Asthma Exam questions and CORRECT
answers
1. 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 - CORRECT ANSWER C. chronic airway
inflammation with superimposed
bronchospasm
2. The patient you are evaluating is having a severe asthma
flare. You have assessed that his condition is appropriate
for office treatment. You expect to find the following on
physical examination:
A. tripod posture
B. inspiratory crackles
C. increased vocal fremitus
D. hyperresonance on thoracic percussion - CORRECT ANSWER D. hyperresonance
on thoracic percussion
3. A 44-year-old man has a long-standing history of
moderate persistent asthma that is normally well
controlled by fluticasone with salmeterol (Advair)
via metered-dose inhaler, one puff twice a day, and
the use of albuterol 1 to 2 times a week as needed for
, wheezing. Three days ago, he developed a sore throat,
clear nasal discharge, body aches, and a dry cough.
In the past 24 hours, he has had intermittent wheezing
that necessitated the use of albuterol, two puffs every
3 hours, which produced partial relief. Your next
most appropriate action is to obtain a:
A. chest radiograph.
B. measurement of oxygen saturation (SaO2).
C. spirometry measurement.
D. sputum smear for white blood cells (WBCs). - CORRECT ANSWER C. spirometry
measurement.
4. 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 discharge, dry
cough, no fever). She has a history of moderate persistent
asthma that is in good control and an acceptable peak expiratory flow (PEF). She 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 second (FEV1) is 65% of predicted. Her medication regimen should
be adjusted to include:
A. theophylline.
B. salmeterol (Serevent).
C. prednisone.
D. montelukast (Singulair). - CORRECT ANSWER C. prednisone.
5. For Jane in the above question, you also prescribe:
A. amoxicillin.
B. azithromycin.
C. levofloxacin.
answers
1. 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 - CORRECT ANSWER C. chronic airway
inflammation with superimposed
bronchospasm
2. The patient you are evaluating is having a severe asthma
flare. You have assessed that his condition is appropriate
for office treatment. You expect to find the following on
physical examination:
A. tripod posture
B. inspiratory crackles
C. increased vocal fremitus
D. hyperresonance on thoracic percussion - CORRECT ANSWER D. hyperresonance
on thoracic percussion
3. A 44-year-old man has a long-standing history of
moderate persistent asthma that is normally well
controlled by fluticasone with salmeterol (Advair)
via metered-dose inhaler, one puff twice a day, and
the use of albuterol 1 to 2 times a week as needed for
, wheezing. Three days ago, he developed a sore throat,
clear nasal discharge, body aches, and a dry cough.
In the past 24 hours, he has had intermittent wheezing
that necessitated the use of albuterol, two puffs every
3 hours, which produced partial relief. Your next
most appropriate action is to obtain a:
A. chest radiograph.
B. measurement of oxygen saturation (SaO2).
C. spirometry measurement.
D. sputum smear for white blood cells (WBCs). - CORRECT ANSWER C. spirometry
measurement.
4. 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 discharge, dry
cough, no fever). She has a history of moderate persistent
asthma that is in good control and an acceptable peak expiratory flow (PEF). She 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 second (FEV1) is 65% of predicted. Her medication regimen should
be adjusted to include:
A. theophylline.
B. salmeterol (Serevent).
C. prednisone.
D. montelukast (Singulair). - CORRECT ANSWER C. prednisone.
5. For Jane in the above question, you also prescribe:
A. amoxicillin.
B. azithromycin.
C. levofloxacin.
