MN 568 MIDTERM EXAM ACTUAL EXAM 180
QUESTIONS AND CORRECT DETAILED ANSWERS
Terms in this set (192)
You are doing a cerumen Arnold Reflex
extraction and touch the
external meatus of your pt's
ear. He winces and starts
coughing. What is the name
of this reflex?
Sam, age 78, presents to the Chronic Bronchitis
clinic w/respiratory
symptoms. His PFTs are as
follows: normal total lung
capacity, decreased PaO2,
increased PaCO2. On
assessment, you auscultate
course crackles and forced
expiratory wheezes. What is
your dx?
George has COPD and an Stage 1 mild COPD
80% forced expiratory
volume in 1 second. How
would you classify the
severity of his COPD?
African American pt's Long-term beta-agonist bronchodilators
seems to have a negative
reaction to which of the
following asthma meds?
,You are using the CURB-65 Hospitalize and consider admitting her to the ICU
clinical prediction tool to
decide whether Mabel,
whom you have diagnosed
with community-acquired
pneumonia (CAP), should
be hospitalized or treated
at home. Her score is 3.
What should you do?
Why do you suspect that She has been on long-term corticosteroid therapy
your pt may have a
decreased response to the
TB test?
Marci has been started on a Pyroxidine
TB regimen. Because
isoniazid (INH) may cause
peripheral neuropathy, you
consider ordering which of
the following drugs
prophilactically?
,Jolene has breast cancer The cancer is less than 3cm in size and has not spread to
that has been staged as T1, the lymph nodes or other parts of the body
N0, M0. What might this
mean?
A. The tumor size cannot be
evaluated; the cancer has
not spread to the lymph
nodes; and the distant
spread cannot be
evaluated.
B. The cancer is in situ; it is
spreading into the lymph
nodes but the spread
cannot be evaluated
otherwise.
C. The cancer is less than 3
cm in size and has not
spread to the lymph nodes
or other parts of the body.
D. The cancer is about 5 cm
in size; nearby lymph nodes
cannot be evaluated; and
there is no evidence of
distant spreading.
Nathan, a 32yo policeman, Continue to ask him at every visit if he is ready to quit
has a 15-pack-year history
of smoking and continues
to smoke heavily. During
every visit, he gets irate
when you try to talk to him
about quitting. What should
you do?
, Your pt has decided to try His quit date should be in 1 week
to quit smoking with
Chantix. You are discussing
his quit date and he will
begin taking the med
tomorrow. When should he
plan to quit smoking?
Which info should be The gum must be correctly chewed to a softened state
included when you are and then placed in the buccal mucosa
teaching your pt about the
use of nicotine gum?
Cydney presents with a h/o Moderate persistent
asthma. She has not been
treated for a while. She c/o
daily but not continual
symptoms, greater than 1
week and at nighttime. She
has been using her rescue
inhaler. Her FEV1 is 60-80%
predicted. How would you
classify her asthma
severity?
Joyce is taking a long- Inhaled corticosteroid
acting beta agonist for her
asthma. What additional
med should she be taking?
Your pt is on theophylline 5-15mcg/mL
(Therabid) for his asthma.
You want to maintain his
serum levels between:
Which of the following The size of the TST reaction has nothing to do with
statements regarding TST is erythema but is based solely on induration
true?
QUESTIONS AND CORRECT DETAILED ANSWERS
Terms in this set (192)
You are doing a cerumen Arnold Reflex
extraction and touch the
external meatus of your pt's
ear. He winces and starts
coughing. What is the name
of this reflex?
Sam, age 78, presents to the Chronic Bronchitis
clinic w/respiratory
symptoms. His PFTs are as
follows: normal total lung
capacity, decreased PaO2,
increased PaCO2. On
assessment, you auscultate
course crackles and forced
expiratory wheezes. What is
your dx?
George has COPD and an Stage 1 mild COPD
80% forced expiratory
volume in 1 second. How
would you classify the
severity of his COPD?
African American pt's Long-term beta-agonist bronchodilators
seems to have a negative
reaction to which of the
following asthma meds?
,You are using the CURB-65 Hospitalize and consider admitting her to the ICU
clinical prediction tool to
decide whether Mabel,
whom you have diagnosed
with community-acquired
pneumonia (CAP), should
be hospitalized or treated
at home. Her score is 3.
What should you do?
Why do you suspect that She has been on long-term corticosteroid therapy
your pt may have a
decreased response to the
TB test?
Marci has been started on a Pyroxidine
TB regimen. Because
isoniazid (INH) may cause
peripheral neuropathy, you
consider ordering which of
the following drugs
prophilactically?
,Jolene has breast cancer The cancer is less than 3cm in size and has not spread to
that has been staged as T1, the lymph nodes or other parts of the body
N0, M0. What might this
mean?
A. The tumor size cannot be
evaluated; the cancer has
not spread to the lymph
nodes; and the distant
spread cannot be
evaluated.
B. The cancer is in situ; it is
spreading into the lymph
nodes but the spread
cannot be evaluated
otherwise.
C. The cancer is less than 3
cm in size and has not
spread to the lymph nodes
or other parts of the body.
D. The cancer is about 5 cm
in size; nearby lymph nodes
cannot be evaluated; and
there is no evidence of
distant spreading.
Nathan, a 32yo policeman, Continue to ask him at every visit if he is ready to quit
has a 15-pack-year history
of smoking and continues
to smoke heavily. During
every visit, he gets irate
when you try to talk to him
about quitting. What should
you do?
, Your pt has decided to try His quit date should be in 1 week
to quit smoking with
Chantix. You are discussing
his quit date and he will
begin taking the med
tomorrow. When should he
plan to quit smoking?
Which info should be The gum must be correctly chewed to a softened state
included when you are and then placed in the buccal mucosa
teaching your pt about the
use of nicotine gum?
Cydney presents with a h/o Moderate persistent
asthma. She has not been
treated for a while. She c/o
daily but not continual
symptoms, greater than 1
week and at nighttime. She
has been using her rescue
inhaler. Her FEV1 is 60-80%
predicted. How would you
classify her asthma
severity?
Joyce is taking a long- Inhaled corticosteroid
acting beta agonist for her
asthma. What additional
med should she be taking?
Your pt is on theophylline 5-15mcg/mL
(Therabid) for his asthma.
You want to maintain his
serum levels between:
Which of the following The size of the TST reaction has nothing to do with
statements regarding TST is erythema but is based solely on induration
true?
