HSCO 511 EXAM 2 BUNDLED TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ what are the variables when examining degree of impairment
with asthma. Answer: - frequency of symptoms
- nighttime awakenings
- SABA use
- normal activity
- lung function (FEV1 > 80%)
◉ goals of asthma therapy. Answer: - symptoms < 2x per week
- nighttime awakenings < 2x per month
- SABA use < 2x per week
- normal activity not restricted
- lung function (FEV1) > 80%
◉ considerations for asthma treatment. Answer: - age dependent
- follows a predictable stepwise pattern
- progression of medicines is pretty similar regardless of age
◉ how often do you evaluate asthma therapy?. Answer: every 2-6
weeks until control is achieved
,◉ a patient requiring oral corticosteroids for asthma is considered:.
Answer: high risk
◉ what is the sole treatment for intermittent asthma?. Answer:
albuterol
◉ what is used for management of an acute asthma attack?. Answer:
albuterol
◉ what drug is used in every step of asthma treatment?. Answer:
albuterol
◉ what is the progression of drugs used for persistent asthma?.
Answer: 1) progressing doses of inhaled and then systemic
corticosteroids (corticosteroids are controllers used on a fixed
schedule)
2) addition of LABA
3) addition of alternative drugs (montelukast, cromolyn
theophylline, etc)
◉ when to step up asthma therapy?. Answer: if SABA use is >
2x/week
,◉ when to step down asthma therapy?. Answer: asthma is well
controlled for at least 3 months
◉ what does it mean if asthma is "well controlled"?. Answer: -
symptoms ≤ 2 days/week
- no interference with normal activity
- SABA use ≤ 2 days/week
- FEV1 > 80%
- asthma exacerbations requiring corticosteroids 0-1x per year
(looks like an intermittent asthma patient)
◉ true or false
a patient with well controlled persistent moderate asthma should
stop using inhaled corticosteroids or LABA. Answer: false. persistent
asthma patients should remain on stepped therapy even if their
asthma is well controlled
◉ COPD is (more/less?) complex than asthma. Answer: less
◉ there are (more/less?) treatment options for COPD than asthma.
Answer: less
, ◉ why are long acting muscarinic antagonists (LAMAs) commonly
used to treat COPD?. Answer: the anticholinergic effect dries the
respiratory secretions of bronchitis AND bronchodilates
◉ t/f
cough and cold medicines should not be used in children less than 6
years old. Answer: true. risks > benefits
◉ t/f
home remedies for upper respiratory symptoms (common cold, viral
illness, etc) are less effective than abx or cold and flu medicines.
Answer: False
◉ home remedies for upper respiratory symptoms. Answer: - drink
lots of water
- cool mist vaporizer or saline nasal spray to relieve nasal congestion
- ice chips, sore throat spray, lozenges for sore throat
- use honey to relieve cough
*do not give honey to infants under 1 year old*
fun fact: the antidote (BabyBIG) for infant botulism caused by honey
costs like $50,000 per dose
QUESTIONS WITH SOLUTIONS GRADED A+
◉ what are the variables when examining degree of impairment
with asthma. Answer: - frequency of symptoms
- nighttime awakenings
- SABA use
- normal activity
- lung function (FEV1 > 80%)
◉ goals of asthma therapy. Answer: - symptoms < 2x per week
- nighttime awakenings < 2x per month
- SABA use < 2x per week
- normal activity not restricted
- lung function (FEV1) > 80%
◉ considerations for asthma treatment. Answer: - age dependent
- follows a predictable stepwise pattern
- progression of medicines is pretty similar regardless of age
◉ how often do you evaluate asthma therapy?. Answer: every 2-6
weeks until control is achieved
,◉ a patient requiring oral corticosteroids for asthma is considered:.
Answer: high risk
◉ what is the sole treatment for intermittent asthma?. Answer:
albuterol
◉ what is used for management of an acute asthma attack?. Answer:
albuterol
◉ what drug is used in every step of asthma treatment?. Answer:
albuterol
◉ what is the progression of drugs used for persistent asthma?.
Answer: 1) progressing doses of inhaled and then systemic
corticosteroids (corticosteroids are controllers used on a fixed
schedule)
2) addition of LABA
3) addition of alternative drugs (montelukast, cromolyn
theophylline, etc)
◉ when to step up asthma therapy?. Answer: if SABA use is >
2x/week
,◉ when to step down asthma therapy?. Answer: asthma is well
controlled for at least 3 months
◉ what does it mean if asthma is "well controlled"?. Answer: -
symptoms ≤ 2 days/week
- no interference with normal activity
- SABA use ≤ 2 days/week
- FEV1 > 80%
- asthma exacerbations requiring corticosteroids 0-1x per year
(looks like an intermittent asthma patient)
◉ true or false
a patient with well controlled persistent moderate asthma should
stop using inhaled corticosteroids or LABA. Answer: false. persistent
asthma patients should remain on stepped therapy even if their
asthma is well controlled
◉ COPD is (more/less?) complex than asthma. Answer: less
◉ there are (more/less?) treatment options for COPD than asthma.
Answer: less
, ◉ why are long acting muscarinic antagonists (LAMAs) commonly
used to treat COPD?. Answer: the anticholinergic effect dries the
respiratory secretions of bronchitis AND bronchodilates
◉ t/f
cough and cold medicines should not be used in children less than 6
years old. Answer: true. risks > benefits
◉ t/f
home remedies for upper respiratory symptoms (common cold, viral
illness, etc) are less effective than abx or cold and flu medicines.
Answer: False
◉ home remedies for upper respiratory symptoms. Answer: - drink
lots of water
- cool mist vaporizer or saline nasal spray to relieve nasal congestion
- ice chips, sore throat spray, lozenges for sore throat
- use honey to relieve cough
*do not give honey to infants under 1 year old*
fun fact: the antidote (BabyBIG) for infant botulism caused by honey
costs like $50,000 per dose
