CMN 568 Practice Questions With 100%
Verified Correct Answers
A thin patient w/ a slight build present with constant difficulty breathing and clear mucus. A physical
exam also indicates an increased chest anteroposterior diameter and hyperresonance on percussion.
Given the most likely diagnosis, which class of medications is best suited for long-term tx? - Correct
Answer anticholinergics
Which of these manifestations is LEAST likely to present with the onset of asthma?
A. Plugging the airways by thick mucus
B. Hypertrophy of the mucus glands
C. Thinning of the epithelial basement membrane
D. Hypertrophy of smooth muscle - Correct Answer C
Your patient was seen by a pulmonologist 2 months ago and diagnosed with asthma. The
pulmonologist ordered a short acting beta-2 agonist for initial symptom relief. However, on today's
visit to your office, the patient states, "I don't think this stuff is really working because I'm still short
of breath." You refer the patient back to the pulmonologist. Which of the following would you
anticipate being the next step in the patient's management following the latest national guidelines? -
Correct Answer an inhaled corticosteroid (ICS)
Jackie, a 25-yo female, comes to the clinic experiencing respiratory distress and difficulty speaking.
Her lungs are hyperresonant and show hyperinflation on the x-ray. Which result would most strongly
indicate that Jackie should be admitted to a hospital?
A. Forced expiratory volume is below 30%
B. Respiratory rate is 25 breaths/minute
C. Pulsus paradoxus of 8 mmHg
D. Pulse is 112 bpm - Correct Answer A
Which of these is NOT a common indoor trigger for asthma?
Cockroaches
Dust mites
Exercise
Termites - Correct Answer termites
,Upon examination, you notice that Alex, an obese 63yo male, has moderate dyspnea and purulent
sputum. His lungs are normal upon percussion. Laboratory results reveal an increased hematocrit
level. Given the most likely diagnosis, which of the following drugs would you be LEAST likely to
prescribe for the patient's condition?
A. Ipratropium bromide
B. Albuterol
C. Budesonide
D. Montelukast - Correct Answer D. montelukast
Which of the following medications is considered to be the mainstay of treatment for chronic
obstructive pulmonary disease?
A. Budesonide
B. Ipratropium bromide
C. Salmeterol
D. Triamcinolone - Correct Answer B
Victor, a stocky 40yo male, presents to the clinic with complaints of difficulty breathing and "endless
amounts of gunk whenever he coughs." During the visit, he coughs up a substantial amount of yellow
phlegm. A blood test reveals an increased hematocrit level, and a physical exam detects lungs that
are normal upon percussion. You order a pulmonary lab for the patient. Given the most likely
condition, which of the following findings would you LEAST expect?
A. Increased forced expiratory volume in 1 second
B. Increased total lung capacity
C. Increased functional residual capacity
D. Increased residual volume - Correct Answer A. (this is an indication of healthy lung functioning)
Winston, a 42yo male, is an HIV-positive patient whose TB skin test returns with an elevation of
5mm. After confirming a diagnosis of TB, you prescribe a traditional drug regimen. For what
minimum period of time is Winston expected to continue his regimen? - Correct Answer 9 months
Common symptoms of COPD are: - Correct Answer cough, dyspnea, sputum production
Is a chest x-ray needed to diagnose COPD? - Correct Answer No. Chest x-ray may show hyperinflation,
but PFTs are the standard for diagnosis. PFT may be able to diagnose prior to the presentation of
symptoms.
, What is the PFT result need for diagnosis of COPD? - Correct Answer FEV1 <0.7
Does every patient with asthma need a SABA? - Correct Answer yes
30yo patient with persistent asthma, what are the essential components of their care plan? (select all
that apply)
A. Asthma action plan
B. Flu and pneumonia vaccine
C. Rescue inhaler
D. LABA - Correct Answer A, B, C
T or F: Asthma patients and COPD pts both need rescue inhalers? - Correct Answer true
Most common side effects of long-term inhaled steroid use? - Correct Answer Bone demineralization
(osteopenia) and cataracts
A 12yo patient presents to the clinic with wheezing, SOB, a feeling of tightness in the chest. He is
afebrile. Which of the following would be the best test to confirm diagnosis? - Correct Answer PFT
T or F: USPSTF recommends screening with low-dose helical CT scans for lung cancer? - Correct
Answer true (small vs large cell carcinoma)
T or F: Women are more likely to be diagnosed with mesothelioma? - Correct Answer false
What are symptoms of TB? - Correct Answer Cough (3+ weeks), hemoptysis, chest pain, sputum
production, weight loss, anorexia, fatigue
TB interpretation of the Mantoux test: What are some patient populations that a >10mm induration
would be classified as positive? - Correct Answer At risk peds, lab workers, healthcare workers, IV
drug users
Can you do a TST test on a pregnant woman; and when would you do it? - Correct Answer Yes, high
risk group or showing signs / symptoms
Verified Correct Answers
A thin patient w/ a slight build present with constant difficulty breathing and clear mucus. A physical
exam also indicates an increased chest anteroposterior diameter and hyperresonance on percussion.
Given the most likely diagnosis, which class of medications is best suited for long-term tx? - Correct
Answer anticholinergics
Which of these manifestations is LEAST likely to present with the onset of asthma?
A. Plugging the airways by thick mucus
B. Hypertrophy of the mucus glands
C. Thinning of the epithelial basement membrane
D. Hypertrophy of smooth muscle - Correct Answer C
Your patient was seen by a pulmonologist 2 months ago and diagnosed with asthma. The
pulmonologist ordered a short acting beta-2 agonist for initial symptom relief. However, on today's
visit to your office, the patient states, "I don't think this stuff is really working because I'm still short
of breath." You refer the patient back to the pulmonologist. Which of the following would you
anticipate being the next step in the patient's management following the latest national guidelines? -
Correct Answer an inhaled corticosteroid (ICS)
Jackie, a 25-yo female, comes to the clinic experiencing respiratory distress and difficulty speaking.
Her lungs are hyperresonant and show hyperinflation on the x-ray. Which result would most strongly
indicate that Jackie should be admitted to a hospital?
A. Forced expiratory volume is below 30%
B. Respiratory rate is 25 breaths/minute
C. Pulsus paradoxus of 8 mmHg
D. Pulse is 112 bpm - Correct Answer A
Which of these is NOT a common indoor trigger for asthma?
Cockroaches
Dust mites
Exercise
Termites - Correct Answer termites
,Upon examination, you notice that Alex, an obese 63yo male, has moderate dyspnea and purulent
sputum. His lungs are normal upon percussion. Laboratory results reveal an increased hematocrit
level. Given the most likely diagnosis, which of the following drugs would you be LEAST likely to
prescribe for the patient's condition?
A. Ipratropium bromide
B. Albuterol
C. Budesonide
D. Montelukast - Correct Answer D. montelukast
Which of the following medications is considered to be the mainstay of treatment for chronic
obstructive pulmonary disease?
A. Budesonide
B. Ipratropium bromide
C. Salmeterol
D. Triamcinolone - Correct Answer B
Victor, a stocky 40yo male, presents to the clinic with complaints of difficulty breathing and "endless
amounts of gunk whenever he coughs." During the visit, he coughs up a substantial amount of yellow
phlegm. A blood test reveals an increased hematocrit level, and a physical exam detects lungs that
are normal upon percussion. You order a pulmonary lab for the patient. Given the most likely
condition, which of the following findings would you LEAST expect?
A. Increased forced expiratory volume in 1 second
B. Increased total lung capacity
C. Increased functional residual capacity
D. Increased residual volume - Correct Answer A. (this is an indication of healthy lung functioning)
Winston, a 42yo male, is an HIV-positive patient whose TB skin test returns with an elevation of
5mm. After confirming a diagnosis of TB, you prescribe a traditional drug regimen. For what
minimum period of time is Winston expected to continue his regimen? - Correct Answer 9 months
Common symptoms of COPD are: - Correct Answer cough, dyspnea, sputum production
Is a chest x-ray needed to diagnose COPD? - Correct Answer No. Chest x-ray may show hyperinflation,
but PFTs are the standard for diagnosis. PFT may be able to diagnose prior to the presentation of
symptoms.
, What is the PFT result need for diagnosis of COPD? - Correct Answer FEV1 <0.7
Does every patient with asthma need a SABA? - Correct Answer yes
30yo patient with persistent asthma, what are the essential components of their care plan? (select all
that apply)
A. Asthma action plan
B. Flu and pneumonia vaccine
C. Rescue inhaler
D. LABA - Correct Answer A, B, C
T or F: Asthma patients and COPD pts both need rescue inhalers? - Correct Answer true
Most common side effects of long-term inhaled steroid use? - Correct Answer Bone demineralization
(osteopenia) and cataracts
A 12yo patient presents to the clinic with wheezing, SOB, a feeling of tightness in the chest. He is
afebrile. Which of the following would be the best test to confirm diagnosis? - Correct Answer PFT
T or F: USPSTF recommends screening with low-dose helical CT scans for lung cancer? - Correct
Answer true (small vs large cell carcinoma)
T or F: Women are more likely to be diagnosed with mesothelioma? - Correct Answer false
What are symptoms of TB? - Correct Answer Cough (3+ weeks), hemoptysis, chest pain, sputum
production, weight loss, anorexia, fatigue
TB interpretation of the Mantoux test: What are some patient populations that a >10mm induration
would be classified as positive? - Correct Answer At risk peds, lab workers, healthcare workers, IV
drug users
Can you do a TST test on a pregnant woman; and when would you do it? - Correct Answer Yes, high
risk group or showing signs / symptoms
