AMBULATORY CARE
CERTIFICATION EXAM
Asthma -ANSWER✅✅✅✅Chronically inflamed airways are hyper-responsive to
triggers
Low dose inhaled corticosteroids -ANSWER✅✅✅✅prescribed for daily control of mild
persistent asthma
gFOBT test -ANSWER✅✅✅✅pt instructed to avoid
NSAIDs and red meat 3 days prior - false positive
citrus juice and vitamin C - false negative
50 % - 80 % peak flow rate -ANSWER✅✅✅✅Moderate, yellow zone, caution, take
quick relief medication and monitor
colorectal cancer screening -ANSWER✅✅✅✅adults age 50 - 75
Asthma exacerbations -ANSWER✅✅✅✅rarely occur suddenly without any warning
signs
self care for sinusitis symptoms -ANSWER✅✅✅✅advise increased fluids and
humidification
TB symptoms -ANSWER✅✅✅✅coughing up bloody secretions
fatigue
enlarged lymph nodes
night sweats
3 yo with 101.0 fever, acting normal, eating, drinking -ANSWER✅✅✅✅dress in
lightweight clothing, avoid over dressing, avoid blankets
primary prevention -ANSWER✅✅✅✅health promotion to keep free from disease or
injury
nutrition education
sex education
use of seat belts
avoid allergies
immunizations
, telephone triage is -ANSWER✅✅✅✅interaction over telephone to identify nature and
urgency of clients health care needs and determine appropriate disposition
< 50% Peak flow -ANSWER✅✅✅✅Severe, red zone, go to ED or call 911, administer
quick relief medication
80 % - 100% Peak flow -ANSWER✅✅✅✅Mild, green zone, instruct use of relief
medications, call back if lasts more than 3 days or do not improve
Asthma control test ACT -ANSWER✅✅✅✅quality of life questionnaire,
max score 25
16 - 19 = not well controlled
< 15 = poorly controlled
inhaled corticosteroids (ICS) -ANSWER✅✅✅✅daily asthma preventative medication
short acting beta-2 antagonist (SABA) -ANSWER✅✅✅✅PRN for symptoms
Not more than 2 days/week
Health promotion -ANSWER✅✅✅✅process of enabling people to increase control
over and to improve their health (WHO)
Wellness -ANSWER✅✅✅✅active pursuit of good health
Affordable Care Act -ANSWER✅✅✅✅provides health care for uninsured
ensures basic wellness services included in all insurance plans
Healthy People 2020 (US dept health & humans services DHHS) -
ANSWER✅✅✅✅national objectives increasing health of nation & address disparities
Secondary prevention -ANSWER✅✅✅✅early detection, diagnosis and treatment
pt education on signs and symptoms
lung scan for smokers
mammogram, colonoscopy
tertiary prevention -ANSWER✅✅✅✅recovery and rehab
minimize disability
increase functioning
smoking cessation program
rehab programs
US Preventive Service Task Force (USPSTF) -ANSWER✅✅✅✅non-government
expert panel of primary care
CERTIFICATION EXAM
Asthma -ANSWER✅✅✅✅Chronically inflamed airways are hyper-responsive to
triggers
Low dose inhaled corticosteroids -ANSWER✅✅✅✅prescribed for daily control of mild
persistent asthma
gFOBT test -ANSWER✅✅✅✅pt instructed to avoid
NSAIDs and red meat 3 days prior - false positive
citrus juice and vitamin C - false negative
50 % - 80 % peak flow rate -ANSWER✅✅✅✅Moderate, yellow zone, caution, take
quick relief medication and monitor
colorectal cancer screening -ANSWER✅✅✅✅adults age 50 - 75
Asthma exacerbations -ANSWER✅✅✅✅rarely occur suddenly without any warning
signs
self care for sinusitis symptoms -ANSWER✅✅✅✅advise increased fluids and
humidification
TB symptoms -ANSWER✅✅✅✅coughing up bloody secretions
fatigue
enlarged lymph nodes
night sweats
3 yo with 101.0 fever, acting normal, eating, drinking -ANSWER✅✅✅✅dress in
lightweight clothing, avoid over dressing, avoid blankets
primary prevention -ANSWER✅✅✅✅health promotion to keep free from disease or
injury
nutrition education
sex education
use of seat belts
avoid allergies
immunizations
, telephone triage is -ANSWER✅✅✅✅interaction over telephone to identify nature and
urgency of clients health care needs and determine appropriate disposition
< 50% Peak flow -ANSWER✅✅✅✅Severe, red zone, go to ED or call 911, administer
quick relief medication
80 % - 100% Peak flow -ANSWER✅✅✅✅Mild, green zone, instruct use of relief
medications, call back if lasts more than 3 days or do not improve
Asthma control test ACT -ANSWER✅✅✅✅quality of life questionnaire,
max score 25
16 - 19 = not well controlled
< 15 = poorly controlled
inhaled corticosteroids (ICS) -ANSWER✅✅✅✅daily asthma preventative medication
short acting beta-2 antagonist (SABA) -ANSWER✅✅✅✅PRN for symptoms
Not more than 2 days/week
Health promotion -ANSWER✅✅✅✅process of enabling people to increase control
over and to improve their health (WHO)
Wellness -ANSWER✅✅✅✅active pursuit of good health
Affordable Care Act -ANSWER✅✅✅✅provides health care for uninsured
ensures basic wellness services included in all insurance plans
Healthy People 2020 (US dept health & humans services DHHS) -
ANSWER✅✅✅✅national objectives increasing health of nation & address disparities
Secondary prevention -ANSWER✅✅✅✅early detection, diagnosis and treatment
pt education on signs and symptoms
lung scan for smokers
mammogram, colonoscopy
tertiary prevention -ANSWER✅✅✅✅recovery and rehab
minimize disability
increase functioning
smoking cessation program
rehab programs
US Preventive Service Task Force (USPSTF) -ANSWER✅✅✅✅non-government
expert panel of primary care
