KSA Asthma Questions with Correct Answers 100% Verified

KSA Asthma Questions with Correct Answers 100% Verified A 26-year-old male with asthma is seen in the emergency department. He is short of breath to a degree that makes it difficult to speak in sentences and he appears tired. On examination you note diminished breath sounds with an occasional wheeze. His FEV1 is 15% of predicted and his pCO2 is 45 mm Hg. He is given albuterol (Proventil, Ventolin) over the next hour but he has a poor response. He is not able to repeat the spirometry and he now appears drowsy. Which one of the following would be consistent with imminent respiratory failure? - Correct Answer E. The absence of wheezes Which one of the following is true regarding leukotriene modifiers for treatment of asthma in adults? - Correct Answer D. They are less effective than inhaled corticosteroids (ICSs) Chronic low- to medium-dose inhaled corticosteroid use in children is associated with - Correct Answer E. no long-term adverse effects An 18-year-old female presents to your office with a history of wheezing, coughing, and year-round symptoms of rhinitis. She reports that her symptoms occur several times a week but rarely more than once a day, except in the last year, when she has had to intermittently use albuterol (Proventil, Ventolin) every day for a week at a time. She wakes up with nighttime coughing weekly, with no fever or other symptoms, and tells you that the coughing is severe enough to make her cat jump off the bed. Albuterol helps her symptoms temporarily. She has been treated with oral corticosteroids on three occasions this past year, most recently 6 weeks ago. Her Asthma Control Test score is 17. Pre- and postbronchodilator spirometry results are shown below. Initial testing FVC............2.0 L (80% of predicted) FEV1............1.4 L (70% of predicted) FEF 25-75............1.5 L/sec (89% of predicted) 15 minutes post bronchodilator - Correct Answer A. Budesonide/formoterol (Symbicort), with an increase in dosage for exacerbations A 22-year-old female presents to your office with an acute asthma attack that developed 2 days after the onset of a viral upper respiratory infection. Her asthma is usually well controlled, with a personal best peak expiratory flow (PEF) of 380 L/min. On initial evaluation by the nurse she has a pulse rate of 120 beats/min, a respiratory rate of 32/min, and an oxygen saturation of 92% on room air. On examination she is very dyspneic with diffuse inspiratory and expiratory wheezing and she is using accessory muscles to breathe. Her PEF is 150 L/min. Inhaled β-agonists and systemic corticosteroids are administered and she is reevaluated 1 hour later. Which one of the following would provide the most reassurance that she is responding to therapy? - Correct Answer C. A PEF of 310 L/min