NUR 524 EXAM 1 NEWEST 2024 ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS
What is the treatment for intermittent asthma (step 1)? - (answer) PRN SABA (albuterol and other -
buterols)
What are the treatments for mild persistent asthma (step 2)? - (answer) Low dose ICS (fluticasone,
budesonide)+ SABA (PRN)
True or False: Peak Flow Meters are as accurate as Spirometry - (answer) False - PFMs are used at home
for monitoring, spirometry is used for asthma diagnosis in office.
What are the clinical findings in an exam for an asthma flare? - (answer) Percussion Hyperresonance
Decreased tac fremitus
Low diaphragm
Increased AP ratio (barreling)
What is the normal FEV1 of a patient in between 40-59? What % of a normal FEV1 would be considered
intermittent asthma for this patient? - (answer) 75%.
Greater than 80% of expected
What is the normal FEV1 of a patient in between 8-19? What % of a normal FEV1 would be considered
mild persistent asthma for this patient? - (answer) 85%
Greater than or equal to 80% of expected
What is the normal FEV1 of a patient in between 20-39? What % of a normal FEV1 would be considered
moderate persistent asthma for this patient? - (answer) 80%
In between 60 and 80% of expected
What is the normal FEV1 of a patient in between 60-80? What % of a normal FEV1 would be considered
severe persistent asthma for this patient? - (answer) 70%
Less than 60% of expected
, NUR 524 EXAM 1 NEWEST 2024 ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS
When are systemic steroids warranted for treatment of asthma? What is the regimen? - (answer) In
moderate to severe exacerbations and when there is partial response to SABA therapy. Typically 5-10day
dose without taper.
What is an example of a LABA? What type of asthma is it used to treat? - (answer) Salmeterol
Moderate to Severe persistent asthma (steps 3-6)
What spirometry measurements confirm airflow obstruction when diagnosing COPD? Once diagnosed,
how is the grade of severity of COPD determined? - (answer) FEV1/FVC ratio of less than 70%
FEV1 deviation from expected percentage.
What are the goals of COPD treatment? - (answer) Relieve symptoms and reduce risk of future adverse
health events (incl of exacerbations)
What medication type is recommended at all levels of treatment of COPD? - (answer) SABA like
albuterol
What is the primary culprit in a COPD exacerbation caused by a respiratory tract infection? - (answer)
Viruses
When do you need a chest film for a COPD exacerbation? - (answer) When trying to rule out a
concomitant pneumonia
What is a key difference between the treatment steps for asthma and COPD? - (answer) Earlier
utilization of LAMAs like tiotropium in COPD
What is the first line treatment for severe COPD? - (answer) high dose ICS (fluticasone)+
LABA(salmeterol) + LAMA (tiotropium)
In a patient who has had the BCG vax for TB, when should you consider a TB skin test positive? -
(answer) 10mm or more of induration
ANSWERS
What is the treatment for intermittent asthma (step 1)? - (answer) PRN SABA (albuterol and other -
buterols)
What are the treatments for mild persistent asthma (step 2)? - (answer) Low dose ICS (fluticasone,
budesonide)+ SABA (PRN)
True or False: Peak Flow Meters are as accurate as Spirometry - (answer) False - PFMs are used at home
for monitoring, spirometry is used for asthma diagnosis in office.
What are the clinical findings in an exam for an asthma flare? - (answer) Percussion Hyperresonance
Decreased tac fremitus
Low diaphragm
Increased AP ratio (barreling)
What is the normal FEV1 of a patient in between 40-59? What % of a normal FEV1 would be considered
intermittent asthma for this patient? - (answer) 75%.
Greater than 80% of expected
What is the normal FEV1 of a patient in between 8-19? What % of a normal FEV1 would be considered
mild persistent asthma for this patient? - (answer) 85%
Greater than or equal to 80% of expected
What is the normal FEV1 of a patient in between 20-39? What % of a normal FEV1 would be considered
moderate persistent asthma for this patient? - (answer) 80%
In between 60 and 80% of expected
What is the normal FEV1 of a patient in between 60-80? What % of a normal FEV1 would be considered
severe persistent asthma for this patient? - (answer) 70%
Less than 60% of expected
, NUR 524 EXAM 1 NEWEST 2024 ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS
When are systemic steroids warranted for treatment of asthma? What is the regimen? - (answer) In
moderate to severe exacerbations and when there is partial response to SABA therapy. Typically 5-10day
dose without taper.
What is an example of a LABA? What type of asthma is it used to treat? - (answer) Salmeterol
Moderate to Severe persistent asthma (steps 3-6)
What spirometry measurements confirm airflow obstruction when diagnosing COPD? Once diagnosed,
how is the grade of severity of COPD determined? - (answer) FEV1/FVC ratio of less than 70%
FEV1 deviation from expected percentage.
What are the goals of COPD treatment? - (answer) Relieve symptoms and reduce risk of future adverse
health events (incl of exacerbations)
What medication type is recommended at all levels of treatment of COPD? - (answer) SABA like
albuterol
What is the primary culprit in a COPD exacerbation caused by a respiratory tract infection? - (answer)
Viruses
When do you need a chest film for a COPD exacerbation? - (answer) When trying to rule out a
concomitant pneumonia
What is a key difference between the treatment steps for asthma and COPD? - (answer) Earlier
utilization of LAMAs like tiotropium in COPD
What is the first line treatment for severe COPD? - (answer) high dose ICS (fluticasone)+
LABA(salmeterol) + LAMA (tiotropium)
In a patient who has had the BCG vax for TB, when should you consider a TB skin test positive? -
(answer) 10mm or more of induration
