CMN 568 - Unit 3 (Chronic Respiratory
Conditions) Study Guide Exam
Questions and All Actual Answers
2025\2026 Set.
ICS - Define and describe - Answer Inhaled Corticosteroid
Example:
Low-dose = Budesonide inhaled suspension for nebulizer OR Fluticasone HFA/MDI, or
Beclomethasone
SABA - Define and describe - Answer Short-Acting Beta Agonist
Examples: Albuterol
LABA - Define and describe - Answer Long-Acting Beta Agonist.
Example: Salmeterol (Advair), Formoterol
NEVER USE ALONE IN TX FOR ASTHMA! (Associated with increased deaths.) Always use with ICS!
LTRA - Define and describe - Answer LeukoTriene Receptor Agonist
Example: Montelukast (Singulair)
LAMA - Define and describe - Answer Long-Acting Muscarinic Antagonists
EXAMPLE: Tiatroprium
SAMA - Define and describe - Answer Short-Acting Muscarinic Antagonists
EXAMPLE: ipratroprium
PFT - Define and describe - Answer PFT: pulmonary function test
PEF - Define and describe - Answer PEF: peak expiratory flow
, MDI - Define and describe - Answer MDI: multi-dose inhaler
DPI - Define and describe - Answer DPI: dry powder inhaler
COPD - Define and describe - Answer COPD: chronic obstructive pulmonary disease
GOLD - Define and describe - Answer Global Initiative for Obstructive Lung Disease -- Tool for
classifying severity of COPD
ABX for COPD patients - Answer azithromycin and moxifloxicin are important ones for pts who
have frequent exacerbations
page 266 in McPhee
In the GOLD reference for COPD on page 6, it gives recommendations for medications. For a pt
in the B category it says the recommend a LABA or LA anticholinergic. Are we supposed to give
the LABA without a combo of ICS? - Answer LABA can be used alone in COPD, but not asthma.
If you read on page 265 in McPhee, it references that there are no increases in exacerbations
and mortality as seen in asthma patients when salmeterol is used alone. That being said,
combination drugs are often more effective than regimens of single drugs. Also, ICS alone
should not be considered first line therapy for stable COPD. Just remember COPD and asthma
use similar drugs but aren't treated the same.
How do you treat LTBI? - Answer (Herf BBB presentation)
What tool do you use to score asthma severity when a patient is first seen? - Answer
Classification of Asthma Severity chart --
1) Use it when first seeing patient AND
2) Use it on follow up to determine if they are well-controlled on their present medications.
You decide if you need to "Step up" or "Step down" or just maintain their current treatment
based on how well they are controlled. If you assess a patient as having mild persistent asthma
initially and they come back for follow-up and are well-controlled (only have symptoms <2 days
a week, etc), that just means they are on the correct treatment. It doesn't change their severity
to intermittent.
Conditions) Study Guide Exam
Questions and All Actual Answers
2025\2026 Set.
ICS - Define and describe - Answer Inhaled Corticosteroid
Example:
Low-dose = Budesonide inhaled suspension for nebulizer OR Fluticasone HFA/MDI, or
Beclomethasone
SABA - Define and describe - Answer Short-Acting Beta Agonist
Examples: Albuterol
LABA - Define and describe - Answer Long-Acting Beta Agonist.
Example: Salmeterol (Advair), Formoterol
NEVER USE ALONE IN TX FOR ASTHMA! (Associated with increased deaths.) Always use with ICS!
LTRA - Define and describe - Answer LeukoTriene Receptor Agonist
Example: Montelukast (Singulair)
LAMA - Define and describe - Answer Long-Acting Muscarinic Antagonists
EXAMPLE: Tiatroprium
SAMA - Define and describe - Answer Short-Acting Muscarinic Antagonists
EXAMPLE: ipratroprium
PFT - Define and describe - Answer PFT: pulmonary function test
PEF - Define and describe - Answer PEF: peak expiratory flow
, MDI - Define and describe - Answer MDI: multi-dose inhaler
DPI - Define and describe - Answer DPI: dry powder inhaler
COPD - Define and describe - Answer COPD: chronic obstructive pulmonary disease
GOLD - Define and describe - Answer Global Initiative for Obstructive Lung Disease -- Tool for
classifying severity of COPD
ABX for COPD patients - Answer azithromycin and moxifloxicin are important ones for pts who
have frequent exacerbations
page 266 in McPhee
In the GOLD reference for COPD on page 6, it gives recommendations for medications. For a pt
in the B category it says the recommend a LABA or LA anticholinergic. Are we supposed to give
the LABA without a combo of ICS? - Answer LABA can be used alone in COPD, but not asthma.
If you read on page 265 in McPhee, it references that there are no increases in exacerbations
and mortality as seen in asthma patients when salmeterol is used alone. That being said,
combination drugs are often more effective than regimens of single drugs. Also, ICS alone
should not be considered first line therapy for stable COPD. Just remember COPD and asthma
use similar drugs but aren't treated the same.
How do you treat LTBI? - Answer (Herf BBB presentation)
What tool do you use to score asthma severity when a patient is first seen? - Answer
Classification of Asthma Severity chart --
1) Use it when first seeing patient AND
2) Use it on follow up to determine if they are well-controlled on their present medications.
You decide if you need to "Step up" or "Step down" or just maintain their current treatment
based on how well they are controlled. If you assess a patient as having mild persistent asthma
initially and they come back for follow-up and are well-controlled (only have symptoms <2 days
a week, etc), that just means they are on the correct treatment. It doesn't change their severity
to intermittent.
