Asthma Flashcards

1
Q

Genetic factors in asthma

A

HLA alleles, FceRE-B, IL-4 gene mutations, CD14 gene mutations

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2
Q

Cytokines produced by TH2 cells

A

IL-13, IL-4, IL-5,

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3
Q

Cytokine responsible for eosinophil differentiation and survival

A

IL-5

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4
Q

Cells that produce IL-4, IL-5, and IL-13 in non-TH2 asthma

A

ILC2

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5
Q

Type of asthma that is caused by triggers in the environment that are not allergens and do not trigger allergic response

A

T2 Low asthma

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6
Q

Cytokine that recruits eosinophils to the airway

A

IL-13

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7
Q

Cytokine that causes IgE production by B-Cells

A

IL-4

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8
Q

Immunoglobulin that activates mast cells and basophils

A

IgE

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9
Q

Indirect bronchial challenge methods that increase the osmolarity of the airway surface releasing mediators from mast cells or basophils

A

Exercise testing, isocapneic hyperpnea, hypertonic saline, mannitol

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10
Q

Indirect bronchial challenge method that activates A2b receptors on mast cells

A

Adenosine-5’-monophosphate (AMP)

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11
Q

Indirect bronchial challenge testing that directly stimulates the sensory nerves in the airways

A

Sulfur dioxide, Bradykinin, Allergens

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12
Q

How indirect bronchial challenge testing compares to direct

A

More specific but less sensitive, correlates better with inflammation, more predictive of anti-inflammatory response

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13
Q

Substance produced by airway epithelial cells, endothelial cells, and inflammatory cells in the lungs

A

Nitric oxide

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14
Q

Class of medications that will NOT affect nitric oxide level

A

Anti-IL-5

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15
Q

4 types of T2 asthma

A

Allergic, Late onset eosinophilic, exercise induced, and aspirin exacerbated

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16
Q

3 types of non-t2-asthma

A

obesity associated, smooth muscle mediated paucigranulocytic, smoking related

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17
Q

Mild FeNO levels

18
Q

Moderate FeNO levels

19
Q

High FeNO levels

20
Q

Low eosinophil count in asthma

21
Q

Moderate eosinophil count in asthma

22
Q

Severe eosinophil count in asthma

23
Q

Low IgE levels

24
Q

Moderate IgE levels

25
High IgE levels
>150
26
High Sputum eosinophil level
>3%
27
High serum periostin level
>50
28
High DPP-4 level
whatever is > the median
29
Diagnostic criteria for exercise induced asthma
symptoms with provocation by exercise or exercise test with a 15% change in PEF or FEV1
30
Asthma type characterized with nasal polyps, elevated eosinophils and IgG4 levels
Aspirin induced asthma
31
Gene mutation associated with aspirin induced asthma
HLADPB1*0301
32
Frequency of daytime symptoms in intermittent asthma
< 2 days per week
33
Frequency of nighttime symptoms in intermittent asthma
< 2 x per month
34
Frequency of daytime symptoms in mild asthma
>2 days per week but not daily
35
Frequency of nighttime symptoms in mild asthma
2-4 x per month
36
Frequency of daytime symptom in moderate asthma
daily
37
Frequency of nighttime symptoms in moderate asthma
> 1 x per week but not nightly
38
Frequency of daytime symptoms in severe asthma
Throughout the day
39
Frequency of nighttime symptoms in severe asthma
Nightly
40
Max dose methylcholine for a methylcholine challenge
16 mg/ml
41
Level of methylcholine that will cause a positive reaction in most with hyperresponsive airway
8 mg/ml
42
4 causes of chronic cough
upper airway cough syndrome (UACS) Asthma Nonasthmatic eosinophilic bronchitis GERD