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Question 1
Which of the following statements are true in reference to signs of consolidation? (Select all that
apply)
a. Tactile fremitus is decreased
b. Transmitted sound of "E" changes to "Ay"
c. Transmitted sound of 1,2,3 is clear
d. Auscultation in the bases reveals a predominate expiratory phase - (answers)b, c and d
- Transmitted sound of "E" changes to "Ay"
- Transmitted sound of "1,2,3" is clear (not muffled)
- Auscultation in the bases reveals a predominate
expiratory phase
Match the respiratory drug to the drug class:
Serevent (salmeterol) - (answers)LABA
- Long Acting Beta Agonist
- bronchodilator
MOA: activated B2 adrenergic receptors, decr effect on histamine supression
Uses: Stable COPD as a combo drug, Long term control
Admin: fixed schedule, NEVER prn
Match the respiratory drug to the drug class:
,levalbuterol (Xopenex) - (answers)SABA - (Short Acting Beta2 Agonist)
Match the respiratory drug to the drug class:
tiotropium (Spiriva) - (answers)anticholinergic
-(LAMA/muscarinic antagonist), MOA: antagonizes acetylcholine receptors, producing
bronchodilation
Think: "anTI-OTROPIUM cholingeric"
Match the respiratory drug to the drug class:
montelukast (Singular) - (answers)leukotrine antagonist
Match the respiratory drug to the drug class:
dextromethophan (Robitussin, Delsyn, DayQuil) - (answers)antitussive
Match the respiratory drug to the drug class:
pseudoephederine (Sudfed) - (answers)decongestant
Match the respiratory drug to the drug class:
loratadine (Claritin) - (answers)non sedating antihistamine (2nd Gen)
- H1 antagonist/ H1 Blocker
- does not cross BBB, non sedating
- use cautiously in hepatic and renal dysfunction
,Match the respiratory drug to the drug class:
chlorpheniramine - (answers)sedating antihistamine (1st Gen)
Question 3:
A 36 year old man with ASTHMA also needs antihypertensive therapy. Which agent would you
avoid prescribing?
a. hydrochlorothiazide
b. propranolol
c. amlodipine
d. enalapril - (answers)b.
- propranolol
Question 4:
A patient with COPD has been prescribed home oxygen. How often must the patient wear the
nasal cannula for optimal benefit?
a. only as needed
b. 4-6 hours per day
c. 10-12 hours per day
d. 18 hours a day - (answers)d.
- 18 hours a day
Question 5:
, The CURB 65 is used to:
a. Diagnosis DVT
b. Predict prognosis in CAP and help determine outpatient vs inpatient treatment
c. Assess risk for SBE
d. Assess need for anticoagulation - (answers)b.
- Predict prognosis in CAP and help determine outpatient vs inpatient treatment
Question 6:
The definitive test for sleep apnea is:
a. a Holter monitor
b. ABI measures
c. an overnight polysomnogram
d. spirometry - (answers)c.
- an overnight polysomnogram,
spirometry measures Asthma and COPD
Question 7
The nurse practitioner assesses a PPD on the forearm of a patient being screened for
employment. The induration is 7 mm. How should this finding be interpreted?
a. negative, insignificant
b. moderately significant, requiring chest radiograph