Question 1

If a beta2-agonist agent and an anticholinergic agent were administered concurrently to a patient during an acute asthma episode, what result would be expected?

Accepted Answer

A)  Bronchial smooth muscle contraction will occur. 
B)  Airway edema will increase. 
C)  The medications oppose each other, resulting in no airway changes. 
D)  Bronchial smooth muscle relaxation will occur. 
A)  Bronchial smooth muscle contraction will occur. 
B)  Airway edema will increase. 
C)  The medications oppose each other, resulting in no airway changes. 
D)  Bronchial smooth muscle relaxation will occur. D

Question 2

Which of the following ABG values would be consistent with ventilatory failure with hypoxemia in a patient with severe status asthmaticus?
1) Increased PaCO2
2) Decreased SaO2
3) Increased pH
4) Decreased pH

Accepted Answer

A) 1, 2 
B) 2, 3 
C) 1, 2, 4 
D) 1, 3, 4 
A) 1, 2 
B) 2, 3 
C) 1, 2, 4 
D) 1, 3, 4 C

Question 3

What term is used to describe the situation when an initial asthmatic response occurs within 1 hour of exposure to an allergen followed by a delayed asthmatic response hours later?

Accepted Answer

A)  Deferred dyspneic response 
B)  Asynchronous activation response 
C)  Biphasic response 
D)  Bipolar response 
A)  Deferred dyspneic response 
B)  Asynchronous activation response 
C)  Biphasic response 
D)  Bipolar response C

Question 4

What findings on a chest radiograph would be expected during a prolonged asthma episode?
1) Depressed diaphragm
2) Increased anterior-posterior diameter
3) Asymmetric lung inflation
4) Translucent lung fields

Accepted Answer

A) 1, 2 
B) 3, 4 
C) 1, 2, 4 
D) 1, 2, 3 
A) 1, 2 
B) 3, 4 
C) 1, 2, 4 
D) 1, 2, 3

Question 5

Which of the following are associated with extrinsic asthma?
1) Furred animal dander
2) Mold
3) Emotional stress
4) Male gender

Accepted Answer

A) 1, 2 
B) 2, 3 
C) 1, 2, 3 
D) 1, 3, 4 
A) 1, 2 
B) 2, 3 
C) 1, 2, 3 
D) 1, 3, 4

Question 6

Which of the following is the acronym for the bronchospasm and airway inflammation resulting from the Aspergillus fungus?

Accepted Answer

A)  ABPA 
B)  AGA 
C)  ACOS 
D)  AEC 
A)  ABPA 
B)  AGA 
C)  ACOS 
D)  AEC

Question 7

Which of the following factors are associated with intrinsic asthma?
1) Emotional stress
2) Cockroach allergen
3) GERD
4) Dust mites

Accepted Answer

A) 2, 4 
B) 1, 3 
C) 3, 4 
D) 2, 3, 4 
A) 2, 4 
B) 1, 3 
C) 3, 4 
D) 2, 3, 4

Question 8

Which of the following recurrent symptoms are commonly associated with asthma?
1) Cough
2) Chest tightness
3) Fever
4) Wheeze

Accepted Answer

A) 1, 3 
B) 1, 2, 4 
C) 2, 3, 4 
D) 1, 2, 3 
A) 1, 3 
B) 1, 2, 4 
C) 2, 3, 4 
D) 1, 2, 3

Question 9

What is the term for an inspiratory fall in systolic blood pressure exceeding 10 mm Hg?

Accepted Answer

A)  Pulsus paradoxus 
B)  Stage I hypotension 
C)  Swanson's phenomenon 
D)  Hoover's sign 
A)  Pulsus paradoxus 
B)  Stage I hypotension 
C)  Swanson's phenomenon 
D)  Hoover's sign

Question 10

A fractional concentration of exhaled nitric oxide level greater than _____ ppb is an indication of airway inflammation requiring controller medication increase.

Accepted Answer

A)  20 
B)  30 
C)  40 
D)  50 
A)  20 
B)  30 
C)  40 
D)  50

Question 11

How many components of care are included in the NAEPP asthma management guidelines?

Accepted Answer

A)  Three 
B)  Four 
C)  Five 
D)  Six 
A)  Three 
B)  Four 
C)  Five 
D)  Six

Question 12

The physician asks you to suggest an inhaled corticosteroid for a patient with asthma. Which of the following medications are appropriate?

Accepted Answer

A)  Flovent HFA 
B)  Solu-Medrol 
C)  Serevent 
D)  Montelukast 
A)  Flovent HFA 
B)  Solu-Medrol 
C)  Serevent 
D)  Montelukast

Question 13

A sputum sample from a patient has been sent to the laboratory for analysis. Which of the following findings could help confirm the diagnosis of extrinsic asthma?

Accepted Answer

A)  Increased IgE level 
B)  Increased erythrocyte count 
C)  Colonization of Pseudomonas aeruginosa 
D)  Decreased IgE level 
A)  Increased IgE level 
B)  Increased erythrocyte count 
C)  Colonization of Pseudomonas aeruginosa 
D)  Decreased IgE level

Question 14

At what age does asthma severity peak in males?

Accepted Answer

A)  1 to 3 years 
B)  5 to 7 years 
C)  18 to 20 years 
D)  30 to 32 years 
A)  1 to 3 years 
B)  5 to 7 years 
C)  18 to 20 years 
D)  30 to 32 years

Question 15

What is the name for the microscopic structures formed from the breakdown of eosinophils in allergic asthma?

Accepted Answer

A)  Charlene-Lichty crystals 
B)  Charcot-Leyden crystals 
C)  Colleen-Lyndahl clusters 
D)  Charles-Lahr casts 
A)  Charlene-Lichty crystals 
B)  Charcot-Leyden crystals 
C)  Colleen-Lyndahl clusters 
D)  Charles-Lahr casts

Question 16

Which of the following would be expected when a chest assessment is performed on a patient during an asthmatic episode?
1) Inverse I:E ratio
2) Decreased vocal fremitus
3) Increased vesicular breath sounds
4) Hyperresonant percussion note

Accepted Answer

A) 1, 4 
B) 2, 4 
C) 2, 3, 4 
D) 1, 2, 3 
A) 1, 4 
B) 2, 4 
C) 2, 3, 4 
D) 1, 2, 3

Question 17

After the inhalation of a bronchodilator, what percentage change in peak expiratory flow (PEFR) would be required to demonstrate reversible air flow limitation consistent with asthma?

Accepted Answer

A)  5% 
B)  10% 
C)  15% 
D)  >20% 
A)  5% 
B)  10% 
C)  15% 
D)  >20%

Exam 14: Asthma

If a beta2-agonist agent and an anticholinergic agent were administered concurrently to a patient during an acute asthma episode, what result would be expected?

Which of the following ABG values would be consistent with ventilatory failure with hypoxemia in a patient with severe status asthmaticus? 1) Increased PaCO2 2) Decreased SaO2 3) Increased pH 4) Decreased pH

What term is used to describe the situation when an initial asthmatic response occurs within 1 hour of exposure to an allergen followed by a delayed asthmatic response hours later?

What findings on a chest radiograph would be expected during a prolonged asthma episode? 1) Depressed diaphragm 2) Increased anterior-posterior diameter 3) Asymmetric lung inflation 4) Translucent lung fields

Which of the following are associated with extrinsic asthma? 1) Furred animal dander 2) Mold 3) Emotional stress 4) Male gender

Which of the following is the acronym for the bronchospasm and airway inflammation resulting from the Aspergillus fungus?

Which of the following factors are associated with intrinsic asthma? 1) Emotional stress 2) Cockroach allergen 3) GERD 4) Dust mites

Which of the following recurrent symptoms are commonly associated with asthma? 1) Cough 2) Chest tightness 3) Fever 4) Wheeze

What is the term for an inspiratory fall in systolic blood pressure exceeding 10 mm Hg?

A fractional concentration of exhaled nitric oxide level greater than _____ ppb is an indication of airway inflammation requiring controller medication increase.

How many components of care are included in the NAEPP asthma management guidelines?

The physician asks you to suggest an inhaled corticosteroid for a patient with asthma. Which of the following medications are appropriate?

A sputum sample from a patient has been sent to the laboratory for analysis. Which of the following findings could help confirm the diagnosis of extrinsic asthma?

At what age does asthma severity peak in males?

What is the name for the microscopic structures formed from the breakdown of eosinophils in allergic asthma?

Which of the following would be expected when a chest assessment is performed on a patient during an asthmatic episode? 1) Inverse I:E ratio 2) Decreased vocal fremitus 3) Increased vesicular breath sounds 4) Hyperresonant percussion note

After the inhalation of a bronchodilator, what percentage change in peak expiratory flow (PEFR) would be required to demonstrate reversible air flow limitation consistent with asthma?

The Patient Interview

The Physical Examination

The Pathophysiologic Basis for Common Clinical Manifestations

Pulmonary Function Testing

Blood Gas Assessment

Assessment of Oxygenation

Assessment of the Cardiovascular System

Radiologic Examination of the Chest

Other Important Tests and Procedures

The Therapist-Driven Protocol Program

Respiratory Insufficiency, Respiratory Failure and Ventilatory Management Protocols

Recording Skills and Intra-Professional Communication

Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema

Cystic Fibrosis

Bronchiectasis

Atelectasis

Pneumonia, Lung Abscess Formation, and Important Fungal Diseases

Tuberculosis

Pulmonary Edema

Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension

Flail Chest

Pneumothorax

Pleural Effusion and Empyema

Kyphoscoliosis

Cancer of the Lung, Prevention and Palliation

Interstitial Lung Diseases

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Cardiopulmonary Assessment and Care of Patients With Neuromuscular Disease

Sleep Apnea

Newborn Assessment and Management

Pediatric Assessment, Protocols, and Pals Management

Meconium Aspiration Syndrome

Transient Tachypnea of the Newborn

Respiratory Distress Syndrome

Pulmonary Air Leak Syndrome

Respiratory Syncytial Virus Infection Bronchiolitis

Chronic Lung Disease of Infancy

Congenital Diaphragmatic Hernia

Congenital Heart Disease

Croup and Croup-Like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis, and Acute Epiglottitis

Near Drowningwet Drowning

Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication

Filters

If a beta₂-agonist agent and an anticholinergic agent were administered concurrently to a patient during an acute asthma episode, what result would be expected?

Which of the following ABG values would be consistent with ventilatory failure with hypoxemia in a patient with severe status asthmaticus? 1) Increased PaCO₂ 2) Decreased SaO₂ 3) Increased pH 4) Decreased pH