AG-ACNP – Respiratory Questions and Answers Graded A+
Question : 58 yo. M presents to ED with complaints of dry
cough. CXR revealed generalized, inflamed film throughout.What is the most likely diagnosis?
CORRECT ANSWER : Pneumonitis
Question : What drug has been known to prevent nosocomial
PNA?
CORRECT ANSWER : Sulcarafate (Carafate) - Mucosal
Protective Agent
Question : What is an initial finding associated with a
pulmonary embolism?
CORRECT ANSWER : Respiratory Alkalosis - secondary to
increased RR and blowing off CO2
Question : What is diagnostic of pulmonary HTN?
CORRECT ANSWER : 2D echo
Question : Your patient is intubated on the following settings: SIMV/FiO2 .6/PEEP 5. You notice shunting. What should your next action be?
CORRECT ANSWER : Increase PEEP from 5 to 10 to
recruit alveoli and increase surface area to improve oxygenation
Question : 32 yo. M with PMH significant for mitral valve
replacement now complains of wheezing during physical activity 2-3 times/week. What should you do next?
CORRECT ANSWER : Send patient for pulmonary function
testing.
Question : What is the pathology of asthma?
CORRECT ANSWER : Increased
responsiveness/hyperresponsiveness of the trachea and bronchi to a stimuli. Acute inflammation Narrowing of airways Hypertrophy of smooth muscle Mucosal plugging of airways
Question : What are the hallmark signs and symptoms of
asthma?
CORRECT ANSWER : Respiratory distress at rest Difficulty
speaking in sentences RR > 28 Pulsus paradoxus > 12 mmHg
Question : What PFT value is suggestive of an obstructive
disease?
CORRECT ANSWER : Decreased FEV1
Question : Which acid-base imbalance is associated with
asthma?
CORRECT ANSWER : Respiratory Alkalosis with mild
hypoxemia
Question : What PFT values would indicate hospitalization of
an asthmatic patient?
CORRECT ANSWER : Decreased FEV1 <30% predicted
OR does not increase to at least 40% predicted after 1 hr.Peak flow is <60 L/min initially OR does not increase to >50% predicted after 1 hr tx
Question : What are the ominous findings associated with an
asthma exacerbation?
CORRECT ANSWER : Extreme fatigue Lethargy ABG -
hypercapnea >pCO2 >45 mmHg = EMERGENCY
Question : What is the outpatient daily management drug for
asthma?
CORRECT ANSWER : Inhaled Corticosteroids -
Budesonide (Pulmicort)
Question : What side effect is associated with inhaled
corticosteroids?
CORRECT ANSWER : Candidal infection of the
oropharynx, dry mouth, and sore throat. Educate patient to rinse mouth.
Question : What drug is indicated for breakthrough
symptoms, rescue therapy and before exercise in the asthma patient?
CORRECT ANSWER : Short acting beta-2 adrenergic
agonist - Albuterol (Proventil)