CMN 568 -Unit 3 Combo Exam with 100% Correct Answers | Latest Update 2024

CMN 568 -Unit 3 Combo Exam with 100% Correct Answers | Latest Update 2024 For moderate persistant asthma, symptoms occur - Answer ️️ -Daily For moderate persistant asthma, SABA use is - Answer ️️ -Daily For moderate persistant asthma, nighttime awakenings ages 0-4 - Answer ️️ -3-4 times/month For moderate persistant asthma, nighttime awakenings for >5 - Answer ️️ -> once a week, not nightly For moderate persistant asthma, interference with normal activity - Answer ️️ -Some For moderate persistant asthma, Lung function FEV1 or PEF (personal best), >12 - Answer ️️ -60-80& For moderate persistant asthma, FEV1/FVC, ages 5-11 - Answer ️️ -75-80% For moderate persistant asthma, FEV1/FVC ages over 12 - Answer ️️ -less than 5% For moderate persistant asthma, exacerbations requiring oral corticosteroids, ages 0-4 - Answer ️️ - >=2times/6 months or >= 4 wheezing episodes in a year that last longer than a day AND risk factors for persistent asthma. For moderate persistant asthma, exacerbations requiring oral corticosteroids, >= 5 years - Answer ️️ - >= 2 times/year of exacerbations For moderate persistant asthma, exacerbations, recommended step for starting treatment - Answer ️️ - Step 3 and reevaluate in 2-6 weeks After starting treatment for asthma, you should reevaluate the patient in - Answer ️️ -2-6 weeks When is treatment not appropriate when using SABAs PRN? - Answer ️️ -When more than 1 canister/month is used Can LABAs be used as mono therapy? - Answer ️️ -No, administer with ICS What is the action of Theophylline? - Answer ️️ -relaxes and opens airways, rarely used because it requires careful monitoring How and why is Omalizumab given? - Answer ️️ -Sub-q every 2-4 weeks; given to patients over 12 with mod to persistent asthma with positive skin test. What is the action of ICS? - Answer ️️ -prevent inflammation of the airways What is the hallmark on CXR for miliary TB? - Answer ️️ -Snowstorm Treatment of TB in pregnancy: - Answer ️️ -2 mos: INH, RIF, EMB 7 mos: INH, RIF What drug cannot be used in pregnancy when treating TB? - Answer ️️ -PZA Side effect of RIF? - Answer ️️ -Orange secretions SIde effect of PZA? - Answer ️️ -Hyperuricemia; hepatotoxicity - (reason not given in LTBI) Side effect of EMB: - Answer ️️ -optic neuritis Side effect of INH: - Answer ️️ -Peripheral neuropathy What drug is added to INH therapy? - Answer ️️ -Vit B6 A false negative TB test can result in: - Answer ️️ -malnourished, overwhelming disease, 10% of kids Does a negative TST exclude TB? - Answer ️️ -No You should consider COPD, and perform spirometry if any of these indicators are present in an individual over age 40: - Answer ️️ -Dyspnea (progressive, worse with exercise, persistent daily, described as air hunger, gasping, etc), Chronic cough, chronic sputum production, and history of exposure (tobacco smoke, occupational dusts and chemicals, smoke from home cooking and heating fuel) Diagnosis of COPD should be confirmed by - Answer ️️ -Spirometry and clinical symptoms and signs Why is a low peak flow inconsistent with diagnosing COPD? - Answer ️️ -poor specificity; low peak flow can be caused by other diseases and by poor performance What drug is contraindicated in COPD and asthma? - Answer ️️ -Beta blockers Stage III - Severe COPD has a FEV1 of - Answer ️️ -FEV1<50% predicted Stage 1 - Mild COPD has a FEV1 of - Answer ️️ -FEV1> 80% predicted Stage 4 - Very severe COPD has a FEV1 of - Answer ️️ -FEV1<30% predicted Stage 2 - Mod COPD has a FEV1 of - Answer ️️ -FEV1<80% predicted All COPD patients have a FEV1/FEV of - Answer ️️ -<70% or 0.70 When are bronchodilators prescribed in COPD? - Answer ️️ -As needed to relieve intermittent or worsening symptoms, and on a regular basis to prevent or reduce persistent symptoms When are inhaled glucocorticoids prescribed in COPD? - Answer ️️ -symptomatic patients with an FEV1<50% predicted and repeated exacerbations. Mild COPD treatment - Answer ️️ -Flu vaccine,SABA Mod COPD treatment - Answer ️️ -Flu vaccine, SABA, LABA, Rehab Severe COPD treatment - Answer ️️ -Flu vaccine, SABA, LABA, Rehab, IC