NSG 6420 MIDTERM exam questions with
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answers
COPD Stage I - CORRECT ANSWERS ✔✔MILD
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FEV1/FVC <70% |\
FEV1</80%
*Chronic cough/sputum production |\ |\
*Pt unaware lung function is abnormal
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COPD Stage II - CORRECT ANSWERS ✔✔MODERATE
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FEV1/FVC <70% |\
FEV1 50-80% |\
SOB with exertion
|\ |\
Cough and sputum production present
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COPD Stage III - CORRECT ANSWERS ✔✔SEVERE
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FEV1/FVC < 70% |\ |\
FEV1 30-50% |\
Greater SOB |\
Reduced exercise capacity |\ |\
Fatigue
Repeated exacerbations with impact on QOL |\ |\ |\ |\ |\
,COPD Stage IV - CORRECT ANSWERS ✔✔VERY SEVERE
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FEV1/FVC<70%
FEV1<30%
Resp. Failure |\
Cor Pulmonale (elevation of JVP and pitting ankle edema)
|\ |\ |\ |\ |\ |\ |\ |\
QOL very impaired
|\ |\
Exacerbations may be life threatening |\ |\ |\ |\
How does FEV1 decrease? - CORRECT ANSWERS ✔✔Inflammation
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Narrowing of peripheral airways |\ |\ |\
Airway collapse in severe emphysema
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COPD diagnosis? - CORRECT ANSWERS ✔✔SPIROMETRY is key
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Primarily Inflammatory with superimposed bronchospasm -
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CORRECT ANSWERS ✔✔Asthma |\ |\
Most common chronic respiratory disorder among all age groups -
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CORRECT ANSWERS ✔✔Asthma
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Atophy - CORRECT ANSWERS ✔✔exaggerated IgE mediated
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immune response; all atophic disorders are type I
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hypersensitivity disorders |\
Type I hypersensitivity reaction - CORRECT ANSWERS
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✔✔Immediate hypersensitivity |\ |\
, IgE-mediated
Antigen binds to IgE that is bound to tissue mast cells and blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
basophils, triggering release of preformed mediators (histamine,
|\ |\ |\ |\ |\ |\ |\
proteases, chemotactic factors) and synthesis of other mediators
|\ |\ |\ |\ |\ |\ |\ |\
(prostaglandins, leukotrienes, platelet-activating factor, |\ |\ |\ |\
cytokines)
-causes vasodilation, increased cap. permeability, mucus
|\ |\ |\ |\ |\ |\
hypersecretion
**atopic disorders (allergic asthma, rhinitis, conjunctivitis),
|\ |\ |\ |\ |\ |\
anaphylaxis, some cases of angioedema, urticarial, and latex and
|\ |\ |\ |\ |\ |\ |\ |\
some food allergies
|\ |\ |\
**Develop <1h after exposure to antigen
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Allergic triad of symptoms - CORRECT ANSWERS ✔✔allergies,
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eczema, and asthma |\ |\
Samter's Triad - CORRECT ANSWERS ✔✔Nasal polyps, asthma,
|\ |\ |\ |\ |\ |\ |\ |\
and ASA allergy
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Most common symptom of asthma - CORRECT ANSWERS
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✔✔wheezing
Common only symptom of asthma? - CORRECT ANSWERS
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✔✔Cough
-can often delay dx of asthma
|\ |\ |\ |\ |\
AKA cough variant asthma
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answers
COPD Stage I - CORRECT ANSWERS ✔✔MILD
|\ |\ |\ |\ |\ |\
FEV1/FVC <70% |\
FEV1</80%
*Chronic cough/sputum production |\ |\
*Pt unaware lung function is abnormal
|\ |\ |\ |\ |\
COPD Stage II - CORRECT ANSWERS ✔✔MODERATE
|\ |\ |\ |\ |\ |\
FEV1/FVC <70% |\
FEV1 50-80% |\
SOB with exertion
|\ |\
Cough and sputum production present
|\ |\ |\ |\
COPD Stage III - CORRECT ANSWERS ✔✔SEVERE
|\ |\ |\ |\ |\ |\
FEV1/FVC < 70% |\ |\
FEV1 30-50% |\
Greater SOB |\
Reduced exercise capacity |\ |\
Fatigue
Repeated exacerbations with impact on QOL |\ |\ |\ |\ |\
,COPD Stage IV - CORRECT ANSWERS ✔✔VERY SEVERE
|\ |\ |\ |\ |\ |\ |\
FEV1/FVC<70%
FEV1<30%
Resp. Failure |\
Cor Pulmonale (elevation of JVP and pitting ankle edema)
|\ |\ |\ |\ |\ |\ |\ |\
QOL very impaired
|\ |\
Exacerbations may be life threatening |\ |\ |\ |\
How does FEV1 decrease? - CORRECT ANSWERS ✔✔Inflammation
|\ |\ |\ |\ |\ |\ |\
Narrowing of peripheral airways |\ |\ |\
Airway collapse in severe emphysema
|\ |\ |\ |\
COPD diagnosis? - CORRECT ANSWERS ✔✔SPIROMETRY is key
|\ |\ |\ |\ |\ |\ |\
Primarily Inflammatory with superimposed bronchospasm -
|\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Asthma |\ |\
Most common chronic respiratory disorder among all age groups -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Asthma
|\ |\ |\
Atophy - CORRECT ANSWERS ✔✔exaggerated IgE mediated
|\ |\ |\ |\ |\ |\ |\
immune response; all atophic disorders are type I
|\ |\ |\ |\ |\ |\ |\ |\
hypersensitivity disorders |\
Type I hypersensitivity reaction - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Immediate hypersensitivity |\ |\
, IgE-mediated
Antigen binds to IgE that is bound to tissue mast cells and blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
basophils, triggering release of preformed mediators (histamine,
|\ |\ |\ |\ |\ |\ |\
proteases, chemotactic factors) and synthesis of other mediators
|\ |\ |\ |\ |\ |\ |\ |\
(prostaglandins, leukotrienes, platelet-activating factor, |\ |\ |\ |\
cytokines)
-causes vasodilation, increased cap. permeability, mucus
|\ |\ |\ |\ |\ |\
hypersecretion
**atopic disorders (allergic asthma, rhinitis, conjunctivitis),
|\ |\ |\ |\ |\ |\
anaphylaxis, some cases of angioedema, urticarial, and latex and
|\ |\ |\ |\ |\ |\ |\ |\
some food allergies
|\ |\ |\
**Develop <1h after exposure to antigen
|\ |\ |\ |\ |\
Allergic triad of symptoms - CORRECT ANSWERS ✔✔allergies,
|\ |\ |\ |\ |\ |\ |\ |\
eczema, and asthma |\ |\
Samter's Triad - CORRECT ANSWERS ✔✔Nasal polyps, asthma,
|\ |\ |\ |\ |\ |\ |\ |\
and ASA allergy
|\ |\
Most common symptom of asthma - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔wheezing
Common only symptom of asthma? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Cough
-can often delay dx of asthma
|\ |\ |\ |\ |\
AKA cough variant asthma
|\ |\ |\
