CMN 568 Unit 3 Exam Questions and Answers Latest Update 2025 Already Passed
In children younger than 5 years of age, what is the most likely cause of recurrent wheezing? - Answers
asthma
What are clues from the medical history that may facilitate a diagnosis of asthma? - Answers family
history, age at onset, pattern of wheezing, seasonal exacerbation, and sudden onset
What diagnostic tool is indicated in children with recurrent wheezing, or a single episode of unexplained
wheezing, that does not respond to bronchodilators? - Answers Chest X-ray
When asthma is suspected from history or physical examination findings, what should be ordered? -
Answers pulmonary function tests
What may help distinguish asthma from other common causes of wheezing? - Answers Response to
bronchodilators
Wheezing that is associated with
feeding, cough after eating, and vomiting may indicate what? - Answers GERD
When wheezing is associated with positional changes, there may be what? - Answers tracheomalacia or
anomalies of the great vessels
What are the hallmarks of asthma? - Answers episodic pattern of wheezing and positive response to
bronchodilators, dyspnea, chest tightness, and cough
When wheezing is exacerbated by neck flexion and relieved by neck hyperextension, the presumptive
diagnosis is what? - Answers vascular ring
What may be the cause of wheezing when the child has a history of multiple respiratory tract illnesses
and a
failure to thrive? - Answers Cystic fibrosis or immunodeficiency
What does a seasonal pattern of wheezing suggest? - Answers [RSV] as the most common cause), croup,
or allergies,
especially when associated with nasal flaring or intercostal retractions
If the physical exam or history suggests asthma at what age is spirometry indicated? - Answers 5 and
older
What is a significant cause of wheezing in children and is most likely to occur from November to May? -
Answers RSV
What cause of wheezing tends to be more common in Spring and Fall? - Answers outdoor allergens
, Sudden onset of wheezing suggests what? - Answers foreign body aspiration
What 3 things are used in a bronchial challenge test to diagnose asthma when the diagnosis is
uncertain? - Answers methacholine, cold air, and exercise
How can a response to bronchodilator treatment be assessed in the clinician's office? - Answers Using
peak flow testing
What can help guide the diagnosis in a patient with wheezing? (4) - Answers age, pattern, seasonality,
and associated symptoms
In conducting a workup for wheezing, what tests should be considered? - Answers chest radiography,
pulmonary function tests, sweat
chloride tests, culture for infection, pH monitoring for GERD, CT, MRI, and bronchoscopy
A diagnosis of what should be considered for anyone with dyspnea, chronic cough or sputum
production, and exposure to cigarette smoking? - Answers COPD
What diagnosic test is required to establish a diagnosis of COPD? - Answers spirometry
What are the key indicators for considering a diagnosis of COPD? - Answers dyspnea (progressive,
persistent, worsens with exercise), chronic cough, chronic sputum production, hx. of exposure to
cigarette smoke
What FEV/FVC confirms the presence of persistent airflow limitation and thus COPD? - Answers <0.70
What validated questionnaires are recommended for a comprehensive assessment of symptoms
associated with COPD? - Answers COPD assessment test (CAT) and Clinical COPD questionnaire (CCQ)
What scale provides only an assessment of breathlessness? - Answers British Medical Research Council
(mMRC) scale
An exacerbation of COPD is defined as an acute event characterized by a worsening of what? - Answers
patient's respiratory symptoms that is beyond normal day-to-day variations and leads to a change in
medication
What is considered frequent exacerbations of COPD? - Answers 2 or more per year
What is the best predictor of having frequent exacerbations of COPD? - Answers a hx. of previous
treated events
What type of formulation of bronchodilators Is preferred in the treatment and management of COPD? -
Answers long acting
In children younger than 5 years of age, what is the most likely cause of recurrent wheezing? - Answers
asthma
What are clues from the medical history that may facilitate a diagnosis of asthma? - Answers family
history, age at onset, pattern of wheezing, seasonal exacerbation, and sudden onset
What diagnostic tool is indicated in children with recurrent wheezing, or a single episode of unexplained
wheezing, that does not respond to bronchodilators? - Answers Chest X-ray
When asthma is suspected from history or physical examination findings, what should be ordered? -
Answers pulmonary function tests
What may help distinguish asthma from other common causes of wheezing? - Answers Response to
bronchodilators
Wheezing that is associated with
feeding, cough after eating, and vomiting may indicate what? - Answers GERD
When wheezing is associated with positional changes, there may be what? - Answers tracheomalacia or
anomalies of the great vessels
What are the hallmarks of asthma? - Answers episodic pattern of wheezing and positive response to
bronchodilators, dyspnea, chest tightness, and cough
When wheezing is exacerbated by neck flexion and relieved by neck hyperextension, the presumptive
diagnosis is what? - Answers vascular ring
What may be the cause of wheezing when the child has a history of multiple respiratory tract illnesses
and a
failure to thrive? - Answers Cystic fibrosis or immunodeficiency
What does a seasonal pattern of wheezing suggest? - Answers [RSV] as the most common cause), croup,
or allergies,
especially when associated with nasal flaring or intercostal retractions
If the physical exam or history suggests asthma at what age is spirometry indicated? - Answers 5 and
older
What is a significant cause of wheezing in children and is most likely to occur from November to May? -
Answers RSV
What cause of wheezing tends to be more common in Spring and Fall? - Answers outdoor allergens
, Sudden onset of wheezing suggests what? - Answers foreign body aspiration
What 3 things are used in a bronchial challenge test to diagnose asthma when the diagnosis is
uncertain? - Answers methacholine, cold air, and exercise
How can a response to bronchodilator treatment be assessed in the clinician's office? - Answers Using
peak flow testing
What can help guide the diagnosis in a patient with wheezing? (4) - Answers age, pattern, seasonality,
and associated symptoms
In conducting a workup for wheezing, what tests should be considered? - Answers chest radiography,
pulmonary function tests, sweat
chloride tests, culture for infection, pH monitoring for GERD, CT, MRI, and bronchoscopy
A diagnosis of what should be considered for anyone with dyspnea, chronic cough or sputum
production, and exposure to cigarette smoking? - Answers COPD
What diagnosic test is required to establish a diagnosis of COPD? - Answers spirometry
What are the key indicators for considering a diagnosis of COPD? - Answers dyspnea (progressive,
persistent, worsens with exercise), chronic cough, chronic sputum production, hx. of exposure to
cigarette smoke
What FEV/FVC confirms the presence of persistent airflow limitation and thus COPD? - Answers <0.70
What validated questionnaires are recommended for a comprehensive assessment of symptoms
associated with COPD? - Answers COPD assessment test (CAT) and Clinical COPD questionnaire (CCQ)
What scale provides only an assessment of breathlessness? - Answers British Medical Research Council
(mMRC) scale
An exacerbation of COPD is defined as an acute event characterized by a worsening of what? - Answers
patient's respiratory symptoms that is beyond normal day-to-day variations and leads to a change in
medication
What is considered frequent exacerbations of COPD? - Answers 2 or more per year
What is the best predictor of having frequent exacerbations of COPD? - Answers a hx. of previous
treated events
What type of formulation of bronchodilators Is preferred in the treatment and management of COPD? -
Answers long acting
