CMN 568 Practice Questions With 100% Verified Correct Answers A thin patient w/ a slight build present with constant difficulty breathing and clear mucus. A physical exam also indicates an increased chest anteroposterior diameter and hyperresonance on percussion.Given the most likely diagnosis, which class of medications is best suited for long-term tx? - Correct Answer anticholinergics Which of these manifestations is LEAST likely to present with the onset of asthma?
- Plugging the airways by thick mucus
- Hypertrophy of the mucus glands
- Thinning of the epithelial basement membrane
- Hypertrophy of smooth muscle - Correct Answer C
- Forced expiratory volume is below 30%
- Respiratory rate is 25 breaths/minute
- Pulsus paradoxus of 8 mmHg
- Pulse is 112 bpm - Correct Answer A
Your patient was seen by a pulmonologist 2 months ago and diagnosed with asthma. The pulmonologist ordered a short acting beta-2 agonist for initial symptom relief. However, on today's visit to your office, the patient states, "I don't think this stuff is really working because I'm still short of breath." You refer the patient back to the pulmonologist. Which of the following would you anticipate being the next step in the patient's management following the latest national guidelines? - Correct Answer an inhaled corticosteroid (ICS) Jackie, a 25-yo female, comes to the clinic experiencing respiratory distress and difficulty speaking.Her lungs are hyperresonant and show hyperinflation on the x-ray. Which result would most strongly indicate that Jackie should be admitted to a hospital?
Which of these is NOT a common indoor trigger for asthma?Cockroaches Dust mites Exercise Termites - Correct Answer termites 1 / 3
Upon examination, you notice that Alex, an obese 63yo male, has moderate dyspnea and purulent sputum. His lungs are normal upon percussion. Laboratory results reveal an increased hematocrit level. Given the most likely diagnosis, which of the following drugs would you be LEAST likely to prescribe for the patient's condition?
- Ipratropium bromide
- Albuterol
- Budesonide
- Montelukast - Correct Answer D. montelukast
- Budesonide
- Ipratropium bromide
- Salmeterol
- Triamcinolone - Correct Answer B
- Increased forced expiratory volume in 1 second
- Increased total lung capacity
- Increased functional residual capacity
- Increased residual volume - Correct Answer A. (this is an indication of healthy lung functioning)
Which of the following medications is considered to be the mainstay of treatment for chronic obstructive pulmonary disease?
Victor, a stocky 40yo male, presents to the clinic with complaints of difficulty breathing and "endless amounts of gunk whenever he coughs." During the visit, he coughs up a substantial amount of yellow phlegm. A blood test reveals an increased hematocrit level, and a physical exam detects lungs that are normal upon percussion. You order a pulmonary lab for the patient. Given the most likely condition, which of the following findings would you LEAST expect?
Winston, a 42yo male, is an HIV-positive patient whose TB skin test returns with an elevation of 5mm. After confirming a diagnosis of TB, you prescribe a traditional drug regimen. For what minimum period of time is Winston expected to continue his regimen? - Correct Answer 9 months
Common symptoms of COPD are: - Correct Answer cough, dyspnea, sputum production
Is a chest x-ray needed to diagnose COPD? - Correct Answer No. Chest x-ray may show hyperinflation, but PFTs are the standard for diagnosis. PFT may be able to diagnose prior to the presentation of symptoms. 2 / 3
What is the PFT result need for diagnosis of COPD? - Correct Answer FEV1 <0.7 Does every patient with asthma need a SABA? - Correct Answer yes 30yo patient with persistent asthma, what are the essential components of their care plan? (select all that apply)
- Asthma action plan
- Flu and pneumonia vaccine
- Rescue inhaler
- LABA - Correct Answer A, B, C
- / 3
T or F: Asthma patients and COPD pts both need rescue inhalers? - Correct Answer true Most common side effects of long-term inhaled steroid use? - Correct Answer Bone demineralization (osteopenia) and cataracts A 12yo patient presents to the clinic with wheezing, SOB, a feeling of tightness in the chest. He is afebrile. Which of the following would be the best test to confirm diagnosis? - Correct Answer PFT T or F: USPSTF recommends screening with low-dose helical CT scans for lung cancer? - Correct Answer true (small vs large cell carcinoma) T or F: Women are more likely to be diagnosed with mesothelioma? - Correct Answer false What are symptoms of TB? - Correct Answer Cough (3+ weeks), hemoptysis, chest pain, sputum production, weight loss, anorexia, fatigue TB interpretation of the Mantoux test: What are some patient populations that a >10mm induration would be classified as positive? - Correct Answer At risk peds, lab workers, healthcare workers, IV drug users Can you do a TST test on a pregnant woman; and when would you do it? - Correct Answer Yes, high risk group or showing signs / symptoms