ADVANCED HEALTH ASSESSMENT MIDTERM
QUIZZES WITH COMPLETE SOLUTIONS 2024 - 2025
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,,ANS,-
,,C.,Chronic,airway,inflammation,with,superimposed,bronchospasm
The,patient,you,are,evaluating,is,having,an,asthma,flare.,You,have,assessed,that,his,condition,is,appropria
te,for,office,treatment.,You,expect,to,find,the,following,on,physical,exam:
A.,Tripod,posture
B.,Inspiratory,crackles
C.,Increased,vocal,fremitus
D.,Hyperresonance,on,thoracic,percussion,,ANS,-,,D.,Hyperresonance,on,thoracic,percussion
A,44-year-old,man,has,a,long-
standing,history,of,moderate,persistent,asthma,that,is,normally,well,controlled,by,fluticasone,with,salmet
erol,(Advair),via,metered-
dose,inhaler,,one,puff,twice,a,day,,and,the,use,of,albuterol,one,to,two,times,a,week,as,needed,for,wheezi
ng.,Three,days,ago,,he,developed,a,sore,throat,,clear,nasal,discharge,,body,aches,,and,a,cough,with,a,smal
l,amount,of,white,sputum,production.,In,the,past,24,hours,,he,has,had,intermittent,wheezing,that,necessi
tated,the,use,of,albuterol,,two,puffs,,every,3,hours,,which,produced,partial,relief.,Your,next,most,appropr
iate,action,is,to,obtain,a:
A.,Chest,radiograph
B.,Measurement,of,oxygen,saturation,(SaO2)
C.,Spirometry,measurement
D.,Sputum,smear,for,WBCs,,ANS,-,,C.,Spirometry,measurement
,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,drainage,,dry,cough,,no,fever).,She,has,a,histo
ry,of,moderate,persistent,asthma,that,is,in,good,control,and,an,acceptable,peak,expiratory,flow,(PED).,Sh
e,is,using,budesonide,(Pulmicort),and,albuterol,as,directed,and,continues,to,have,difficulty,with,coughing,
and,wheezing.,At,home,,her,PEF,is,55%,of,personal,best.,In,the,office,,her,forced,expiratory,volume,at,1,se
cond,(FEV1),is,65%,of,predicted.,Her,medication,regimen,should,be,adjusted,to,include:
A.,Oral,theophylline
B.,Inhale,salmeterol,(Serevent),via,MDI
C.,Oral,prednisone
D.,Oral,montelukast,(Singulair)
For,Jane,in,the,previous,question,,the,NP,also,considers,prescribing:
A.,A,10-day,course,of,oral,amoxicillin
B.,A,5-day,course,of,oral,azithromycin
C.,A,14-day,course,of,levofloxacin
D.,No,antimicrobial,therapy,,ANS,-,,C.,Oral,prednisone
D.,No,antimicrobial,therapy
Which,of,the,following,describes,a,PEF,meter?
A.,Should,only,be,used,in,the,presence,of,a,medical,professional
B.,Provides,convenient,method,to,check,expiratory,air,flow,at,home
C.,Is,as,accurate,as,spirometry
D.,Should,not,be,used,more,than,once,daily,,ANS,-
,,B.,Provides,convenient,method,to,check,expiratory,air,flow,at,home
,Which,of,the,following,is,most,accurate,regarding,the,use,of,a,chest,x-ray,during,an,acute,asthma,flare?
A.,Chest,radiograph,should,be,performed,with,each,asthma,flare
B.,Chest,radiograph,should,be,performed,during,and,following,resolution,of,the,flare
C.,Chest,radiograph,should,be,avoided,as,it,can,further,exacerbate,a,flare
D.,Chest,radiograph,should,be,limited,to,those,with,signs,of,respiratory,tract,infection,(i.e.,,fever,,congest
ed,cough),,ANS,-
,,D.,Chest,radiograph,should,be,limited,to,those,with,signs,of,respiratory,tract,infection,(i.e.,,fever,,conges
ted,cough)
A,36-year-
old,man,with,asthma,also,needs,antihypertensive,therapy.,Which,of,the,following,products,should,you,av
oid,prescribing?
A.,Hydrochlorothiazide
B.,Propranolol
C.,Amlodipine
D.,Enalapril,,ANS,-,,B.,Propranolol
For,the,next,4,questions,,which,of,the,following,is,consistent,with,presentation,of,asthma,that,is,not,well,c
ontrolled,(Yes,or,No):
1.,Troublesome,nocturnal,cough,more,than,two,nights,per,week
2.,Need,for,albuterol,to,relieve,SOB,more,than,twice,a,week
3.,Evidence,of,consolidation,on,chest,x-ray
4.,Two,or,more,exacerbations/year,requiring,OCSs,,ANS,-,,1.,Yes
2.,Yes
3.,No
4.,Yes
, The,cornerstone,of,moderate,persistent,asthma,controller,drug,therapy,is,the,use,of:
A.,Oral,theophylline
B.,Inhaled,mast,cell,stabilizers
C.,Inhaled,SABAs
D.,ICSs,,ANS,-,,D.,ICSs
Sharon,is,a,29-year-
old,woman,with,moderate,persistent,asthma.,She,has,a,prescription,for,an,ICS,that,she,does,not,use,,stati
ng,,"I'm,finding,that,the,albuterol,works,better.",Currently,she,uses,about,two,albuterol,metered-
dose,inhalers,per,month,,"that,keeps,my,cough,and,wheeze,under,control.",She,is,requesting,a,prescriptio
n,refill.,You,consider,that:
A.,Her,asthma,is,well,controlled,,and,albuterol,use,can,continue
B.,Excessive,albuterol,use,is,a,risk,factor,for,asthma,death
C.,Her,asthma,is,not,well,controlled,,and,salmeterol,(Serevent),should,be,added,to,relieve,bronchospasm,
and,reduce,her,albuterol,use
D.,Her,asthma,has,better,control,with,albuterol,than,ICSs,,ANS,-
,,B.,Excessive,albuterol,use,is,a,risk,factor,for,asthma,death
In,the,treatment,of,asthma,,an,LTM,should,be,used,as,a:
A.,Controller,to,prevent,bronchospasm
B.,Controller,to,inhibit,inflammatory,responses
C.,Reliever,to,treat,acute,bronchospasm
D.,Reliever,to,treat,inflammation,,ANS,-,,B.,Controller,to,inhibit,inflammatory,responses
Which,of,the,following,is,not,a,risk,for,asthma,death?
A.,Hospitalization,or,an,emergency,department,visit,for,asthma,in,the,past,month
B.,Current,use,of,systemic,corticosteroids,or,recent,withdrawal,from,systemic,corticosteroids
QUIZZES WITH COMPLETE SOLUTIONS 2024 - 2025
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,,ANS,-
,,C.,Chronic,airway,inflammation,with,superimposed,bronchospasm
The,patient,you,are,evaluating,is,having,an,asthma,flare.,You,have,assessed,that,his,condition,is,appropria
te,for,office,treatment.,You,expect,to,find,the,following,on,physical,exam:
A.,Tripod,posture
B.,Inspiratory,crackles
C.,Increased,vocal,fremitus
D.,Hyperresonance,on,thoracic,percussion,,ANS,-,,D.,Hyperresonance,on,thoracic,percussion
A,44-year-old,man,has,a,long-
standing,history,of,moderate,persistent,asthma,that,is,normally,well,controlled,by,fluticasone,with,salmet
erol,(Advair),via,metered-
dose,inhaler,,one,puff,twice,a,day,,and,the,use,of,albuterol,one,to,two,times,a,week,as,needed,for,wheezi
ng.,Three,days,ago,,he,developed,a,sore,throat,,clear,nasal,discharge,,body,aches,,and,a,cough,with,a,smal
l,amount,of,white,sputum,production.,In,the,past,24,hours,,he,has,had,intermittent,wheezing,that,necessi
tated,the,use,of,albuterol,,two,puffs,,every,3,hours,,which,produced,partial,relief.,Your,next,most,appropr
iate,action,is,to,obtain,a:
A.,Chest,radiograph
B.,Measurement,of,oxygen,saturation,(SaO2)
C.,Spirometry,measurement
D.,Sputum,smear,for,WBCs,,ANS,-,,C.,Spirometry,measurement
,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,drainage,,dry,cough,,no,fever).,She,has,a,histo
ry,of,moderate,persistent,asthma,that,is,in,good,control,and,an,acceptable,peak,expiratory,flow,(PED).,Sh
e,is,using,budesonide,(Pulmicort),and,albuterol,as,directed,and,continues,to,have,difficulty,with,coughing,
and,wheezing.,At,home,,her,PEF,is,55%,of,personal,best.,In,the,office,,her,forced,expiratory,volume,at,1,se
cond,(FEV1),is,65%,of,predicted.,Her,medication,regimen,should,be,adjusted,to,include:
A.,Oral,theophylline
B.,Inhale,salmeterol,(Serevent),via,MDI
C.,Oral,prednisone
D.,Oral,montelukast,(Singulair)
For,Jane,in,the,previous,question,,the,NP,also,considers,prescribing:
A.,A,10-day,course,of,oral,amoxicillin
B.,A,5-day,course,of,oral,azithromycin
C.,A,14-day,course,of,levofloxacin
D.,No,antimicrobial,therapy,,ANS,-,,C.,Oral,prednisone
D.,No,antimicrobial,therapy
Which,of,the,following,describes,a,PEF,meter?
A.,Should,only,be,used,in,the,presence,of,a,medical,professional
B.,Provides,convenient,method,to,check,expiratory,air,flow,at,home
C.,Is,as,accurate,as,spirometry
D.,Should,not,be,used,more,than,once,daily,,ANS,-
,,B.,Provides,convenient,method,to,check,expiratory,air,flow,at,home
,Which,of,the,following,is,most,accurate,regarding,the,use,of,a,chest,x-ray,during,an,acute,asthma,flare?
A.,Chest,radiograph,should,be,performed,with,each,asthma,flare
B.,Chest,radiograph,should,be,performed,during,and,following,resolution,of,the,flare
C.,Chest,radiograph,should,be,avoided,as,it,can,further,exacerbate,a,flare
D.,Chest,radiograph,should,be,limited,to,those,with,signs,of,respiratory,tract,infection,(i.e.,,fever,,congest
ed,cough),,ANS,-
,,D.,Chest,radiograph,should,be,limited,to,those,with,signs,of,respiratory,tract,infection,(i.e.,,fever,,conges
ted,cough)
A,36-year-
old,man,with,asthma,also,needs,antihypertensive,therapy.,Which,of,the,following,products,should,you,av
oid,prescribing?
A.,Hydrochlorothiazide
B.,Propranolol
C.,Amlodipine
D.,Enalapril,,ANS,-,,B.,Propranolol
For,the,next,4,questions,,which,of,the,following,is,consistent,with,presentation,of,asthma,that,is,not,well,c
ontrolled,(Yes,or,No):
1.,Troublesome,nocturnal,cough,more,than,two,nights,per,week
2.,Need,for,albuterol,to,relieve,SOB,more,than,twice,a,week
3.,Evidence,of,consolidation,on,chest,x-ray
4.,Two,or,more,exacerbations/year,requiring,OCSs,,ANS,-,,1.,Yes
2.,Yes
3.,No
4.,Yes
, The,cornerstone,of,moderate,persistent,asthma,controller,drug,therapy,is,the,use,of:
A.,Oral,theophylline
B.,Inhaled,mast,cell,stabilizers
C.,Inhaled,SABAs
D.,ICSs,,ANS,-,,D.,ICSs
Sharon,is,a,29-year-
old,woman,with,moderate,persistent,asthma.,She,has,a,prescription,for,an,ICS,that,she,does,not,use,,stati
ng,,"I'm,finding,that,the,albuterol,works,better.",Currently,she,uses,about,two,albuterol,metered-
dose,inhalers,per,month,,"that,keeps,my,cough,and,wheeze,under,control.",She,is,requesting,a,prescriptio
n,refill.,You,consider,that:
A.,Her,asthma,is,well,controlled,,and,albuterol,use,can,continue
B.,Excessive,albuterol,use,is,a,risk,factor,for,asthma,death
C.,Her,asthma,is,not,well,controlled,,and,salmeterol,(Serevent),should,be,added,to,relieve,bronchospasm,
and,reduce,her,albuterol,use
D.,Her,asthma,has,better,control,with,albuterol,than,ICSs,,ANS,-
,,B.,Excessive,albuterol,use,is,a,risk,factor,for,asthma,death
In,the,treatment,of,asthma,,an,LTM,should,be,used,as,a:
A.,Controller,to,prevent,bronchospasm
B.,Controller,to,inhibit,inflammatory,responses
C.,Reliever,to,treat,acute,bronchospasm
D.,Reliever,to,treat,inflammation,,ANS,-,,B.,Controller,to,inhibit,inflammatory,responses
Which,of,the,following,is,not,a,risk,for,asthma,death?
A.,Hospitalization,or,an,emergency,department,visit,for,asthma,in,the,past,month
B.,Current,use,of,systemic,corticosteroids,or,recent,withdrawal,from,systemic,corticosteroids
