Question 1

What test is most useful for the diagnosis of asthma in the symptom-free patient?

Accepted Answer

A)  Arterial blood gases 
B)  Bronchoprovocation testing with pulmonary function tests 
C)  Chest radiograph 
D)  Ventilation-perfusion ratio () scans 
A)  Arterial blood gases 
B)  Bronchoprovocation testing with pulmonary function tests 
C)  Chest radiograph 
D)  Ventilation-perfusion ratio () scans B

Question 2

Of the following common causes of asthma, which is the least likely to cause exercise-induced asthma?

Accepted Answer

A)  Long distance cycling 
B)  Running cross country 
C)  Skiing and snowboarding 
D)  Swimming indoors 
A)  Long distance cycling 
B)  Running cross country 
C)  Skiing and snowboarding 
D)  Swimming indoors C

Question 3

Which of the following symptoms is not a typical symptom of asthma?

Accepted Answer

A)  Cough 
B)  Shortness of breath 
C)  Chest tightness 
D)  Chest pain 
A)  Cough 
B)  Shortness of breath 
C)  Chest tightness 
D)  Chest pain D

Question 4

What lung disease is the most common current indication for lung transplantation?

Accepted Answer

A)  Adult respiratory distress syndrome 
B)  COPD 
C)  Pneumoconiosis 
D)  Pulmonary fibrosis 
A)  Adult respiratory distress syndrome 
B)  COPD 
C)  Pneumoconiosis 
D)  Pulmonary fibrosis

Question 5

It is not clear whether your patient has COPD or asthma. Which of the following characteristics is most closely associated with the diagnosis of asthma?

Accepted Answer

A)  Daily phlegm production 
B)  Diminished vascularity on the chest radiograph 
C)  Low diffusion capacity 
D)  Reversal of the FEV1 after use of a bronchodilator 
A)  Daily phlegm production 
B)  Diminished vascularity on the chest radiograph 
C)  Low diffusion capacity 
D)  Reversal of the FEV1 after use of a bronchodilator

Question 6

What causes the degranulation of mast cells in asthma patients?

Accepted Answer

A)  Antigens attaching to IgE molecules on the mast cell surface. 
B)  Antigens attaching to proteins receptors on mast cell surface. 
C)  Irritant receptors on the mast cells are stimulated by antigens. 
D)  Infectious particles attacking the mast cells. 
A)  Antigens attaching to IgE molecules on the mast cell surface. 
B)  Antigens attaching to proteins receptors on mast cell surface. 
C)  Irritant receptors on the mast cells are stimulated by antigens. 
D)  Infectious particles attacking the mast cells.

Question 7

What etiologic factor is associated with the onset of nocturnal asthma?

Accepted Answer

A)  Aspiration of gastric acid at night 
B)  Supine position 
C)  Variation in acetylcholine secretion at night 
D)  Variation in the secretion of insulin at night 
A)  Aspiration of gastric acid at night 
B)  Supine position 
C)  Variation in acetylcholine secretion at night 
D)  Variation in the secretion of insulin at night

Question 8

Which of the following problems is associated with intravenous augmentation of synthetic alpha1-antitrypsin for the patient with genetic emphysema?

Accepted Answer

A)  Bronchospasm 
B)  Expense 
C)  Headache 
D)  Nausea 
A)  Bronchospasm 
B)  Expense 
C)  Headache 
D)  Nausea

Question 9

A patient is admitted to the emergency department with an acute asthma exacerbation. Based on the following blood gas results, how severe was the asthma attack? pH 7.35, PaO2 58 mm Hg, PaCO2 46 mm Hg, HCO3- 18 mEq/L, SaO2 89%

Accepted Answer

A)  Mild 
B)  Moderate 
C)  Severe 
D)  Normalized 
A)  Mild 
B)  Moderate 
C)  Severe 
D)  Normalized

Question 10

What beta-2 agonist is associated with 12 to 24 hr of bronchodilation?

Accepted Answer

A)  Albuterol 
B)  Metaproterenol 
C)  Salmeterol 
D)  Aclinidium 
A)  Albuterol 
B)  Metaproterenol 
C)  Salmeterol 
D)  Aclinidium

Question 11

What is the approximate cost of COPD to the U.S. health system?

Accepted Answer

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

Question 12

Which bronchodilator is commonly used in the hospital management of acute asthma exacerbation but is not considered the first-line bronchodilator?

Accepted Answer

A)  Albuterol 
B)  Ipratropium bromide 
C)  Salmeterol 
D)  Arformoterol 
A)  Albuterol 
B)  Ipratropium bromide 
C)  Salmeterol 
D)  Arformoterol

Question 13

Which of the following medications is generally only used if the patient still has debilitating symptoms from stable COPD, despite inhaled bronchodilator therapy?

Accepted Answer

A)  Antibiotics 
B)  Beta-2 agonists 
C)  Corticosteroids 
D)  Methylxanthines 
A)  Antibiotics 
B)  Beta-2 agonists 
C)  Corticosteroids 
D)  Methylxanthines

Question 14

What treatment for patients with COPD has been shown to improve long-term survival?

Accepted Answer

A)  Bronchodilators 
B)  Corticosteroids 
C)  Mechanical ventilation 
D)  Oxygen 
A)  Bronchodilators 
B)  Corticosteroids 
C)  Mechanical ventilation 
D)  Oxygen

Question 15

Approximately how many Americans are affected by COPD?

Accepted Answer

A)  8 million 
B)  16 million 
C)  24 million 
D)  32 million 
A)  8 million 
B)  16 million 
C)  24 million 
D)  32 million

Question 16

Which airways are most susceptible to airway obstruction in patients with COPD?

Accepted Answer

A)  Small 
B)  Medium 
C)  Large 
D)  Central 
A)  Small 
B)  Medium 
C)  Large 
D)  Central

Question 17

Identify the drug whose regular use in the treatment of asthma may worsen control or even increase the risk of death by asthma.

Accepted Answer

A)  Anticholinergic 
B)  Antiinflammatory 
C)  Beta-2 agonists 
D)  Corticosteroid 
A)  Anticholinergic 
B)  Antiinflammatory 
C)  Beta-2 agonists 
D)  Corticosteroid

Question 18

You are called to the ER to assess a 25-year-old female patient in status asthmaticus. Her PEFR results of pre- and post-bronchodilator therapy are given below:   You should suggest to the ER physician to:

Accepted Answer

A)  stop the bronchodilators. 
B)  repeat the PEF measurement. 
C)  increase the medication dosage. 
D)  continue current therapy. 
A)  stop the bronchodilators. 
B)  repeat the PEF measurement. 
C)  increase the medication dosage. 
D)  continue current therapy.

Question 19

An asthma patient's best effort produces a PEFR of 55% of personal best. What is indicated at this time?

Accepted Answer

A)  Patient should lie down and try to relax. 
B)  Patient should probably seek medical attention now. 
C)  Patient should retry the PEFR maneuver. 
D)  Patient should take his or her controller medications. 
A)  Patient should lie down and try to relax. 
B)  Patient should probably seek medical attention now. 
C)  Patient should retry the PEFR maneuver. 
D)  Patient should take his or her controller medications.

Question 20

Which medication is a once-daily combination of a beta-2 agonist and an inhaled corticosteroid?

Accepted Answer

A)  Combivent Respimat 
B)  Advair 
C)  Flovent 
D)  Breo Ellipta 
A)  Combivent Respimat 
B)  Advair 
C)  Flovent 
D)  Breo Ellipta

Exam 25: Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease Copd, Asthma, and Related Diseases

What test is most useful for the diagnosis of asthma in the symptom-free patient?

Of the following common causes of asthma, which is the least likely to cause exercise-induced asthma?

Which of the following symptoms is not a typical symptom of asthma?

What lung disease is the most common current indication for lung transplantation?

It is not clear whether your patient has COPD or asthma. Which of the following characteristics is most closely associated with the diagnosis of asthma?

What causes the degranulation of mast cells in asthma patients?

What etiologic factor is associated with the onset of nocturnal asthma?

Which of the following problems is associated with intravenous augmentation of synthetic alpha1-antitrypsin for the patient with genetic emphysema?

A patient is admitted to the emergency department with an acute asthma exacerbation. Based on the following blood gas results, how severe was the asthma attack? pH 7.35, PaO2 58 mm Hg, PaCO2 46 mm Hg, HCO3- 18 mEq/L, SaO2 89%

What beta-2 agonist is associated with 12 to 24 hr of bronchodilation?

What is the approximate cost of COPD to the U.S. health system?

Which bronchodilator is commonly used in the hospital management of acute asthma exacerbation but is not considered the first-line bronchodilator?

Which of the following medications is generally only used if the patient still has debilitating symptoms from stable COPD, despite inhaled bronchodilator therapy?

What treatment for patients with COPD has been shown to improve long-term survival?

Approximately how many Americans are affected by COPD?

Which airways are most susceptible to airway obstruction in patients with COPD?

Identify the drug whose regular use in the treatment of asthma may worsen control or even increase the risk of death by asthma.

You are called to the ER to assess a 25-year-old female patient in status asthmaticus. Her PEFR results of pre- and post-bronchodilator therapy are given below: You should suggest to the ER physician to:

An asthma patient's best effort produces a PEFR of 55% of personal best. What is indicated at this time?

Which medication is a once-daily combination of a beta-2 agonist and an inhaled corticosteroid?

History of Respiratory Care

Delivering Evidence-Based Respiratory Care

Quality, Patient Safety, and Communication, and Recordkeeping

Principles of Infection Prevention and Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

E-Medicine in Respiratory Care

Fundamentals of Respiratory Care Research

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpreting Clinical and Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

Review of Thoracic Imaging

Flexible Bronchoscopy and the Respiratory Therapist

Nutrition Assessment

Pulmonary Infections

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Respiratory Distress Syndrome

Trauma, Burns and Near Drowning

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Airway Clearance Therapy Act

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Patient Ventilator Interaction

Initiating and Adjusting Invasive Ventilatory Support

Noninvasive Ventilation

Extracorporeal Life Support Ecls

Monitoring the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

Filters

Which of the following problems is associated with intravenous augmentation of synthetic alpha₁-antitrypsin for the patient with genetic emphysema?

A patient is admitted to the emergency department with an acute asthma exacerbation. Based on the following blood gas results, how severe was the asthma attack? pH 7.35, PaO₂ 58 mm Hg, PaCO₂ 46 mm Hg, HCO₃^- 18 mEq/L, SaO₂ 89%