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What are the normal, borderline and positive results
ranges for sweat chloride parameters for cystic fibrosis? -
ANSWER-Normal: <40
Borderline: >40, <60 (do a retest)
Positive CF: >60
In a patient with known cystic fibrosis, what PFT results
would you expect to be demonstrated? - ANSWER-Airway
Obstruction
In a neonate with a meconium ileus, what test should be
,run to rule out CF? - ANSWER-pancreatic enzyme
(immunoreactive trypsinogen)
A 4 year old patient presents to the clinic with his father
who is describing a resent onset of night time barking
cough with periodic stridor and a low grade fever. What
condition do you suspect? -
ANSWER-Croup
What is the most common cause of croup? - ANSWER-
Parainfluenza
,What medication would you prescribe for a 4 year old
male with a diagnosis of croup? - ANSWER-
Dexamethasone
,What is the most common cause of bronchiolitis? -
ANSWER-RSV
What medication should be given during RSV season to
premature infants bore before 29 weeks, cyanotic
congenital heart diseases, chronic
lung disease or neuromuscular disorder patients? -
ANSWER- Palivizumab
What medications should be avoided in cases of
bronchiolitis? -ANSWER-nebulizers/racemic
epinephrine/hypertonic saline/ systemic
corticosteroids
Condition associated with reversible airway obstruction,
, inflammation,and increased bronchial hyper
responsiveness? - ANSWER-Asthma
What is the asthma "allergic march" - ANSWER-Family
history, food allergies, atopic dermatitis
What is the Step 1 medication for asthma? - ANSWER-
Inhaled SABA
What is step 2 in asthma medication? - ANSWER-Inhaled
SABA and ADD low dose Inhaled corticosteroid (ICS)
,What is step 3 in asthma medication? - ANSWER-Inhaled
SABA AND
moderate dose ICS...OR keep the low dose ICS and add