Exam 3 - Asthma/COPD

Question 1

intermittent asthma (0-4 yrs)

Answer 1

symptoms = 2 days/week
0 night time awakenings
SABA use = 2 days/week

Question 2

intermittent asthma (5-11 yrs)

Answer 2

symptoms = 2 days/week
= 2 nighttime awakenings/week
SABA use = 2 days/week

Question 3

mild asthma (0-4 yrs)

Answer 3

symptoms > 2 days/week (not daily)
1-2 nighttime awakenings/month
SABA use > 2 days/week (not daily)
minor normal activity limitation

Question 4

mild asthma (5-11 yrs)

Answer 4

symptoms > 2 days/week (not daily)
3-4 nighttime awakenings/month
SABA use > 2 days/week (not daily)
minor normal activity limitation

Question 5

moderate asthma (0-4 yrs)

Answer 5

symptoms daily
3-4 nighttime awakenings/month
SABA use daily
some normal activity limitation

Question 6

moderate asthma (5-11 yrs)

Answer 6

symptoms daily
> 1 nighttime awakening per week (not nightly)
SABA use daily
some normal activity limitation

Question 7

severe asthma (0-4 yrs)

Answer 7

symptoms throughout the day
> 1 nighttime awakening/week
SABA use several times per day
extreme normal activity limitation

Question 8

severe asthma (5-11 yrs)

Answer 8

symptoms throughout the day
nighttime awakenings often (7/week)
SABA use several times per day
extreme normal activity limitation

Question 9

step 1 therapy (0-4 yrs)

Answer 9

SABA prn

Question 10

step 2 therapy (0-4 yrs)

Answer 10

preferred:
low-dose ICS

alternative:
montelukast or cromolyn

Question 11

step 3 therapy (0-4 yrs)

Answer 11

medium dose ICS

Question 12

step 4 therapy (0-4 yrs)

Answer 12

medium-dose ICS
AND
montelukast or LABA

Question 13

step 5 therapy (0-4 yrs)

Answer 13

high-dose ICS
AND
montelukast or LABA

Question 14

step 6 therapy (0-4 yrs)

Answer 14

high-dose ICS
AND
montelukast or LABA
AND
oral coricosteroids

Question 15

step 1 therapy (5-11 yrs)

Answer 15

SABA prn

Question 16

step 2 therapy (5-11 yrs)

Answer 16

preferred:
low-dose ICS

alternative:
LTRA, cromolyn, OR nedocromil

Question 17

step 3 therapy (5-11 yrs)

Answer 17

preferred:
medium-dose ICS
OR
low-dose ICS + LABA, LTRA, or theophylline

Question 18

step 4 therapy (5-11 yrs)

Answer 18

preferred:
medium dose ICS + LABA

alternative:
medium-dose ICS + LTRA or theophylline

Question 19

step 5 therapy (5-11 yrs)

Answer 19

preferred:
high-dose ICS + LABA

alternative:
high-dose ICS + LTRA or theophylline

Question 20

step 6 therapy (5-11 yrs)

Answer 20

preferred:
high-dose ICS + LABA + oral corticosteroid

alternative:
high-dose ICS + LTRA or theophylline + oral corticosteroid

Question 21

intermittent asthma (>/= 12 yrs)

Answer 21

symptoms = 2 days/week
= 2 nighttime awakenings/month
SABA use = 2 days/week

Question 22

mild asthma (>/= 12 yrs)

Answer 22

symptoms > 2 days/week
3-4 nighttime awakenings/month
SABA use > 2 days/week (not daily)
minor normal activity limitation

Question 23

moderate asthma (>/= 12 yrs)

Answer 23

symptoms daily
> 1 nighttime awakening/week (not nightly)
SABA use daily
some normal activity limitation

Question 24

severe asthma (>/= 12 yrs)

Answer 24

symptoms throughout the day
nighttime awakenings often (7/week)
SABA use several times/day
extreme normal activity limitation

Question 25

step 1 therapy (>/= 12 yrs)

Answer 25

SABA prn

Question 26

step 2 therapy (>/= 12 yrs)

Answer 26

preferred: low-dose ICS alternative: cromolyn, nedocromil, LTRA, or theophylline

Question 27

step 3 therapy (>/= 12 yrs)

Answer 27

preferred: medium-dose ICS OR low-dose ICS + LABA alternative: low-dose ICS + LTRA, theophylline or zileuton

Question 28

step 4 therapy (>/= 12 yrs)

Answer 28

preferred: medium-dose ICS + LABA alternative: medium-dose ICS + LTRA, theophylline, or zileuton

Question 29

step 5 therapy (>/= 12 yrs)

Answer 29

high-dose ICS + LABA AND omalizumab (pts w/ allergies)

Question 30

step 6 therapy (>/= 12 yrs)

Answer 30

high-dose ICS + LABA + oral corticosteroid AND omalizumab (pts w/ allergies)

Question 31

name the SABAs

Answer 31

``` albuterol levalbuterol pirbuterol metaproterenol terbutaline ```

Question 32

brand names for albuterol

Answer 32

Ventolin Proventil ProAir HFA ProAir Respiclick

Question 33

brand names for levalbuterol

Answer 33

Xopenex

Question 34

brand names for pirbuterol

Answer 34

Maxair | Autohaler

Question 35

brand names for metaproterenol

Answer 35

Alupent (D/c)

Question 36

brand names for terbutaline

Answer 36

Bricanyl

Question 37

name the ICSs

Answer 37

``` beclomethasone budesonide ciclesonide flunisolide fluticasone mometasone ```

Question 38

brand names for beclomethasone

Answer 38

Qvar

Question 39

brand names for budesonide

Answer 39

Pulmicort Flexhaler/Respules

Question 40

brand names for ciclesonide

Answer 40

Alvesco

Question 41

brand names for flunisolide

Answer 41

Aerospan

Question 42

brand names for fluticasone

Answer 42

Flovent

Question 43

brand names for mometasone

Answer 43

Asmanex

Question 44

dosing for ICSs

Answer 44

``` beclomethasone 40/80 mcg budesonide 90 - 200 mcg ciclesonide 80/160 mcg flunisolide 80 mcg fluticasone 44-220 mcg mometasone 110/220 mcg ```

Question 45

ICS that is not BID

Answer 45

mometasone

Question 46

mast cell stabilizers

Answer 46

cromolyn | nedocromil

Question 47

brand name for cromolyn

Answer 47

Intal

Question 48

brand name for nedocromil

Answer 48

Tilade

Question 49

LTRAs

Answer 49

montelukast | zafirlukast

Question 50

brand name for montelukast

Answer 50

Singulair

Question 51

brand name for zafirlukast

Answer 51

Accolate

Question 52

methylxanthines

Answer 52

theophylline | aminophylline