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Exam (elaborations)

Pulmonary – FM EORE (2025) | 20 High-Yield Q&As | Asthma, COPD, TB, Pneumonia

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This document provides a focused collection of 20 high-yield, exam-relevant question-and-answer sets for the Pulmonary section of the Family Medicine End of Rotation Exam (FM EORE) for 2025. Covering essential respiratory conditions, it addresses the pathophysiology, clinical presentation, diagnostics, and treatments for asthma, COPD (chronic bronchitis and emphysema), pneumonia (including bacterial and pneumocystis), tuberculosis, lung cancer types (SCLC and NSCLC), and obstructive sleep apnea. Each condition is linked with relevant pharmacologic therapies, diagnostic criteria (e.g., CURB-65, spirometry findings, CXR patterns), and microbial etiologies where applicable. Treatment guidelines are outlined using first-line therapies and clinical indicators, including use of SABAs, LABAs, corticosteroids, macrolides, fluoroquinolones, anti-TB drugs, and more. Mechanisms of action for drug classes are clearly defined, offering insight into clinical decision-making. This content is specifically designed for medical students preparing for their Family Medicine shelf exams, USMLE Step 2 CK, and clinical rotations, and is also relevant for physician assistant, nurse practitioner students, and international medical graduates. Keywords: pulmonary, FM EORE, USMLE Step 2, asthma, COPD, pneumonia, tuberculosis, pneumocystis jirovecii, lung cancer, respiratory pharmacology, obstructive sleep apnea, macrolides, corticosteroids, spirometry, CURB-65, medical student pulmonary

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Institution
Family medicine
Course
Family medicine

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Uploaded on
December 18, 2025
Number of pages
8
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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FM EORE Pulmonary 2025 Expert
Verified | Ace the Test



Asthma symptoms - 🧠 ANSWER ✔✔- *Intermittent* occurrence of cough,

chest tightness, breathlessness, and wheezing.

- Patients undergo asymptomatic periods between attacks

- Correlate with common precipitants: allergens, exercise, *URI*, stress,

NSAIDs, environmental irritants (pet dander, smoke inhalation).


Diagnosing asthma - 🧠 ANSWER ✔✔- FEV1/FVC <75%


- >10% increase in FEV1 after bronchodilator

- Histamine/methacholine challenge test decreased FEV1 >20%


Asthma meds - 🧠 ANSWER ✔✔- *SABAs* (albuterol)

, - *LABAs + corticosteroids* (Symbicort, Advair)

- *Anticholinergics* (Ipratropium/Atrovent)

- *Mast cell stabilizers* (Cromolyn)

- *Leukotriene modifiers* (Singulair)

- *Methylxanthines* (Theophylline)

- *Anti-IgE antibodies* (Xolair)


MOA or corticosteroids - 🧠 ANSWER ✔✔Inhibit cytokine-induced

production of pro-inflammatory proteins.


MOA of leukotrienes - 🧠 ANSWER ✔✔Block the activation of CysLT and

the subsequent inflammatory cascade that cause symptoms associated

with asthma & allergic rhinitis.


MOA of anti-IgE antibodies - 🧠 ANSWER ✔✔Inhibits IgE from binding to

mast cells and basophils, which causes less mediates to be released in

allergic response.


MOA of SABA/LABAs - 🧠 ANSWER ✔✔Bronchodilation


DOC for nocturnal asthma symptoms - 🧠 ANSWER ✔✔Theophylline

(Methylxanthine class)

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