NBRC Review (CSE) UPDATED ACTUAL Questions and
CORRECT Answers
Pathology of COPD Definition: Weaken enlarge air spaces often along with an increase in globet cells
and mucus gland
Definition:
General appearance: General appearance: Barrel chest/Clubbing of fingers/cyanosis/ use of accessory
Diagnostic testing: muscles / expiratory wheeze only
All possible Treatments:
Diagnostic testing:
-CXR (Hyperinflation/Increased A-P)
-PFT decrease (FEV1,FEF,FEV1/FVC)
-ABG
Treatment:
-Low o2 (88-92%)
-Bronchodilators (SABA/LABA/Anticholinergic/LAMA)
-BHT (if needed)
-Inhaled corticosteroids
-NPPV for Acute exacerbation of ventilatory failure
-Rehabilitation (if smoker)
When it comes to educational program for family and 1.Nutritional management
close friends of patients with COPD, What are 6 key 2.Recognize trigger signs
points we like to discuss? 3. Exercise program
4. Methods to help clear secretion
5. Home oxygen and aerosol therapy
6. Medication/how to use
, Pathology of Asthma Describe:
chronic inflammatory/obstructive disease known for exacerbations of wheezing
Describe: and coughing
General appearance:
Diagnostic testing: General appearance:
Treatment: acute -Pursed lips breathing
-Prolong exhalation
-chest tightness
-use of accessory muscles
-Increase A-P during episode
Diagnostic testing:
-A reduced Spirometry peak flow
-Post-bronchodilator spirometry
(Significant response if increase by 12% or 200 ml post bronchodilator)
- Bronchial provocative test (with Methacholine)
(a significant decrease in FEV1 confirm asthma)
Treatment: (Acute)
-Oxygen therapy
-Bronchodilator (DuoNeb)
-Corticosteroids (Oral or IV)
When it comes to the Long-term control of asthma, what Treatment: (Long-term control)
is the plan? -Eliminate/minimize triggers
Medications:
-LABA
-Inhale corticosteroid
-mast cell stabilizers
-Leukotriene inhibitors
What are the 4 possible adjunct therapy we can use as -Adjunct possible therapies:
treatment when it comes to Asthma? *Heliox therapy
*Magnesium sulfate (relax bronchial muscles)
*Subcutaneous epinephrine
CORRECT Answers
Pathology of COPD Definition: Weaken enlarge air spaces often along with an increase in globet cells
and mucus gland
Definition:
General appearance: General appearance: Barrel chest/Clubbing of fingers/cyanosis/ use of accessory
Diagnostic testing: muscles / expiratory wheeze only
All possible Treatments:
Diagnostic testing:
-CXR (Hyperinflation/Increased A-P)
-PFT decrease (FEV1,FEF,FEV1/FVC)
-ABG
Treatment:
-Low o2 (88-92%)
-Bronchodilators (SABA/LABA/Anticholinergic/LAMA)
-BHT (if needed)
-Inhaled corticosteroids
-NPPV for Acute exacerbation of ventilatory failure
-Rehabilitation (if smoker)
When it comes to educational program for family and 1.Nutritional management
close friends of patients with COPD, What are 6 key 2.Recognize trigger signs
points we like to discuss? 3. Exercise program
4. Methods to help clear secretion
5. Home oxygen and aerosol therapy
6. Medication/how to use
, Pathology of Asthma Describe:
chronic inflammatory/obstructive disease known for exacerbations of wheezing
Describe: and coughing
General appearance:
Diagnostic testing: General appearance:
Treatment: acute -Pursed lips breathing
-Prolong exhalation
-chest tightness
-use of accessory muscles
-Increase A-P during episode
Diagnostic testing:
-A reduced Spirometry peak flow
-Post-bronchodilator spirometry
(Significant response if increase by 12% or 200 ml post bronchodilator)
- Bronchial provocative test (with Methacholine)
(a significant decrease in FEV1 confirm asthma)
Treatment: (Acute)
-Oxygen therapy
-Bronchodilator (DuoNeb)
-Corticosteroids (Oral or IV)
When it comes to the Long-term control of asthma, what Treatment: (Long-term control)
is the plan? -Eliminate/minimize triggers
Medications:
-LABA
-Inhale corticosteroid
-mast cell stabilizers
-Leukotriene inhibitors
What are the 4 possible adjunct therapy we can use as -Adjunct possible therapies:
treatment when it comes to Asthma? *Heliox therapy
*Magnesium sulfate (relax bronchial muscles)
*Subcutaneous epinephrine
