CMN 568 Unit 3 Test Questions With Verified Correct Answers

CMN 568 Unit 3 Test Questions With Verified Correct Answers In children younger than 5 years of age, what is the most likely cause of recurrent wheezing? - ANSWER asthma What are clues from the medical history that may facilitate a diagnosis of asthma? - ANSWER family history, age at onset, pattern of wheezing, seasonal exacerbation, and sudden onset What diagnostic tool is indicated in children with recurrent wheezing, or a single episode of unexplained wheezing, that does not respond to bronchodilators? - ANSWER Chest X-ray When asthma is suspected from history or physical examination findings, what should be ordered? - ANSWER pulmonary function tests What may help distinguish asthma from other common causes of wheezing? - ANSWER Response to bronchodilators Wheezing that is associated with feeding, cough after eating, and vomiting may indicate what? - ANSWER GERD When wheezing is associated with positional changes, there may be what? - ANSWER tracheomalacia or anomalies of the great vessels What are the hallmarks of asthma? - ANSWER episodic pattern of wheezing and positive response to bronchodilators, dyspnea, chest tightness, and cough When wheezing is exacerbated by neck flexion and relieved by neck hyperextension, the presumptive diagnosis is what? - ANSWER vascular ring What may be the cause of wheezing when the child has a history of multiple respiratory tract illnesses and a failure to thrive? - ANSWER Cystic fibrosis or immunodeficiency What does a seasonal pattern of wheezing suggest? - ANSWER [RSV] as the most common cause), croup, or allergies, especially when associated with nasal flaring or intercostal retractions If the physical exam or history suggests asthma at what age is spirometry indicated? - ANSWER 5 and older What is a significant cause of wheezing in children and is most likely to occur from November to May? - ANSWER RSV What cause of wheezing tends to be more common in Spring and Fall? - ANSWER outdoor allergens Sudden onset of wheezing suggests what? - ANSWER foreign body aspiration What 3 things are used in a bronchial challenge test to diagnose asthma when the diagnosis is uncertain? - ANSWER methacholine, cold air, and exercise How can a response to bronchodilator treatment be assessed in the clinician's office? - ANSWER Using peak flow testing What can help guide the diagnosis in a patient with wheezing? (4) - ANSWER age, pattern, seasonality, and associated symptoms In conducting a workup for wheezing, what tests should be considered? - ANSWER chest radiography, pulmonary function tests, sweat chloride tests, culture for infection, pH monitoring for GERD, CT, MRI, and bronchoscopy A diagnosis of what should be considered for anyone with dyspnea, chronic cough or sputum production, and exposure to cigarette smoking?