Exam 27: Asthma

The respiratory therapist is performing an exercise challenge for a child suspected of having exercise-induced bronchospasm. After 30 minutes of stopping exercise, the FEV₁ has decreased 15% from baseline. How should the therapist interpret this information?

The therapist is asked to recommend a quick-onset, long-acting beta-2 agonist to be added to the inhaled corticosteroid for a patient with asthma. Which of the following medications should the therapist recommend?

Which of the following medications are considered the first line of chronic treatment for patients with asthma?

The therapist has been asked to check the Feno on a patient with asthma. The level is <15 ppb. How should the therapist interpret this data?

Which of the following are considered phases of inflammation? I. Release of histamine, heparin, and tryptase II. A decline in lung function and irreversible obstructive lung disease III. A remodeling phase IV. An allergen reintroduced into the system

Which of the following is an exaggerated bronchoconstricting response to stimuli?

How is significant clinical airflow limitation determined from pre- and postbronchodilator spirometry?

On the basis of the National Asthma Education and Prevention Program (NAEPP) guidelines, when a diagnosis of asthma is being made, which of the following criteria are recommended? I. That the patient be free of any comorbidity II. That a physical examination be performed III. That spirometry is conducted to determine the presence of reversible disease IV. That a detailed medical history be conducted

The respiratory therapist is assisting the pulmonologist on a methacholine challenge. After inhalation of the fourth concentration of methacholine, the FEV₁ decreases by 12%. What should the therapist suggest at this time?

The therapist is asked to explain to a 10-year-old how to use a corticosteroid inhaler. Which of the following side effects should the therapist mention to the patient and caregiver?

Which of the following spirometric measurements is sensitive to small changes in airway caliber and decreases in value with increasing obstructive disease?

When endotracheal intubation and mechanical ventilation are indicated for a pediatric patient with asthma, which of the following ventilator setting adjustments should the therapist consider making?

What is typically the first pharmacologic intervention instituted by the therapist to treat a patient who enters the emergency room with an asthmatic episode?

What appears to be the strongest identifiable predisposing factor for developing asthma?

Which of the following is con?

Which of the following pathophysiologic events are responsible for airway obstruction? I. Airway remodeling II. Airway edema III. Gas velocity IV. Mucous plugging

Which of the following medications is indicated for a 15-year-old patient with asthma who is not controlled with inhaled corticosteroids and exhibits the following signs: (1) a positive skin test or positive in vitro test for aeroallergens and (2) an IgE level of 500 IU/L?

Persistent inflammation in asthma leads to a remodeling phase that is characterized by which of the following processes?

Which of the following spirometric criteria are used to determine the presence of airway obstruction?

Which of the following pharmacologic agents may be used for bronchoprovocation challenge testing?