MN568 Midterm Exam Questions
And solved solutions
You are doing a cerumen extraction and touch the external
meatus of your pt's ear. He winces and starts coughing. What is
the name of this reflex? -
ANSWER>>Arnold Reflex
Sam, age 78, presents to the clinic w/respiratory symptoms. His
PFTs are as follows: normal total lung capacity, decreased PaO2,
increased PaCO2. On assessment, you auscultate course crackles
and forced expiratory wheezes. What is your dx? -
ANSWER>>Chronic Bronchitis
George has COPD and an 80% forced expiratory volume in 1
second. How would you classify the severity of his COPD? -
ANSWER>>Stage 1 mild COPD
African American pt's seems to have a negative reaction to which
of the following asthma meds? - ANSWER>>Long-term beta-
agonist bronchodilators
You are using the CURB-65 clinical prediction tool to decide
whether Mabel, whom you have diagnosed with community-
acquired pneumonia (CAP), should be hospitalized or treated at
home. Her score is 3. What should you do? -
ANSWER>>Hospitalize and consider admitting her to the ICU
,Why do you suspect that your pt may have a decreased response
to the TB test? - ANSWER>>She has been on long-term
corticosteroid therapy
Marci has been started on a TB regimen. Because isoniazid (INH)
may cause peripheral neuropathy, you consider ordering which of
the following drugs prophilactically? - ANSWER>>Pyroxidine
Jolene has breast cancer that has been staged as T1, N0, M0.
What might this mean?
A. The tumor size cannot be evaluated; the cancer has not
spread to the lymph nodes; and the distant spread cannot be
evaluated.
B. The cancer is in situ; it is spreading into the lymph nodes
but the spread cannot be evaluated otherwise.
C. The cancer is less than 3 cm in size and has not spread to
the lymph nodes or other parts of the body.
D. The cancer is about 5 cm in size; nearby lymph nodes
cannot be evaluated; and there is no evidence of distant
spreading. - ANSWER>>The cancer is less than 3cm in size and has
not spread to the lymph nodes or other parts of the body
Nathan, a 32yo policeman, has a 15-pack-year history of smoking
and continues to smoke heavily. During every visit, he gets irate
when you try to talk to him about quitting. What should you do? -
ANSWER>>Continue to ask him at every visit if he is ready to quit
Your pt has decided to try to quit smoking with Chantix. You are
discussing his quit date and he will begin taking the med
tomorrow. When should he plan to quit smoking? - ANSWER>>His
quit date should be in 1 week
,Which info should be included when you are teaching your pt
about the use of nicotine gum? - ANSWER>>The gum must be
correctly chewed to a softened state and then placed in the
buccal mucosa
Cydney presents with a h/o asthma. She has not been treated for
a while. She c/o daily but not continual symptoms, greater than 1
week and at nighttime. She has been using her rescue inhaler. Her
FEV1 is 60-80% predicted. How would you classify her asthma
severity? - ANSWER>>Moderate persistent
Joyce is taking a long-acting beta agonist for her asthma. What
additional med should she be taking? - ANSWER>>Inhaled
corticosteroid
Your pt is on theophylline (Therabid) for his asthma. You want to
maintain his serum levels between: - ANSWER>>5-15mcg/mL
Which of the following statements regarding TST is true? -
ANSWER>>The size of the TST reaction has nothing to do with
erythema but is based solely on induration
Which obstructive lung disease is classified as reversible? -
ANSWER>>asthma
You have taught Jennifer, age 15, about using a flow meter to
assess how to manage her asthma exacerbations. She calls you
today because her peak expiratory flow rate is 65%. What would
you tell her? - ANSWER>>Use your rescue inhaler, begin the Rx of
PO glucocorticoids you have, and call back tomorrow."
, Which statement about adenocarcinoma of the lung is accurate? -
ANSWER>>It is the most prevalent carcinoma of the lungs in both
sexes and in nonsmokers, representing 35-40% of all tumors
Jason, age 62, has obstructive sleep apnea. What do you think is
one of his contributing factors? - ANSWER>>His collar size is 17in
The forced vital capacity is
decreased in: a. Asthma
b. Chronic bronchitis
c. Emphysema
d. Restrictive disease - ANSWER>>restrictive disease
The most common cause of CAP is: - ANSWER>>Streptococcus
pneumoniae Which of the following pt's would you expect to
have a decreased response to TST? - ANSWER>>Sandy, a 40yo pt
who recently survived a fire that left 40% of her total body surface
covered in burns
Which of the following is a possible consequence of sleep apnea?
a. Asthma
b. Increased WBC
c. Insulin resistance
d. Hyperactivity - ANSWER>>insulin resistance
Which of the following conditions is associated with cigarette
smoking?
And solved solutions
You are doing a cerumen extraction and touch the external
meatus of your pt's ear. He winces and starts coughing. What is
the name of this reflex? -
ANSWER>>Arnold Reflex
Sam, age 78, presents to the clinic w/respiratory symptoms. His
PFTs are as follows: normal total lung capacity, decreased PaO2,
increased PaCO2. On assessment, you auscultate course crackles
and forced expiratory wheezes. What is your dx? -
ANSWER>>Chronic Bronchitis
George has COPD and an 80% forced expiratory volume in 1
second. How would you classify the severity of his COPD? -
ANSWER>>Stage 1 mild COPD
African American pt's seems to have a negative reaction to which
of the following asthma meds? - ANSWER>>Long-term beta-
agonist bronchodilators
You are using the CURB-65 clinical prediction tool to decide
whether Mabel, whom you have diagnosed with community-
acquired pneumonia (CAP), should be hospitalized or treated at
home. Her score is 3. What should you do? -
ANSWER>>Hospitalize and consider admitting her to the ICU
,Why do you suspect that your pt may have a decreased response
to the TB test? - ANSWER>>She has been on long-term
corticosteroid therapy
Marci has been started on a TB regimen. Because isoniazid (INH)
may cause peripheral neuropathy, you consider ordering which of
the following drugs prophilactically? - ANSWER>>Pyroxidine
Jolene has breast cancer that has been staged as T1, N0, M0.
What might this mean?
A. The tumor size cannot be evaluated; the cancer has not
spread to the lymph nodes; and the distant spread cannot be
evaluated.
B. The cancer is in situ; it is spreading into the lymph nodes
but the spread cannot be evaluated otherwise.
C. The cancer is less than 3 cm in size and has not spread to
the lymph nodes or other parts of the body.
D. The cancer is about 5 cm in size; nearby lymph nodes
cannot be evaluated; and there is no evidence of distant
spreading. - ANSWER>>The cancer is less than 3cm in size and has
not spread to the lymph nodes or other parts of the body
Nathan, a 32yo policeman, has a 15-pack-year history of smoking
and continues to smoke heavily. During every visit, he gets irate
when you try to talk to him about quitting. What should you do? -
ANSWER>>Continue to ask him at every visit if he is ready to quit
Your pt has decided to try to quit smoking with Chantix. You are
discussing his quit date and he will begin taking the med
tomorrow. When should he plan to quit smoking? - ANSWER>>His
quit date should be in 1 week
,Which info should be included when you are teaching your pt
about the use of nicotine gum? - ANSWER>>The gum must be
correctly chewed to a softened state and then placed in the
buccal mucosa
Cydney presents with a h/o asthma. She has not been treated for
a while. She c/o daily but not continual symptoms, greater than 1
week and at nighttime. She has been using her rescue inhaler. Her
FEV1 is 60-80% predicted. How would you classify her asthma
severity? - ANSWER>>Moderate persistent
Joyce is taking a long-acting beta agonist for her asthma. What
additional med should she be taking? - ANSWER>>Inhaled
corticosteroid
Your pt is on theophylline (Therabid) for his asthma. You want to
maintain his serum levels between: - ANSWER>>5-15mcg/mL
Which of the following statements regarding TST is true? -
ANSWER>>The size of the TST reaction has nothing to do with
erythema but is based solely on induration
Which obstructive lung disease is classified as reversible? -
ANSWER>>asthma
You have taught Jennifer, age 15, about using a flow meter to
assess how to manage her asthma exacerbations. She calls you
today because her peak expiratory flow rate is 65%. What would
you tell her? - ANSWER>>Use your rescue inhaler, begin the Rx of
PO glucocorticoids you have, and call back tomorrow."
, Which statement about adenocarcinoma of the lung is accurate? -
ANSWER>>It is the most prevalent carcinoma of the lungs in both
sexes and in nonsmokers, representing 35-40% of all tumors
Jason, age 62, has obstructive sleep apnea. What do you think is
one of his contributing factors? - ANSWER>>His collar size is 17in
The forced vital capacity is
decreased in: a. Asthma
b. Chronic bronchitis
c. Emphysema
d. Restrictive disease - ANSWER>>restrictive disease
The most common cause of CAP is: - ANSWER>>Streptococcus
pneumoniae Which of the following pt's would you expect to
have a decreased response to TST? - ANSWER>>Sandy, a 40yo pt
who recently survived a fire that left 40% of her total body surface
covered in burns
Which of the following is a possible consequence of sleep apnea?
a. Asthma
b. Increased WBC
c. Insulin resistance
d. Hyperactivity - ANSWER>>insulin resistance
Which of the following conditions is associated with cigarette
smoking?
