RESPIRATORY
PRACTICE QUSTION
WITH CORRECT
ANSWERS PASS A+
,While seeing a 62 yo who is hospitalized with CAP, the NP considers that:
A. pneumococcal vaccine should be given when antimicrobial therapy has been completed
B. pneumococcal vaccine can be given today, and influenza vaccine can be given in 2 weeks
C. influenza can be given today and antipneumococcal vaccine can be given in 2 weeks
D. influenza and antipneumococcal vaccine should be given today - correct answer-D
Risk factors for infection with DRSP include all of the following except:
A. systemic antimicrobial therapy in the previous 3 months
B. exposure to children in day care
C. age older than 65 yo
D. use of inhaled corticosteroids - correct answer-D
The mechanism of transmission of Legionella species is primarily via:
A. respiratory droplet
B. inhalation of aerosolized contaminated water
C. contact with a contaminated surface
D. hematogenous spread - correct answer-B
Which of the following best describes asthma?
A. intermittent airway inflammation with occasional bronchospasm
B. a disease of bronchospasm that leads to airway inflammation
C. chronic airway inflammation with superimposed bronchospasm
D. relatively fixed airway constriction - correct answer-C
, The patient you are evaluating is having a severe asthma flare. You have assessed that his condition is
appropriate for office treatment. You expect to find the following on physical examination:
A. tripod posture
B. inspiratory crackles
C. increased vocal fremitus
D. hyperresonance on thoracic percussion - correct answer-D
A 44-year-old man has a long-standing history of moderate persistent asthma that is normally well
controlled by fluticasone with salmeterol (Advair) via metered-dose inhaler, one puff twice a day, and the
use of albuterol 1 to 2 times a week as needed for wheezing. Three days ago, he developed a sore throat,
clear nasal discharge, body aches, and a dry cough. In the past 24 hours, he has had intermittent
wheezing that necessitated the use of albuterol, two puffs every 3 hours, which produced partial relief.
Your next most appropriate action is to obtain a:
A. chest radiograph.
B. measurement of oxygen saturation (SaO2).
C. spirometry measurement.
D. sputum smear for white blood cells (WBCs). - correct answer-C
You examine Jane, a 24-year-old woman who has an acute asthma flare following a 3-day history of
upper respiratory tract symptoms (clear nasal discharge, dry cough, no fever). She has a history of
moderate persistent asthma that is in good control and an acceptable PEF. She is using budesonide
(Pulmicort) and albuterol as directed and continues to have difficulty with coughing and wheezing. At
home, her peak expiratory flow (PEF) is 55% of personal best. In the office, her FEV1 is 65% of predicted.
Her medication regimen should be adjusted to include:
A. theophylline.
B. salmeterol (Serevent).
PRACTICE QUSTION
WITH CORRECT
ANSWERS PASS A+
,While seeing a 62 yo who is hospitalized with CAP, the NP considers that:
A. pneumococcal vaccine should be given when antimicrobial therapy has been completed
B. pneumococcal vaccine can be given today, and influenza vaccine can be given in 2 weeks
C. influenza can be given today and antipneumococcal vaccine can be given in 2 weeks
D. influenza and antipneumococcal vaccine should be given today - correct answer-D
Risk factors for infection with DRSP include all of the following except:
A. systemic antimicrobial therapy in the previous 3 months
B. exposure to children in day care
C. age older than 65 yo
D. use of inhaled corticosteroids - correct answer-D
The mechanism of transmission of Legionella species is primarily via:
A. respiratory droplet
B. inhalation of aerosolized contaminated water
C. contact with a contaminated surface
D. hematogenous spread - correct answer-B
Which of the following best describes asthma?
A. intermittent airway inflammation with occasional bronchospasm
B. a disease of bronchospasm that leads to airway inflammation
C. chronic airway inflammation with superimposed bronchospasm
D. relatively fixed airway constriction - correct answer-C
, The patient you are evaluating is having a severe asthma flare. You have assessed that his condition is
appropriate for office treatment. You expect to find the following on physical examination:
A. tripod posture
B. inspiratory crackles
C. increased vocal fremitus
D. hyperresonance on thoracic percussion - correct answer-D
A 44-year-old man has a long-standing history of moderate persistent asthma that is normally well
controlled by fluticasone with salmeterol (Advair) via metered-dose inhaler, one puff twice a day, and the
use of albuterol 1 to 2 times a week as needed for wheezing. Three days ago, he developed a sore throat,
clear nasal discharge, body aches, and a dry cough. In the past 24 hours, he has had intermittent
wheezing that necessitated the use of albuterol, two puffs every 3 hours, which produced partial relief.
Your next most appropriate action is to obtain a:
A. chest radiograph.
B. measurement of oxygen saturation (SaO2).
C. spirometry measurement.
D. sputum smear for white blood cells (WBCs). - correct answer-C
You examine Jane, a 24-year-old woman who has an acute asthma flare following a 3-day history of
upper respiratory tract symptoms (clear nasal discharge, dry cough, no fever). She has a history of
moderate persistent asthma that is in good control and an acceptable PEF. She is using budesonide
(Pulmicort) and albuterol as directed and continues to have difficulty with coughing and wheezing. At
home, her peak expiratory flow (PEF) is 55% of personal best. In the office, her FEV1 is 65% of predicted.
Her medication regimen should be adjusted to include:
A. theophylline.
B. salmeterol (Serevent).
