MN568 Midterm Exam UPDATED ACTUAL Questions and CORRECT
Answers
1. You are doing a cerumen extraction and touch the Arnold Reflex
external meatus of your pt's ear. He winces and starts
coughing. What is the name of this reflex?
2. Sam, age 78, presents to the clinic w/respiratory Chronic Bronchitis
symptoms. His PFTs are as follows: normal total lung
capacity, decreased PaO2, increased PaCO2. On as-
sessment, you auscultate course crackles and forced
expiratory wheezes. What is your dx?
3. George has COPD and an 80% forced expiratory vol- Stage 1 mild COPD
ume in 1 second. How would you classify the severity
of his COPD?
4. African American pt's seems to have a negative reac- Long-term beta-agonist
tion to which of the following asthma meds? bronchodilators
5. You are using the CURB-65 clinical prediction tool to Hospitalize and consider
decide whether Mabel, whom you have diagnosed admitting her to the ICU
with community-acquired pneumonia (CAP), should
be hospitalized or treated at home. Her score is 3.
What should you do?
6. Why do you suspect that your pt may have a de- She has been on
creased response to the TB test? long-term corticosteroid
therapy
7. Marci has been started on a TB regimen. Because Pyroxidine
isoniazid (INH) may cause peripheral neuropathy,
you consider ordering which of the following drugs
prophilactically?
8.
, MN568 Midterm Exam UPDATED ACTUAL Questions and CORRECT
Answers
Jolene has breast cancer that has been staged as T1, The cancer is less than
N0, M0. What might this mean? 3cm in size and has
not spread to the lymph
A. The tumor size cannot be evaluated; the cancer has nodes or other parts of the
not spread to the lymph nodes; and the distant spread body
cannot be evaluated.
B. The cancer is in situ; it is spreading into the lymph
nodes but the spread cannot be evaluated otherwise.
C. The cancer is less than 3 cm in size and has not
spread to the lymph nodes or other parts of the body.
D. The cancer is about 5 cm in size; nearby lymph
nodes cannot be evaluated; and there is no evidence
of distant spreading.
9. Nathan, a 32yo policeman, has a 15-pack-year history Continue to ask him at
of smoking and continues to smoke heavily. During every visit if he is ready to
every visit, he gets irate when you try to talk to him quit
about quitting. What should you do?
10. Your pt has decided to try to quit smoking with Chan- His quit date should be in
tix. You are discussing his quit date and he will begin 1 week
taking the med tomorrow. When should he plan to
quit smoking?
11. Which info should be included when you are teaching The gum must be correct-
your pt about the use of nicotine gum? ly chewed to a softened
state and then placed in
the buccal mucosa
12. Cydney presents with a h/o asthma. She has not been Moderate persistent
treated for a while. She c/o daily but not continual
symptoms, greater than 1 week and at nighttime. She
has been using her rescue inhaler. Her FEV1 is 60-80%
, MN568 Midterm Exam UPDATED ACTUAL Questions and CORRECT
Answers
predicted. How would you classify her asthma severi-
ty?
13. Joyce is taking a long-acting beta agonist for her asth- Inhaled corticosteroid
ma. What additional med should she be taking?
14. Your pt is on theophylline (Therabid) for his asthma. 5-15mcg/mL
You want to maintain his serum levels between:
15. Which of the following statements regarding TST is The size of the TST reac-
true? tion has nothing to do with
erythema but is based
solely on induration
16. Which obstructive lung disease is classified as re- asthma
versible?
17. You have taught Jennifer, age 15, about using a flow Use your rescue inhaler,
meter to assess how to manage her asthma exacerba- begin the Rx of PO glu-
tions. She calls you today because her peak expiratory cocorticoids you have, and
flow rate is 65%. What would you tell her? call back tomorrow."
18. Which statement about adenocarcinoma of the lung It is the most prevalent
is accurate? carcinoma of the lungs
in both sexes and in
nonsmokers, represent-
ing 35-40% of all tumors
19. Jason, age 62, has obstructive sleep apnea. What do His collar size is 17in
you think is one of his contributing factors?
20. The forced vital capacity is decreased in: restrictive disease
a. Asthma
b. Chronic bronchitis
, MN568 Midterm Exam
Study online at https://quizlet.com/_e9w3zy
c. Emphysema
d. Restrictive disease
21. The most common cause of CAP is: Streptococcus pneumoni-
ae
22. Which of the following pt's would you expect to have Sandy, a 40yo pt who re-
a decreased response to TST? cently survived a fire that
left 40% of her total body
surface covered in burns
23. Which of the following is a possible consequence of insulin resistance
sleep apnea?
a. Asthma
b. Increased WBC
c. Insulin resistance
d. Hyperactivity
24. Which of the following conditions is associated with Bladder cancer
cigarette smoking?
a. Glaucoma
b. Increased sperm quality
c. Bladder cancer
d. Eczema
25. Marta is taking TB drugs prophylactically. How do you Take them on an empty
instruct her to take them? stomach to facilitate ab-
sorption
26. Which of the following statements regarding pul- There is a normal age-re-
monary function is true? lated decline in pul-
monary function
Answers
1. You are doing a cerumen extraction and touch the Arnold Reflex
external meatus of your pt's ear. He winces and starts
coughing. What is the name of this reflex?
2. Sam, age 78, presents to the clinic w/respiratory Chronic Bronchitis
symptoms. His PFTs are as follows: normal total lung
capacity, decreased PaO2, increased PaCO2. On as-
sessment, you auscultate course crackles and forced
expiratory wheezes. What is your dx?
3. George has COPD and an 80% forced expiratory vol- Stage 1 mild COPD
ume in 1 second. How would you classify the severity
of his COPD?
4. African American pt's seems to have a negative reac- Long-term beta-agonist
tion to which of the following asthma meds? bronchodilators
5. You are using the CURB-65 clinical prediction tool to Hospitalize and consider
decide whether Mabel, whom you have diagnosed admitting her to the ICU
with community-acquired pneumonia (CAP), should
be hospitalized or treated at home. Her score is 3.
What should you do?
6. Why do you suspect that your pt may have a de- She has been on
creased response to the TB test? long-term corticosteroid
therapy
7. Marci has been started on a TB regimen. Because Pyroxidine
isoniazid (INH) may cause peripheral neuropathy,
you consider ordering which of the following drugs
prophilactically?
8.
, MN568 Midterm Exam UPDATED ACTUAL Questions and CORRECT
Answers
Jolene has breast cancer that has been staged as T1, The cancer is less than
N0, M0. What might this mean? 3cm in size and has
not spread to the lymph
A. The tumor size cannot be evaluated; the cancer has nodes or other parts of the
not spread to the lymph nodes; and the distant spread body
cannot be evaluated.
B. The cancer is in situ; it is spreading into the lymph
nodes but the spread cannot be evaluated otherwise.
C. The cancer is less than 3 cm in size and has not
spread to the lymph nodes or other parts of the body.
D. The cancer is about 5 cm in size; nearby lymph
nodes cannot be evaluated; and there is no evidence
of distant spreading.
9. Nathan, a 32yo policeman, has a 15-pack-year history Continue to ask him at
of smoking and continues to smoke heavily. During every visit if he is ready to
every visit, he gets irate when you try to talk to him quit
about quitting. What should you do?
10. Your pt has decided to try to quit smoking with Chan- His quit date should be in
tix. You are discussing his quit date and he will begin 1 week
taking the med tomorrow. When should he plan to
quit smoking?
11. Which info should be included when you are teaching The gum must be correct-
your pt about the use of nicotine gum? ly chewed to a softened
state and then placed in
the buccal mucosa
12. Cydney presents with a h/o asthma. She has not been Moderate persistent
treated for a while. She c/o daily but not continual
symptoms, greater than 1 week and at nighttime. She
has been using her rescue inhaler. Her FEV1 is 60-80%
, MN568 Midterm Exam UPDATED ACTUAL Questions and CORRECT
Answers
predicted. How would you classify her asthma severi-
ty?
13. Joyce is taking a long-acting beta agonist for her asth- Inhaled corticosteroid
ma. What additional med should she be taking?
14. Your pt is on theophylline (Therabid) for his asthma. 5-15mcg/mL
You want to maintain his serum levels between:
15. Which of the following statements regarding TST is The size of the TST reac-
true? tion has nothing to do with
erythema but is based
solely on induration
16. Which obstructive lung disease is classified as re- asthma
versible?
17. You have taught Jennifer, age 15, about using a flow Use your rescue inhaler,
meter to assess how to manage her asthma exacerba- begin the Rx of PO glu-
tions. She calls you today because her peak expiratory cocorticoids you have, and
flow rate is 65%. What would you tell her? call back tomorrow."
18. Which statement about adenocarcinoma of the lung It is the most prevalent
is accurate? carcinoma of the lungs
in both sexes and in
nonsmokers, represent-
ing 35-40% of all tumors
19. Jason, age 62, has obstructive sleep apnea. What do His collar size is 17in
you think is one of his contributing factors?
20. The forced vital capacity is decreased in: restrictive disease
a. Asthma
b. Chronic bronchitis
, MN568 Midterm Exam
Study online at https://quizlet.com/_e9w3zy
c. Emphysema
d. Restrictive disease
21. The most common cause of CAP is: Streptococcus pneumoni-
ae
22. Which of the following pt's would you expect to have Sandy, a 40yo pt who re-
a decreased response to TST? cently survived a fire that
left 40% of her total body
surface covered in burns
23. Which of the following is a possible consequence of insulin resistance
sleep apnea?
a. Asthma
b. Increased WBC
c. Insulin resistance
d. Hyperactivity
24. Which of the following conditions is associated with Bladder cancer
cigarette smoking?
a. Glaucoma
b. Increased sperm quality
c. Bladder cancer
d. Eczema
25. Marta is taking TB drugs prophylactically. How do you Take them on an empty
instruct her to take them? stomach to facilitate ab-
sorption
26. Which of the following statements regarding pul- There is a normal age-re-
monary function is true? lated decline in pul-
monary function
