CMN568/ CMN 568 (Latest 2023/ 2024) Intro to Family NP practice questions Exam Questions and Verified Answers| 100% Correct| Grade A 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? - 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 - ANSWER
C 1 / 4
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? - 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?
- Forced expiratory volume is below 30%
- Respiratory rate is 25 breaths/minute
- Pulsus paradoxus of 8 mmHg
- Pulse is 112 bpm - ANSWER A
Which of these is NOT a common indoor trigger for asthma?Cockroaches Dust mites Exercise Termites - ANSWER termites 2 / 4
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 - ANSWER D.
- Budesonide
- Ipratropium bromide
- Salmeterol
- Triamcinolone - ANSWER B 3 / 4
montelukast 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?
- Increased forced expiratory volume in 1 second
- Increased total lung capacity
- Increased functional residual capacity
- Increased residual volume - ANSWER
- (this is an indication of healthy lung functioning)
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? - ANSWER 9 months
Common symptoms of COPD are: - ANSWER
cough, dyspnea, sputum production
- / 4