NUR524 Exam 1 Questions and Answers| New Update with 100% Correct Answers
What is the treatment for intermittent asthma (step 1)? PRN SABA (albuterol and other -
buterols)
What are the treatments for mild persistent asthma (step 2)? Low dose ICS (fluticasone,
budesonide)+ SABA (PRN)
True or False: Peak Flow Meters are as accurate as Spirometry False - PFMs are used at
home for monitoring, spirometry is used for asthma diagnosis in office.
What are the clinical findings in an exam for an asthma flare? Percussion Hyperresonance
Decreased tac fremitus
Low diaphragm
Increased AP ratio (barreling)
What is the normal FEV1 of a patient in between 40-59? What % of a normal FEV1 would be
considered intermittent asthma for this patient? 75%.
Greater than 80% of expected
What is the normal FEV1 of a patient in between 8-19? What % of a normal FEV1 would be
considered mild persistent asthma for this patient? 85%
Greater than or equal to 80% of expected
What is the normal FEV1 of a patient in between 20-39? What % of a normal FEV1 would be
considered moderate persistent asthma for this patient? 80%
In between 60 and 80% of expected
What is the normal FEV1 of a patient in between 60-80? What % of a normal FEV1 would be
considered severe persistent asthma for this patient? 70%
, Less than 60% of expected
When are systemic steroids warranted for treatment of asthma? What is the regimen? In
moderate to severe exacerbations and when there is partial response to SABA therapy.
Typically 5-10day dose without taper.
What is an example of a LABA? What type of asthma is it used to treat? Salmeterol
Moderate to Severe persistent asthma (steps 3-6)
What spirometry measurements confirm airflow obstruction when diagnosing COPD? Once
diagnosed, how is the grade of severity of COPD determined? FEV1/FVC ratio of less than
70%
FEV1 deviation from expected percentage.
What are the goals of COPD treatment? Relieve symptoms and reduce risk of future adverse
health events (incl of exacerbations)
What medication type is recommended at all levels of treatment of COPD? SABA like
albuterol
What is the primary culprit in a COPD exacerbation caused by a respiratory tract infection?
Viruses
When do you need a chest film for a COPD exacerbation? When trying to rule out a
concomitant pneumonia
What is a key difference between the treatment steps for asthma and COPD? Earlier
utilization of LAMAs like tiotropium in COPD
What is the treatment for intermittent asthma (step 1)? PRN SABA (albuterol and other -
buterols)
What are the treatments for mild persistent asthma (step 2)? Low dose ICS (fluticasone,
budesonide)+ SABA (PRN)
True or False: Peak Flow Meters are as accurate as Spirometry False - PFMs are used at
home for monitoring, spirometry is used for asthma diagnosis in office.
What are the clinical findings in an exam for an asthma flare? Percussion Hyperresonance
Decreased tac fremitus
Low diaphragm
Increased AP ratio (barreling)
What is the normal FEV1 of a patient in between 40-59? What % of a normal FEV1 would be
considered intermittent asthma for this patient? 75%.
Greater than 80% of expected
What is the normal FEV1 of a patient in between 8-19? What % of a normal FEV1 would be
considered mild persistent asthma for this patient? 85%
Greater than or equal to 80% of expected
What is the normal FEV1 of a patient in between 20-39? What % of a normal FEV1 would be
considered moderate persistent asthma for this patient? 80%
In between 60 and 80% of expected
What is the normal FEV1 of a patient in between 60-80? What % of a normal FEV1 would be
considered severe persistent asthma for this patient? 70%
, Less than 60% of expected
When are systemic steroids warranted for treatment of asthma? What is the regimen? In
moderate to severe exacerbations and when there is partial response to SABA therapy.
Typically 5-10day dose without taper.
What is an example of a LABA? What type of asthma is it used to treat? Salmeterol
Moderate to Severe persistent asthma (steps 3-6)
What spirometry measurements confirm airflow obstruction when diagnosing COPD? Once
diagnosed, how is the grade of severity of COPD determined? FEV1/FVC ratio of less than
70%
FEV1 deviation from expected percentage.
What are the goals of COPD treatment? Relieve symptoms and reduce risk of future adverse
health events (incl of exacerbations)
What medication type is recommended at all levels of treatment of COPD? SABA like
albuterol
What is the primary culprit in a COPD exacerbation caused by a respiratory tract infection?
Viruses
When do you need a chest film for a COPD exacerbation? When trying to rule out a
concomitant pneumonia
What is a key difference between the treatment steps for asthma and COPD? Earlier
utilization of LAMAs like tiotropium in COPD
