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Exam (elaborations)

Nurbn2023 (Actual 2025/2026) Questions With 100% Verified Answers

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NURBN2023 (ACTUAL 2025/2026) QUESTIONS WITH 100% VERIFIED ANSWERS

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NURBN2023 (ACTUAL 2025/2026) QUESTIONS WITH
100% VERIFIED ANSWERS
define asthma - (answers)chronic inflammatory disorder of the airways



4 risk factors for asthma - (answers)family history

allergen exposure

living in urban areas

exposure to air pollution



two triggers for asthma - (answers)Respiratory infection

Pollution



discuss how spirometry testing is used in the diagnosis of asthma - (answers)It
measures the amount of air you're able to breathe in and out and its rate of flow



describe the three major features of asthmatic airways - (answers)Obstruction.
Inflammation.

Hyper-responsiveness.



describe early and late stage asthma response - (answers)early phase reaction is
when the individual is expose to allergens and produces IgE antibodies and over-
expression of Th2 T-cells response. Then the antiobodies bind to mast cells and
the exposure to the same allergens and leading to smooth muscle contraction.

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Therefore in late phase, the mediators released during the early phase reaction
lead to recruitment of innate and adaptive inflammatory cells and then more lead
to smooth muscle contraction



three clinical manifestations of asthma - (answers)recurrent episodes of
wheezing, chest tightness, & shortness of breath



relate clinical manifestations of asthma to pathological changes in the airway -
(answers)airway muscle: the thin layer of muscle within the wall of an airway can
contract and narrow



inflammation: the inside walls of the airways are often swollen and inflamed
leaving less space



mucus: mucus production is normally a protective response by in severe asthma it
is excessive and block the inside of the airway



fibrosis: on going inflammation in the airway can lead to tissue remodelling and
results in thickened airway walls & increased smooth musclev



short and long acting β2-receptor receptor agonists - (answers)



name a long acting beta 2 agonist - (answers)-relaxes the smooth muscle of
bronchioles

-can relieve bronchospams

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Formoterol - (answers)-long acting B2 receptor agonist

-used for asthma and COPD



interactions

-drugs that weaken immune system

-seizure medication

-other steroid meds



adverse effects:

-muscle pains

-blurred vison



pt ed

-use at the same time everyday

-use ad



salbutamol - (answers)a medication that opens up the medium and large airways
in the lungs



drug interactions

- beta blockers

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- salbutamol can cause heart complications



adverse effects:

- fast, slow or uneven heartbeat

-headache



pt ed:

-only use your salbutamol inhaler when you need it

-how to use it



tiotropium - (answers)Short-acting muscarinic antagonist

-inhaled once a day



-is used to treat lung diseases such as asthma and COPD



adverse effect

-muscle pain

-constipation



define copd - (answers)COPD (Chronic obstructive pulmonary disease) umbrella
term for a collection of diseases including chronic bronchitis, emphysema, and
asthma.

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