HNG 519 STONY BROOK UNIVERSITY FINAL EXAM STUDY
GUIDE & PRACTICE QUESTIONS 2026/2027
What are the three most common causes of chronic cough referred to as the pathogenic triad of
chronic cough. (Occurs in immunocompetent non-smoking non-ace inhibitor patients with a
normal chest x-ray.) - Correct answer ✔✔ 1. upper airway, cough syndrome (postnasal, drip
syndrome)
2. Asthma.
3. GERD
Diagnostic test for asthma - Correct answer ✔✔ Spirometry
Pulmonary fx test
Allergy testing
Methacholine / Histamine challenge
Peak flow testing
Difference between NAEPP AND GINA - Correct answer ✔✔ Gina is not a guideline, but the
NAEPP is
Classifications of asthma severity - Correct answer ✔✔ intermittent
Mild persistent
Moderate persistent
Severe persistent
, Intermittent Asthma - Correct answer ✔✔ Symptoms less than 2 times/week and <2 nighttime
symptoms/month
Tx with SABA (ie. exercise induced)
Recommended step 1 NAEPP
mild asthma - Correct answer ✔✔ Symptoms >2x/week, PEF >80% of best
SABA used to control symptoms >2 days/week but not daily
Recommended step 2 of NAEPP
moderate persistent asthma - Correct answer ✔✔ -S/S daily
-Nocturnal s/s > 1x week
-PEF >60% but <80%
-Exacerbations 2x daily
-Exacerbations affect ADLs
-One or two daily medications (med-dose corticosteroid &/or inhaled bronchodilator) SABA to
control symptoms daily
Step 3 NAEPP
Severe presistant asthma - Correct answer ✔✔ Continual symptoms or frequent nighttime
symptoms > 7 times a week
PEF <60 %
GUIDE & PRACTICE QUESTIONS 2026/2027
What are the three most common causes of chronic cough referred to as the pathogenic triad of
chronic cough. (Occurs in immunocompetent non-smoking non-ace inhibitor patients with a
normal chest x-ray.) - Correct answer ✔✔ 1. upper airway, cough syndrome (postnasal, drip
syndrome)
2. Asthma.
3. GERD
Diagnostic test for asthma - Correct answer ✔✔ Spirometry
Pulmonary fx test
Allergy testing
Methacholine / Histamine challenge
Peak flow testing
Difference between NAEPP AND GINA - Correct answer ✔✔ Gina is not a guideline, but the
NAEPP is
Classifications of asthma severity - Correct answer ✔✔ intermittent
Mild persistent
Moderate persistent
Severe persistent
, Intermittent Asthma - Correct answer ✔✔ Symptoms less than 2 times/week and <2 nighttime
symptoms/month
Tx with SABA (ie. exercise induced)
Recommended step 1 NAEPP
mild asthma - Correct answer ✔✔ Symptoms >2x/week, PEF >80% of best
SABA used to control symptoms >2 days/week but not daily
Recommended step 2 of NAEPP
moderate persistent asthma - Correct answer ✔✔ -S/S daily
-Nocturnal s/s > 1x week
-PEF >60% but <80%
-Exacerbations 2x daily
-Exacerbations affect ADLs
-One or two daily medications (med-dose corticosteroid &/or inhaled bronchodilator) SABA to
control symptoms daily
Step 3 NAEPP
Severe presistant asthma - Correct answer ✔✔ Continual symptoms or frequent nighttime
symptoms > 7 times a week
PEF <60 %