ABFM KSA ASTHMA Questions And Answers
Verified 100% Correct
BRADYCARDIA
LOSS OF pulsus paradoxus due to respiratory muscle fatigue.
PT HAS
STAGE 1= MILD INTERMITTENT ASTHMA
NO NIGHT TIME SX
USES ALBUTEROL 1X/WEEK ONLY
BUT HAS HISTORY OF
ASTHMA EXACERBATIONS OVER PAST YR THAT WERE TX AT
URGENT CARE
WHAT INHALERS SHOULD THIS PT BE ON - ANSWER -ALTHOUGH PT
HAS
STAGE 1= MILD INTERMITTENT ASTHMA
--WHICH USUALLY IS JUST SABA FOR TX
BUT DUE TO MULTIPLE EXACERBATIONS OF ASTHMA,
TX THIS AS
STAGE 2- mild persistent asthma
=
SABA
+
ICS
WHAT SHOULD be considered in patients with
severe asthma
=
refractory to treatment - ANSWER -allergic bronchopulmonary aspergillosis
Diagnostic criteria =
serum IgG to Aspergillus
, associated with central bronchiectasis on high-resolution chest CT
Omalizumab=antibody directed against circulating IgE.
IS USED TO TX WHAT - ANSWER -IgE-mediated allergy
=
TRIGGER FOR ASTHMA
PT WITH COPD OR ASTHMA
WHICH CARDIAC STRESS TEST SHOULD BE AVOIDED IN THESE PTS -
ANSWER -Adenosine OR Dipyridamole=can cause severe bronchospasm
STRESS TEST
WRONG ANS
=
DOBUTAMINE ECHO, EXERCISE STRESS TEST
most common side effect of
β2
-agonists IHALERS - ANSWER -TREMORS
OTHER S.E. :
TACHYCARDIA
WHICH ELECTROLYTE ABNORMALITY CAN BE CAUSE BY
B2 AGONIST INHALERS - ANSWER -HYPO-K-ALEMIA- pushes K into cells
how do B2 AGONIST INHALERS AFTER
BLOOD SUGAR LEVELS - ANSWER -CAN CAUSE
HYPER-GLYCEMIA
PT WITH
H/O ocular herpes simplex
WHICH ASTHMA MED SHOULD BE AVOIDED IN THIS PT
WHICH ASTHMA MED SHOULD BE GIVE - ANSWER -AVOID= ICS= IF
HISTORY OF ocular herpes simplex
Verified 100% Correct
BRADYCARDIA
LOSS OF pulsus paradoxus due to respiratory muscle fatigue.
PT HAS
STAGE 1= MILD INTERMITTENT ASTHMA
NO NIGHT TIME SX
USES ALBUTEROL 1X/WEEK ONLY
BUT HAS HISTORY OF
ASTHMA EXACERBATIONS OVER PAST YR THAT WERE TX AT
URGENT CARE
WHAT INHALERS SHOULD THIS PT BE ON - ANSWER -ALTHOUGH PT
HAS
STAGE 1= MILD INTERMITTENT ASTHMA
--WHICH USUALLY IS JUST SABA FOR TX
BUT DUE TO MULTIPLE EXACERBATIONS OF ASTHMA,
TX THIS AS
STAGE 2- mild persistent asthma
=
SABA
+
ICS
WHAT SHOULD be considered in patients with
severe asthma
=
refractory to treatment - ANSWER -allergic bronchopulmonary aspergillosis
Diagnostic criteria =
serum IgG to Aspergillus
, associated with central bronchiectasis on high-resolution chest CT
Omalizumab=antibody directed against circulating IgE.
IS USED TO TX WHAT - ANSWER -IgE-mediated allergy
=
TRIGGER FOR ASTHMA
PT WITH COPD OR ASTHMA
WHICH CARDIAC STRESS TEST SHOULD BE AVOIDED IN THESE PTS -
ANSWER -Adenosine OR Dipyridamole=can cause severe bronchospasm
STRESS TEST
WRONG ANS
=
DOBUTAMINE ECHO, EXERCISE STRESS TEST
most common side effect of
β2
-agonists IHALERS - ANSWER -TREMORS
OTHER S.E. :
TACHYCARDIA
WHICH ELECTROLYTE ABNORMALITY CAN BE CAUSE BY
B2 AGONIST INHALERS - ANSWER -HYPO-K-ALEMIA- pushes K into cells
how do B2 AGONIST INHALERS AFTER
BLOOD SUGAR LEVELS - ANSWER -CAN CAUSE
HYPER-GLYCEMIA
PT WITH
H/O ocular herpes simplex
WHICH ASTHMA MED SHOULD BE AVOIDED IN THIS PT
WHICH ASTHMA MED SHOULD BE GIVE - ANSWER -AVOID= ICS= IF
HISTORY OF ocular herpes simplex
