CMN 568 Unit 3 Exam Questions and Answers | Verified & Updated 2024

CMN 568 Unit 3 Exam Questions and Answers | Verified & Updated 2024 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? - Answer ️️ -COPD What diagnosic test is required to establish a diagnosis of COPD? - Answer ️️ -spirometry What are the key indicators for considering a diagnosis of COPD? - Answer ️️ -dyspnea (progressive, persistent, worsens with exercise), chronic cough, chronic sputum production, hx. of exposure to cigarette smoke What FEV/FVC confirms the presence of persistent airflow limitation and thus COPD? - Answer ️️ -<0.70 What validated questionnaires are recommended for a comprehensive assessment of symptoms associated with COPD? - Answer ️️ -COPD assessment test (CAT) and Clinical COPD questionnaire (CCQ) What scale provides only an assessment of breathlessness? - Answer ️️ -British Medical Research Council (mMRC) scale An exacerbation of COPD is defined as an acute event characterized by a worsening of what? - Answer ️️ -patient's respiratory symptoms that is beyond normal day-to-day variations and leads to a change in medication What is considered frequent exacerbations of COPD? - Answer ️️ -2 or more per ye