A chronic cough lasts longer than:
A. 3 weeks
B. 8 weeks
C. 6 months
D. 1 year - Answers B. 8 weeks
You are doing a cerumen extraction and touch the external meatus of your patient's ear. He
winces and starts coughing. What is the name of this reflex?
A. Baker phenomenon
B. Arnold reflex
C. Cough reflex
D. Tragus reflex - Answers B. Arnold reflex
Based on these patients' histories, which of the following should receive fungal serology testing
for their chronic cough?
A. A patient with a history of sickle cell disease
B. A patient with a history of multiple sclerosis
C. A patient with a history of celiac disease
D. A patient with a history of AIDS - Answers D. A patient with a history of AIDS
Which of these patients should be given a decongestant?
A. Gerta, a 41-year-old female with GERD
B. Christine, a 15-year-old female with pneumonia
C. Dan, a 60-year-old male with allergic rhinitis
,D. Andy, a 26-year-old with cystic fibrosis - Answers C. Dan, a 60-year-old male with allergic
rhinitis
Which of the following herbal supplements should be used cautiously in a patient with
hypertension?
A. Licorice
B. Horehound
C. Peppermint
D. Jasmine - Answers A. Licorice
A patient with hypertension comes in and insists that one of his new medications is causing
him to cough. When looking at his list of medications, you think the cough must be from:
A. Metoprolol
B. Clopidogrel
C. Tadalafil
D. Captopril - Answers D. Captopril
Lisa is a 25-year-old Hispanic female experiencing chest tightness, a feeling of suffocation, and
feels like she "can't get air in." She has no current history of heart or lung disease and did not
exercise leading up to this attack. Which of the following is the most likely cause for this
dyspnea?
A. Severe chronic anemia
B. Congestive heart failure
C. Anxiety-related dyspnea
D. Chronic obstructive pulmonary disease (COPD) - Answers C. Anxiety-related dyspnea
Which of the following scales is useful to assess the degree of dyspnea with a score of 6 to 20?
A. Borg scale
, B. Patient Health Questionnaire-9 scale
C. Visual analog scale
D. Global assessment of functioning scale - Answers A. Borg scale
Annie is a 30-year-old African American woman that complains of "coughing up blood." What is
a likely cause of her condition?
A. Bronchogenic carcinoma
B. Pulmonary embolus with infarction
C. Mitral stenosis
D. Bronchitis - Answers C. Mitral stenosis
African American patients seem to have a negative reaction to which of the following asthma
medications?
A. Inhaled corticosteroids
B. Long-term beta-agonist bronchodilators
C. Leukotriene-receptor agonists
D. Oral corticosteroids - Answers B. Long-term beta-agonist bronchodilators
Sam, age 78, presents to the clinic with respiratory symptoms. His pulmonary function tests are
as follows: a normal total lung capacity, a decreased PaO2, and an increased PaCO2. On
assessment, you auscultate coarse crackles and forced expiratory wheezes. What is your
diagnosis?
A. Asthma
B. Emphysema
C. Chronic bronchitis
D. Influenza - Answers C. Chronic bronchitis
You are using the CURB-65 clinical prediction tool to decide whether Latisha, whom you have
diagnosed with community-acquired pneumonia (CAP), should be hospitalized or treated at