ACNP Certification Review: Pulmonary
Questions and Answers
The medication of choice to treat acute asthma exacerbations and prevent exercise-induced
asthma is:
A. oral steroid
B. inhaled steroid
C. Beta-2 agonist
D. Cromolyn (Intal) Correct Ans-D. Cromolyn (Intal). If not tolerated, then a beta-2 agonist
can be used.
A 65 yo man comes to the office with c/o fever, chest congestion, malaise, and putrid sputum.
What is most likely diagnosis?
A. Pulmonary edema
B. Lung abscess
C. Tuberculosis
D. Bronchitis Correct Ans-B. Lung abscess
Physical exam findings associated with pleural effusion may include all of the following
EXCEPT:
A. Neck vein distension
B. Egophony
C. Atrial gallop (S4)
, D. Tachypnea Correct Ans-C. Pleural effusion may be seen in CHF and there may be JVD &
ventricular gallop (S3), not an atrial gallop (S4). The pt may be tachypneic & have egophony on
exam.
A 35 yo woman comes for routine exam. You note clubbing of both hands. What is one
diagnostic tool that should be obtained for further evaluation?
A. An ECHO
B. A CBC
C. A chest xray
D. A liver function test Correct Ans-C. CXR should be obtained for further evaluation.
Clubbing may represent an asymptomatic pulmonary process. A thorough history should be
obtained concerning other family members for clubbing.
A 50 yo woman is diagnosed with Q fever. Q fever is caused by:
A. Chlamydia
B. Coxiella burnetii
C. Cytomegalovirus
D. Mycoplasma Correct Ans-B. Q fever is caused by coxiella burnetii, the organisms of
which mostly reside in animals such as sheep, goats, and cattle
Treatment of idiopathic pulmonary fibrosis includes:
A. Bronchodilators
B. Vasodilators
C. Steroids
Questions and Answers
The medication of choice to treat acute asthma exacerbations and prevent exercise-induced
asthma is:
A. oral steroid
B. inhaled steroid
C. Beta-2 agonist
D. Cromolyn (Intal) Correct Ans-D. Cromolyn (Intal). If not tolerated, then a beta-2 agonist
can be used.
A 65 yo man comes to the office with c/o fever, chest congestion, malaise, and putrid sputum.
What is most likely diagnosis?
A. Pulmonary edema
B. Lung abscess
C. Tuberculosis
D. Bronchitis Correct Ans-B. Lung abscess
Physical exam findings associated with pleural effusion may include all of the following
EXCEPT:
A. Neck vein distension
B. Egophony
C. Atrial gallop (S4)
, D. Tachypnea Correct Ans-C. Pleural effusion may be seen in CHF and there may be JVD &
ventricular gallop (S3), not an atrial gallop (S4). The pt may be tachypneic & have egophony on
exam.
A 35 yo woman comes for routine exam. You note clubbing of both hands. What is one
diagnostic tool that should be obtained for further evaluation?
A. An ECHO
B. A CBC
C. A chest xray
D. A liver function test Correct Ans-C. CXR should be obtained for further evaluation.
Clubbing may represent an asymptomatic pulmonary process. A thorough history should be
obtained concerning other family members for clubbing.
A 50 yo woman is diagnosed with Q fever. Q fever is caused by:
A. Chlamydia
B. Coxiella burnetii
C. Cytomegalovirus
D. Mycoplasma Correct Ans-B. Q fever is caused by coxiella burnetii, the organisms of
which mostly reside in animals such as sheep, goats, and cattle
Treatment of idiopathic pulmonary fibrosis includes:
A. Bronchodilators
B. Vasodilators
C. Steroids
