ABFM / KSA Asthma Actual Exam 70 QUESTION AND CORRECT ANSWERS WITH RATIONALES .

ABFM / KSA Asthma Actual Exam 70 QUESTION AND
CORRECT ANSWERS WITH RATIONALES .




PT HAS MODERATE PERSISTENT ASTHMA


WAKES UP WITH NIGHT TIME SX
WEEKLY


WHAT MEDS SHOULD SHE BE ON - answer-; MODERATE PERSISTENT ASTHMA
=
STAGE 3
=
3 MEDS
=
ALBUTEROL
ICS
+
LABA


PT SUSPECTED OF HAVING

,EXERCISE INDUCED ASTHMA


Baseline pulmonary function testing reveals an FEV1=
of 3.1 L


IF PFT IS DONE AFTER EXERCISE
=
WHAT measurements OF FEV1 after exercise would support a diagnosis
ofexercise-induced bronchospasm? - answer-; FEV1 <2.5


15% decrease in FEV1
after exercise is COMPATIBLE WITH DIAGNOSIS OF
EXERCISE INDUCE ASTHMA


Airflow obstruction is defined as an FEV1
/FVC ratio
LESS THAN
70%.


Airway REVERSIBILITY is defined as
an increase in FEV1 or FVC
=
BY HOW MUCH - answer-; 12%

, WHICH ASTHMA MEDS ARE ASSOCIATED WITH BONE LOSS - answer-; BOTH
INHALED
AND
ORAL


CORTICOSTEROIDS


WHAT IS
most common acid/base abnormality in the early stages
of an asthma exacerbation? - answer-; RESPIRATORY ALKALOSIS


HYPERVENTILATION
=
LOW CO2= HIGH PH- ALKALOSIS


WHICH ASTHMA MEDICATION
=
most effective asthma agent
for preventing exacerbations, - answer-; ICS


WHAT IS TX OF CHOICE FOR
aspirin-induced asthma - answer-; LEUKOTRIENCE INHIBITORS
=
Montelukast