ABFM KSA ASTHMA TEST PAPER ANSWERS AND
QUESTIONS SET A+
✔✔WHICH NSAID CAN BE USED INSTEAD OF ASPIRIN
IN PT WITH
ASPIRIN INDUCED ASTHMA - ✔✔SALSALATE
CAN ALSO
USE
TYLENOL
✔✔PT ADMITTED FOR ASTHMA EXACERBATION
According to National Asthma Education and Prevention Program guidelines, hospital
discharge can be considered in this patient
=
once the peak flow rate rises above a threshold
of - ✔✔>420
✔✔In patients with inadequately controlled asthma,
OPTIMAL MANAGEMENT OF WHAT OTHER
COMORBIDITIES
CAN HELP GET BETTER CONTROL OF ASTHMA - ✔✔GERD
ALLERGIC RHINITIS
OSA
ALLERGIC bronchopulmonary aspergillosis
✔✔ARE USE OF
ICS
SAFE FOR PREGNANT PTS WITH ASTHMA - ✔✔YES
, ✔✔Long-acting inhaled β-agonists are
less likely to be effective in which one of the following
ethnic groups? - ✔✔AFRICAN AMERICANS
✔✔USE OF LABA INHALERS (salmeterol etc)
HAVE HIGH RISK OF WHAT - ✔✔severe asthma exacerbations
NEVER PRESCRIBE
MONOTHERAPY OF LABA INHALERS
SHOULD ALWAYS BE USED WITH OTHER INHALERS LIKE ICS
✔✔Chronic low- to medium-dose inhaled corticosteroid use in children is associated
with - ✔✔NO LONGTERM ADVERSE AFFECT
WRONG ANS=
B) a significant reduction in bone mineral density
✔✔Symptoms suggesting that respiratory
arrest may be imminent in patients with a severe asthma exacerbatioN INCLUDE -
✔✔LACK OF WHEEZING
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 - ✔✔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
QUESTIONS SET A+
✔✔WHICH NSAID CAN BE USED INSTEAD OF ASPIRIN
IN PT WITH
ASPIRIN INDUCED ASTHMA - ✔✔SALSALATE
CAN ALSO
USE
TYLENOL
✔✔PT ADMITTED FOR ASTHMA EXACERBATION
According to National Asthma Education and Prevention Program guidelines, hospital
discharge can be considered in this patient
=
once the peak flow rate rises above a threshold
of - ✔✔>420
✔✔In patients with inadequately controlled asthma,
OPTIMAL MANAGEMENT OF WHAT OTHER
COMORBIDITIES
CAN HELP GET BETTER CONTROL OF ASTHMA - ✔✔GERD
ALLERGIC RHINITIS
OSA
ALLERGIC bronchopulmonary aspergillosis
✔✔ARE USE OF
ICS
SAFE FOR PREGNANT PTS WITH ASTHMA - ✔✔YES
, ✔✔Long-acting inhaled β-agonists are
less likely to be effective in which one of the following
ethnic groups? - ✔✔AFRICAN AMERICANS
✔✔USE OF LABA INHALERS (salmeterol etc)
HAVE HIGH RISK OF WHAT - ✔✔severe asthma exacerbations
NEVER PRESCRIBE
MONOTHERAPY OF LABA INHALERS
SHOULD ALWAYS BE USED WITH OTHER INHALERS LIKE ICS
✔✔Chronic low- to medium-dose inhaled corticosteroid use in children is associated
with - ✔✔NO LONGTERM ADVERSE AFFECT
WRONG ANS=
B) a significant reduction in bone mineral density
✔✔Symptoms suggesting that respiratory
arrest may be imminent in patients with a severe asthma exacerbatioN INCLUDE -
✔✔LACK OF WHEEZING
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 - ✔✔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