CMN 568 Practice Questions With Complete Solutions
10-year-old, waking up 1x/week, increased SABA use to
2x/day, low dose ICS daily, some limitations, daily SOB and
cough; what are next steps? Correct Answers add LABA
11-year-old with predicted FEV of 70%, what are they? Correct
Answers Moderate persistent, not well controlled, consider
short course of systemic corticosteroids and follow-up in 2-
6weeks
12-year-old patient presents to clinic with wheezing, SOB, and
feeling of tightness in chest. Which would be best in
determining dx? Correct Answers PFTs
2-year-old has been having coughing and wheezing daily. He
has been waking up 4x/month during the night. He has
limitation when playing with other kids on the playground at
daycare. He has never been diagnosed with asthma. What is his
asthma severity? What is the treatment plan? Correct Answers
Moderate persistent; step 3: start SABA and add medium dose
ICS, follow-up in 2-6 weeks
3 consequences of smoke inhalation? Correct Answers
Hypoxia, thermal injury to upper airway, and something to the
lower airway
3-year-old child using SABA 3x/weeks, waking up 2x/months
only reporting a little limitation. What classification? Correct
Answers Mild persistent, not well controlled, treat with low
dose ICS and SABA
,3-year-old with cough and SOB 2-3x/weeks, awakens at night
with cough 1-2x/month, not using an inhaler (no current
diagnosis), minor limitations. What is the severity of asthma?
Treatment? Correct Answers Mild persistent, step 2, SABA
and low dose ICS
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 Answers A, B, C
4 components of asthma care in the stepwise approach? Correct
Answers Education, control of environmental factors and
comorbid conditions, medications, assessing and monitoring
4-year-old not waking up at night, using SABA 1x/week, has
had 2 exacerbations over the last year needing corticosteroids.
What severity, what are the next steps? Correct Answers Not
well controlled, mild persistent, add ICS
4-year-old waking up 1x/month, using SABA multiple
times/day. What is classification? Correct Answers Severe
persistent, step 3 medium dose ICS, very poor control, might
need oral steroids (1-2mg/kg/day) for 3-7days
5yo c/o cough 5d/w, awakens at night 4x/month, utilizes SABA
3d/week. She was previously diagnosed with intermittent
asthma. What type of control does she have? What is the
, recommended treatment? Correct Answers Not well controlled,
step up to low dose ICS and follow-up in a month
6-year-old not waking up at night, using SABA 1d/week, no
limitations; what are next steps? Correct Answers Nothing,
continue regimen because well controlled
6-year-old presents to office already using SABA and low dose
ICS. Uses SABA 3x/weeks, wakes up 2x/month, has required
steroids 1x this year, has some limitations with activity. What
are the next steps? Correct Answers Low dose ICS with
LABA, not well controlled; alternate: medium dose ICS
7-year-old with intermittent asthma comes for his check up and
states he wakes up less than once/month and report no activity
limitations. He reports using his albuterol 4d/week. How is his
control, what is the next action? Correct Answers Not well, add
ICS
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
Answers PFT
A 4yo is being tested for TB via the Mantoux test. What
induration size would indicate a positive result? Correct
Answers 10mm
A 60-year-old patient report chronic cough and sputum
production. He has a long hx of 2nd hand exposure to his wife's
10-year-old, waking up 1x/week, increased SABA use to
2x/day, low dose ICS daily, some limitations, daily SOB and
cough; what are next steps? Correct Answers add LABA
11-year-old with predicted FEV of 70%, what are they? Correct
Answers Moderate persistent, not well controlled, consider
short course of systemic corticosteroids and follow-up in 2-
6weeks
12-year-old patient presents to clinic with wheezing, SOB, and
feeling of tightness in chest. Which would be best in
determining dx? Correct Answers PFTs
2-year-old has been having coughing and wheezing daily. He
has been waking up 4x/month during the night. He has
limitation when playing with other kids on the playground at
daycare. He has never been diagnosed with asthma. What is his
asthma severity? What is the treatment plan? Correct Answers
Moderate persistent; step 3: start SABA and add medium dose
ICS, follow-up in 2-6 weeks
3 consequences of smoke inhalation? Correct Answers
Hypoxia, thermal injury to upper airway, and something to the
lower airway
3-year-old child using SABA 3x/weeks, waking up 2x/months
only reporting a little limitation. What classification? Correct
Answers Mild persistent, not well controlled, treat with low
dose ICS and SABA
,3-year-old with cough and SOB 2-3x/weeks, awakens at night
with cough 1-2x/month, not using an inhaler (no current
diagnosis), minor limitations. What is the severity of asthma?
Treatment? Correct Answers Mild persistent, step 2, SABA
and low dose ICS
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 Answers A, B, C
4 components of asthma care in the stepwise approach? Correct
Answers Education, control of environmental factors and
comorbid conditions, medications, assessing and monitoring
4-year-old not waking up at night, using SABA 1x/week, has
had 2 exacerbations over the last year needing corticosteroids.
What severity, what are the next steps? Correct Answers Not
well controlled, mild persistent, add ICS
4-year-old waking up 1x/month, using SABA multiple
times/day. What is classification? Correct Answers Severe
persistent, step 3 medium dose ICS, very poor control, might
need oral steroids (1-2mg/kg/day) for 3-7days
5yo c/o cough 5d/w, awakens at night 4x/month, utilizes SABA
3d/week. She was previously diagnosed with intermittent
asthma. What type of control does she have? What is the
, recommended treatment? Correct Answers Not well controlled,
step up to low dose ICS and follow-up in a month
6-year-old not waking up at night, using SABA 1d/week, no
limitations; what are next steps? Correct Answers Nothing,
continue regimen because well controlled
6-year-old presents to office already using SABA and low dose
ICS. Uses SABA 3x/weeks, wakes up 2x/month, has required
steroids 1x this year, has some limitations with activity. What
are the next steps? Correct Answers Low dose ICS with
LABA, not well controlled; alternate: medium dose ICS
7-year-old with intermittent asthma comes for his check up and
states he wakes up less than once/month and report no activity
limitations. He reports using his albuterol 4d/week. How is his
control, what is the next action? Correct Answers Not well, add
ICS
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
Answers PFT
A 4yo is being tested for TB via the Mantoux test. What
induration size would indicate a positive result? Correct
Answers 10mm
A 60-year-old patient report chronic cough and sputum
production. He has a long hx of 2nd hand exposure to his wife's
