answer 33

The purpose of peak flow monitoring is to help asthma patients follow their disease and predict exacerbations , triggers and response to treatment

Question 34

Zone Green is what in the asthma chart

Answer 34

1. PEF measurement is at least 80