CMN 568 UPDATED EXAM SCRIPT QUESTIONS AND
ANSWERS RATED A+
✔✔COPD s/s - ✔✔persistent dyspnea, cough, expectoration, exacerbation
main risk: smoking
✔✔GOLD standard for dx COPD - ✔✔Gold 1: mild FEV1 >80%
Gold 2: moderate FEV1 50-80%
Gold 3: severe 30-50%
Gold 4: very severe <30%
✔✔Tx for mild intermittent asthma - ✔✔Day symptoms <2 days a week, night symptoms
less than 2 times a month
SABA pro
✔✔Tx for moderate persistent asthma - ✔✔Daily symptoms, nighttime symptoms more
than one night a week, but not nightly
Daily and PRN combo
Low-dose ICS formoterol
(LABA)
✔✔Criteria for mild persistent asthma - ✔✔Day symptoms <2 days a week, night
symptoms less than 2 times a month
✔✔Example of LTRA - ✔✔Tx asthma and allergic rhinitis
Blocks leukotrienes (which causes inflammation and bronchoconstriction)
Ex: Montelukast
Alternatives to low-dose inhaled corticosteroids in patients w/ mild persistent asthma,
but as monotherapy are usually less effective than inhaled corticosteroids
✔✔Purpose of asthma action plan - ✔✔individualized documents that outline daily
treatment, symptom recognition, and steps to take during exacerbations, empowering
patients to manage their conditions proactively.
✔✔Risk factors for asthma exacerbations especially in pediatric patients (inhaler
technique, inhaler compliance, etc.) - ✔✔Smoking, pets, humidity, allergy, stuffed toys,
dirty linen,
✔✔TB definitive diagnosis - ✔✔Culture
, ✔✔Exercise-induced asthma and tx - ✔✔During exercise, within 3 min after it ends,
peaks within 10-15 min, resolve by 60 min
Tx with SABA before exercise to reduce bronchoconstriction +LABA
✔✔Lung cancer imaging - ✔✔CT or XR
✔✔Sarcoidosis s/s - ✔✔Insidious onset of malaise, fever, and dyspnea
Other s/s: lupus pernio, irisitis, peripheral neuropathy, arthritis, cardiomyopathy
✔✔Intussusception signs and symptoms in pediatric patients - ✔✔Intestine telescopes
into another
Outburst of abdominal pain with screaming and drawing knees up
Vomit, diarrhea, jelly stool, lethargy, fever, abdominal tenderness, dissension, sausage
shaped mass palpable
✔✔Pancreatitis signs and symptoms - ✔✔Most likely r/t to alcohol
s/s: onset, severe epigastric pain that worsens when talking or lying supine and
improved by sitting and leaning forward. Pain radiates to back. N/v, sweaty, weak,
abdominal tender, distention, fever
Elevated lipase and amylase
Tx: pain control, iv fluids, bowel rest
✔✔Urge Incontinence - ✔✔Destrusor overactivity causes involuntary contractions of the
bladders detrusor muscle resulting in leakage of urine bc of urgency and the inability to
delay urine
Tx: bladder training
✔✔Stress incontinence - ✔✔instantaneous leakage of urine with pressure
Sneeze, cough, laugh
✔✔Diverticulitis s/s - ✔✔Small purchase in large intention that become inflamed
Abdominal pain, n/v, diarrhea, constipation, leukocytosis, LLQ pain, palpable mass
ANSWERS RATED A+
✔✔COPD s/s - ✔✔persistent dyspnea, cough, expectoration, exacerbation
main risk: smoking
✔✔GOLD standard for dx COPD - ✔✔Gold 1: mild FEV1 >80%
Gold 2: moderate FEV1 50-80%
Gold 3: severe 30-50%
Gold 4: very severe <30%
✔✔Tx for mild intermittent asthma - ✔✔Day symptoms <2 days a week, night symptoms
less than 2 times a month
SABA pro
✔✔Tx for moderate persistent asthma - ✔✔Daily symptoms, nighttime symptoms more
than one night a week, but not nightly
Daily and PRN combo
Low-dose ICS formoterol
(LABA)
✔✔Criteria for mild persistent asthma - ✔✔Day symptoms <2 days a week, night
symptoms less than 2 times a month
✔✔Example of LTRA - ✔✔Tx asthma and allergic rhinitis
Blocks leukotrienes (which causes inflammation and bronchoconstriction)
Ex: Montelukast
Alternatives to low-dose inhaled corticosteroids in patients w/ mild persistent asthma,
but as monotherapy are usually less effective than inhaled corticosteroids
✔✔Purpose of asthma action plan - ✔✔individualized documents that outline daily
treatment, symptom recognition, and steps to take during exacerbations, empowering
patients to manage their conditions proactively.
✔✔Risk factors for asthma exacerbations especially in pediatric patients (inhaler
technique, inhaler compliance, etc.) - ✔✔Smoking, pets, humidity, allergy, stuffed toys,
dirty linen,
✔✔TB definitive diagnosis - ✔✔Culture
, ✔✔Exercise-induced asthma and tx - ✔✔During exercise, within 3 min after it ends,
peaks within 10-15 min, resolve by 60 min
Tx with SABA before exercise to reduce bronchoconstriction +LABA
✔✔Lung cancer imaging - ✔✔CT or XR
✔✔Sarcoidosis s/s - ✔✔Insidious onset of malaise, fever, and dyspnea
Other s/s: lupus pernio, irisitis, peripheral neuropathy, arthritis, cardiomyopathy
✔✔Intussusception signs and symptoms in pediatric patients - ✔✔Intestine telescopes
into another
Outburst of abdominal pain with screaming and drawing knees up
Vomit, diarrhea, jelly stool, lethargy, fever, abdominal tenderness, dissension, sausage
shaped mass palpable
✔✔Pancreatitis signs and symptoms - ✔✔Most likely r/t to alcohol
s/s: onset, severe epigastric pain that worsens when talking or lying supine and
improved by sitting and leaning forward. Pain radiates to back. N/v, sweaty, weak,
abdominal tender, distention, fever
Elevated lipase and amylase
Tx: pain control, iv fluids, bowel rest
✔✔Urge Incontinence - ✔✔Destrusor overactivity causes involuntary contractions of the
bladders detrusor muscle resulting in leakage of urine bc of urgency and the inability to
delay urine
Tx: bladder training
✔✔Stress incontinence - ✔✔instantaneous leakage of urine with pressure
Sneeze, cough, laugh
✔✔Diverticulitis s/s - ✔✔Small purchase in large intention that become inflamed
Abdominal pain, n/v, diarrhea, constipation, leukocytosis, LLQ pain, palpable mass
