EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
CMN 568 Module 3 Study Guide with
Complete Solutions
asthma is characterized by... - Answer✔✔-- REVERSIBLE airflow limitation
- airway inflammation
- bronchoconstriction
patho of asthma - Answer✔✔-- airway inflammatory cell inflammation with eosinophils,
neutrophils, and T lymphocytes (T cells)
- this causes goblet cell hyperplasia
- mucus then plugs small airways
- hypertrophy of bronchial submucosa
- mast cell activation and denudation of airway epithelium
strongest predictor of asthma - Answer✔✔-atopy
atopy definition - Answer✔✔-genetic tendency to develop allergic disease
atopic triad (asthma triad) - Answer✔✔-- eczema
- allergic rhinitis
- asthma
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main symptoms of asthma - Answer✔✔-- symptoms worse at night of in early AM
- prolonged expiration and diffuse wheezing
- reversibility of airflow obstruction either spontaneously or after bronchodilator tx
asthma hospitalization rates are highest in.... - Answer✔✔-- blacks
- children
allergen asthma triggers - Answer✔✔-- roaches
- dustmites
- cat dander
- seasonal pollen
what medications are asthma triggers? - Answer✔✔-- ASA
- NSAIDs
- Tartrazine dyes
catamenial asthma - Answer✔✔-in women, occurs at predictable times during menstrual cycle
exercise induced bronchoconstriction - Answer✔✔-happens during exercise or within 3 minutes
after it ends; peaks within 10-15min; resolves by 60min after
cardiac asthma - Answer✔✔-wheezing due to decompensated HF
nonspecific asthma precipitants - Answer✔✔-- exercise
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,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
- URI/rhinosinusitis
- postnasal drip
- GERD
- stress
- exposure to cold air
asthmatic response times - Answer✔✔-can be immediate or late response; late response occurs
4-6hr after exposure
when are asthma symptoms worse? - Answer✔✔-nighttime, 3-4am
what are asthma exacerbation breath sounds like? - Answer✔✔-episodic wheezing or high
pitched whistling during expiration; PROLONGED EXPIRATORY PHASE WITH WHEEZING
symptoms of severe asthma attack - Answer✔✔-- globally diminished breath sounds
- absent wheeze
- use of accessory muscles
what patients do not receive lung function testing? - Answer✔✔-ages 0-4, nighttime
awakenings guide treatment in these patients
mild intermittent asthma - Answer✔✔-- day symptoms: <2 days/week
- night symptoms: <2 nights/month
- FEV: >80%
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, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
BEGIN AT STEP 1
mild persistent asthma - Answer✔✔-- day symptoms: >2 days/week (but not daily)
- night symptoms: 3-4 nights/month
- FEV: >80%
BEGIN AT STEP 2
moderate persistent asthma - Answer✔✔-- day symptoms: daily
- night symptoms: >1 night/week (but not nightly), 5 or more times per month
- FEV: >60% <80%
BEGIN AT STEP 3
severe persistent asthma - Answer✔✔-- day symptoms: throughout the day
- night symptoms: frequent nighttime symptoms (often 7 nights per week)
- FEV: <60%
BEGIN AT STEP 3 (0-4yr), STEP 3 OR 4 (5-11yr), OR STEP 4, 5, OR 6 (12yr)
STEP 1 ASTHMA MANAGEMENT - Answer✔✔-- 0-4: SABA PRN (may add a short course of ICS at
start of RTI)
- 5-11: SABA PRN
- >12: SABA PRN
Page 4/32
CMN 568 Module 3 Study Guide with
Complete Solutions
asthma is characterized by... - Answer✔✔-- REVERSIBLE airflow limitation
- airway inflammation
- bronchoconstriction
patho of asthma - Answer✔✔-- airway inflammatory cell inflammation with eosinophils,
neutrophils, and T lymphocytes (T cells)
- this causes goblet cell hyperplasia
- mucus then plugs small airways
- hypertrophy of bronchial submucosa
- mast cell activation and denudation of airway epithelium
strongest predictor of asthma - Answer✔✔-atopy
atopy definition - Answer✔✔-genetic tendency to develop allergic disease
atopic triad (asthma triad) - Answer✔✔-- eczema
- allergic rhinitis
- asthma
Page 1/32
,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
main symptoms of asthma - Answer✔✔-- symptoms worse at night of in early AM
- prolonged expiration and diffuse wheezing
- reversibility of airflow obstruction either spontaneously or after bronchodilator tx
asthma hospitalization rates are highest in.... - Answer✔✔-- blacks
- children
allergen asthma triggers - Answer✔✔-- roaches
- dustmites
- cat dander
- seasonal pollen
what medications are asthma triggers? - Answer✔✔-- ASA
- NSAIDs
- Tartrazine dyes
catamenial asthma - Answer✔✔-in women, occurs at predictable times during menstrual cycle
exercise induced bronchoconstriction - Answer✔✔-happens during exercise or within 3 minutes
after it ends; peaks within 10-15min; resolves by 60min after
cardiac asthma - Answer✔✔-wheezing due to decompensated HF
nonspecific asthma precipitants - Answer✔✔-- exercise
Page 2/32
,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
- URI/rhinosinusitis
- postnasal drip
- GERD
- stress
- exposure to cold air
asthmatic response times - Answer✔✔-can be immediate or late response; late response occurs
4-6hr after exposure
when are asthma symptoms worse? - Answer✔✔-nighttime, 3-4am
what are asthma exacerbation breath sounds like? - Answer✔✔-episodic wheezing or high
pitched whistling during expiration; PROLONGED EXPIRATORY PHASE WITH WHEEZING
symptoms of severe asthma attack - Answer✔✔-- globally diminished breath sounds
- absent wheeze
- use of accessory muscles
what patients do not receive lung function testing? - Answer✔✔-ages 0-4, nighttime
awakenings guide treatment in these patients
mild intermittent asthma - Answer✔✔-- day symptoms: <2 days/week
- night symptoms: <2 nights/month
- FEV: >80%
Page 3/32
, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
BEGIN AT STEP 1
mild persistent asthma - Answer✔✔-- day symptoms: >2 days/week (but not daily)
- night symptoms: 3-4 nights/month
- FEV: >80%
BEGIN AT STEP 2
moderate persistent asthma - Answer✔✔-- day symptoms: daily
- night symptoms: >1 night/week (but not nightly), 5 or more times per month
- FEV: >60% <80%
BEGIN AT STEP 3
severe persistent asthma - Answer✔✔-- day symptoms: throughout the day
- night symptoms: frequent nighttime symptoms (often 7 nights per week)
- FEV: <60%
BEGIN AT STEP 3 (0-4yr), STEP 3 OR 4 (5-11yr), OR STEP 4, 5, OR 6 (12yr)
STEP 1 ASTHMA MANAGEMENT - Answer✔✔-- 0-4: SABA PRN (may add a short course of ICS at
start of RTI)
- 5-11: SABA PRN
- >12: SABA PRN
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