ASTHMA KSA CERTIFIED QUALITY EXAM QUESTIONS AND
DETAILED SOLUTIONS GRADED A+ SCORE SOLUTION REVIEW
ICS benefits - ----Answers---Take 1-2 months for full effect
Dose response curve is flat
Adding LABA more effective than increasing steroid dose
alone
Asthma assessment tools - ----Answers---The Asthma
Therapy Assessment Questionnaire (ATAQ) - best for primary
care
The Asthma Control Test (ACT) - best for primary care
The Asthma Control Questionnaire (ACQ)
The Asthma Control Score (ACS)
Conditions to avoid ICS - ----Answers---Active or quiescent
tuberculosis infection of the respiratory tract
Untreated systemic fungal, bacterial, parasitic, or viral
infections
Ocular herpes simplex
Alternative therapy: leukotriene modifier
, Treatment for severe persistent asthma despite LASA+ICS and
proven sensitivity to aeroallergen - ----Answers---
Omalizumab
Clinical findings indicating impending respiratory failure - ----
Answers---Inability to speak
Altered mental status (such as a drowsy or confused state)
Intercostal retractions
Worsening fatigue
Pco2 ≥42 mm Hg
Absence of wheezing
Bradycardia
Loss of pulsus paradoxus due to respiratory muscle fatigue
Adjunctive treatments to avoid intubation - ----Answers---
Intravenous magnesium sulfate therapy
Heliox-driven albuterol nebulization
Risk factors for death from asthma - ----Answers---A past
history of sudden severe asthma exacerbation
Prior intubation for asthma
Prior admission to an intensive-care unit for an exacerbation
Two or more hospitalizations for asthma during the past year
DETAILED SOLUTIONS GRADED A+ SCORE SOLUTION REVIEW
ICS benefits - ----Answers---Take 1-2 months for full effect
Dose response curve is flat
Adding LABA more effective than increasing steroid dose
alone
Asthma assessment tools - ----Answers---The Asthma
Therapy Assessment Questionnaire (ATAQ) - best for primary
care
The Asthma Control Test (ACT) - best for primary care
The Asthma Control Questionnaire (ACQ)
The Asthma Control Score (ACS)
Conditions to avoid ICS - ----Answers---Active or quiescent
tuberculosis infection of the respiratory tract
Untreated systemic fungal, bacterial, parasitic, or viral
infections
Ocular herpes simplex
Alternative therapy: leukotriene modifier
, Treatment for severe persistent asthma despite LASA+ICS and
proven sensitivity to aeroallergen - ----Answers---
Omalizumab
Clinical findings indicating impending respiratory failure - ----
Answers---Inability to speak
Altered mental status (such as a drowsy or confused state)
Intercostal retractions
Worsening fatigue
Pco2 ≥42 mm Hg
Absence of wheezing
Bradycardia
Loss of pulsus paradoxus due to respiratory muscle fatigue
Adjunctive treatments to avoid intubation - ----Answers---
Intravenous magnesium sulfate therapy
Heliox-driven albuterol nebulization
Risk factors for death from asthma - ----Answers---A past
history of sudden severe asthma exacerbation
Prior intubation for asthma
Prior admission to an intensive-care unit for an exacerbation
Two or more hospitalizations for asthma during the past year
