NURS5461 Part 2 Exam
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
what is key to asthma diagnosis? - CORRECT ANSWER-VARIABILITY in symptoms - changing
throughout the day, over time, varies in intensity; using PEF or spirometry to confirm the
presence of airflow limitation
preferred asthma treatment steps 1-2 - CORRECT ANSWER-low dose ICS-formoterol for as
needed basis
step 3 asthma treatment plan - CORRECT ANSWER-low dose mainetance ICS-formoterol
step 4 asthma treatment plan - CORRECT ANSWER-medium dose maintenance ICS formoterol
step.5 asthma treatment plan - CORRECT ANSWER-Add on LAMA with high dose maintenance
ICS-formoterol
,why is SABA not considered first line tx for asthma anymore? - CORRECT ANSWER-bc longterm
use of SABA has been shown to increase exacerbations and mortality
types of ICS-formoterol to be used in asthma tx - CORRECT ANSWER-- budesonide-formoterol
- beclometasone-formoterol (only in adults)
if a pt has both asthma and COPD symptoms, the treatment is - CORRECT ANSWER-treat it like
asthma
clinical indicators of COPD - CORRECT ANSWER-- dyspnea
- chronic cough
- sputum production
- wheezing and chest tightness
- fatigue
- weight loss, anorexiaq
FEV1/FVC ratio COPD diagnosis - CORRECT ANSWER-post bronchodilator ratio of < 0.7 =
mandatory for diagnosis of COPD
when to prescribe bronchodilator (either LABA or LAMA)in pt with COPD - CORRECT ANSWER--
0 to 1 moderate exacerbation
- mMRC 0-1
- CAT < 10
GROUP A
,when to prescribe LABA+LAMA in pt with COPD - CORRECT ANSWER-- 0 to 1 moderate
exacerbation
- mMRC > 2
- CAT > 10
GROUP B
when to prescribe LABA + LAMA + ICS in COPD - CORRECT ANSWER-- > 2 moderate
exacerbations or 1 leading to hospitalization
- if blood eos > 300
mild COPD exacerbation should be treatd with - CORRECT ANSWER-SABA only
moderate COPD exacerbation should be treated with - CORRECT ANSWER-SABA + oral
corticosteroids; possible abx
severe COPD exacerbation may be treated with - CORRECT ANSWER-HOSPITALIZATION
lab to test for Turner's syndrome - CORRECT ANSWER-FSH
- if low: prolactin
- if high: karyotype
short stature without pubertal delay can indicate... - CORRECT ANSWER-- familial short stature
- isolated GH deficiency
- hypothyroidism
- congenital syndromes: Down, Noona, Hurler disease
, tx of tall stature in adolescents - CORRECT ANSWER-estrogen in females; test in men -- hormone
therapy to close long bone growth --- slows or halts attainment of additional height
precocious puberty - CORRECT ANSWER-development of secondary sexual characteristics
before normal age
precocious puberty in males - CORRECT ANSWER-achieving G2 before 9 years of age
precocious puberty in females - CORRECT ANSWER-breast or pubic hair development before
age 8
#1 cause of abdominal pain in adolescents - CORRECT ANSWER-functional abdominal pain r/t
stress and eating habits
functional abdominal pain is - CORRECT ANSWER-pain without any physical cause
organic abdominal pain - CORRECT ANSWER-pain that is due to something physiologic; wakes
up the pt in the night, is more localized, positive physical exam
chest pain red flags in adolescents - CORRECT ANSWER-- acute chest pain w/ exercise
- pain disrupts sleep
- dyspnea
- palpitations
- dizziness or syncope
adolescents require how many hours of sleep - CORRECT ANSWER-8.5-9.5 hours of sleep a night
first line tx for ADHD - CORRECT ANSWER-stimulants
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
what is key to asthma diagnosis? - CORRECT ANSWER-VARIABILITY in symptoms - changing
throughout the day, over time, varies in intensity; using PEF or spirometry to confirm the
presence of airflow limitation
preferred asthma treatment steps 1-2 - CORRECT ANSWER-low dose ICS-formoterol for as
needed basis
step 3 asthma treatment plan - CORRECT ANSWER-low dose mainetance ICS-formoterol
step 4 asthma treatment plan - CORRECT ANSWER-medium dose maintenance ICS formoterol
step.5 asthma treatment plan - CORRECT ANSWER-Add on LAMA with high dose maintenance
ICS-formoterol
,why is SABA not considered first line tx for asthma anymore? - CORRECT ANSWER-bc longterm
use of SABA has been shown to increase exacerbations and mortality
types of ICS-formoterol to be used in asthma tx - CORRECT ANSWER-- budesonide-formoterol
- beclometasone-formoterol (only in adults)
if a pt has both asthma and COPD symptoms, the treatment is - CORRECT ANSWER-treat it like
asthma
clinical indicators of COPD - CORRECT ANSWER-- dyspnea
- chronic cough
- sputum production
- wheezing and chest tightness
- fatigue
- weight loss, anorexiaq
FEV1/FVC ratio COPD diagnosis - CORRECT ANSWER-post bronchodilator ratio of < 0.7 =
mandatory for diagnosis of COPD
when to prescribe bronchodilator (either LABA or LAMA)in pt with COPD - CORRECT ANSWER--
0 to 1 moderate exacerbation
- mMRC 0-1
- CAT < 10
GROUP A
,when to prescribe LABA+LAMA in pt with COPD - CORRECT ANSWER-- 0 to 1 moderate
exacerbation
- mMRC > 2
- CAT > 10
GROUP B
when to prescribe LABA + LAMA + ICS in COPD - CORRECT ANSWER-- > 2 moderate
exacerbations or 1 leading to hospitalization
- if blood eos > 300
mild COPD exacerbation should be treatd with - CORRECT ANSWER-SABA only
moderate COPD exacerbation should be treated with - CORRECT ANSWER-SABA + oral
corticosteroids; possible abx
severe COPD exacerbation may be treated with - CORRECT ANSWER-HOSPITALIZATION
lab to test for Turner's syndrome - CORRECT ANSWER-FSH
- if low: prolactin
- if high: karyotype
short stature without pubertal delay can indicate... - CORRECT ANSWER-- familial short stature
- isolated GH deficiency
- hypothyroidism
- congenital syndromes: Down, Noona, Hurler disease
, tx of tall stature in adolescents - CORRECT ANSWER-estrogen in females; test in men -- hormone
therapy to close long bone growth --- slows or halts attainment of additional height
precocious puberty - CORRECT ANSWER-development of secondary sexual characteristics
before normal age
precocious puberty in males - CORRECT ANSWER-achieving G2 before 9 years of age
precocious puberty in females - CORRECT ANSWER-breast or pubic hair development before
age 8
#1 cause of abdominal pain in adolescents - CORRECT ANSWER-functional abdominal pain r/t
stress and eating habits
functional abdominal pain is - CORRECT ANSWER-pain without any physical cause
organic abdominal pain - CORRECT ANSWER-pain that is due to something physiologic; wakes
up the pt in the night, is more localized, positive physical exam
chest pain red flags in adolescents - CORRECT ANSWER-- acute chest pain w/ exercise
- pain disrupts sleep
- dyspnea
- palpitations
- dizziness or syncope
adolescents require how many hours of sleep - CORRECT ANSWER-8.5-9.5 hours of sleep a night
first line tx for ADHD - CORRECT ANSWER-stimulants
