week 5 quiz Flashcards
A 35-year-old patient presents with a history of asthma. She reports having symptoms more than once daily but not continually, and states that her activities are occasionally limited due to her asthma. She uses a short-acting bronchodilator almost every day. Her peak expiratory flow (PEF) measures at 75% of the predicted value.
How should this patient’s asthma severity be categorized?
Question 1 Answer
a.
Severe persistent
b.
Moderate persistent
c.
Mild intermittent
d.
Mild persistent
b.
Moderate persistent
A 35-year-old patient with a history of asthma presents to clinic for a routine follow-up. Despite being prescribed an appropriate medication regimen, the patient continues to experience poor asthma control. What action is most important to improve the patient’s asthma control?
Question 2 Answer
a.
Changing the type of inhaler prescribed
b.
Increasing the dose of the current asthma medication
c.
Reviewing and observing the patient’s inhaler technique at each visit
d.
Referring the patient for a specialized surgical intervention
c.
Reviewing and observing the patient’s inhaler technique at each visit
What is the most common trigger for asthma exacerbations?
Question 3 Answer
a.
House dust mites
b.
Cat and dog fur
c.
Acute upper respiratory tract viral infections
d.
Exercise
c.
Acute upper respiratory tract viral infections
A 30-year-old man with a known history of mild chronic asthma presents to clinic for a routine follow-up.
What is this patient’s prognosis?
Question 4 Answer
a.
The chronic nature of his condition suggests that he has a significant risk of morbidity and death from asthma, similar to those with severe asthma that responds poorly to treatment
b.
Although his risk of progression to severe asthma is low, he will likely lose lung function faster than individuals without asthma
c.
He is likely to progress to severe asthma at a rate similar to individuals who smoke
d.
His prognosis is poor, with a high likelihood of rapid decline in lung function
b.
Although his risk of progression to severe asthma is low, he will likely lose lung function faster than individuals without asthma
A 40-year-old patient with a history of recurrent wheezing and breathlessness undergoes spirometry for suspected asthma. The initial FEV1/FVC ratio is 0.65. After the administration of a short-acting bronchodilator, the FEV1 increases by 15% and 250 mL. Additionally, the patient’s peak expiratory flow (PEF) values show a 25% variability between morning and afternoon readings.
What is the most accurate interpretation of these findings?
Question 5 Answer
a.
The increase in FEV1 post-bronchodilator and PEF variability support the diagnosis of asthma.
b.
The findings are indicative of a restrictive ventilatory defect due to the low FEV1/FVC ratio.
c.
The absence of a 20% or more decrease in FEV1 upon methacholine challenge rules out asthma.
d.
The findings suggest a primary diagnosis of chronic obstructive pulmonary disease (COPD) rather than asthma.
a.
The increase in FEV1 post-bronchodilator and PEF variability support the diagnosis of asthma.
