CMN 568 COMPREHENSIVE EXAM
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY SHEET
●● patho of asthma
Answer: - airway inflammatory cell inflammation with eosinophils,
neutrophils, and T lymphocytes (T cells)
- this causes goblet cell hyperplasia
- mucus then plugs small airways
- hypertrophy of bronchial submucosa
- mast cell activation and denudation of airway epithelium
●● strongest predictor of asthma
Answer: atopy
●● atopy definition
Answer: genetic tendency to develop allergic disease
●● atopic triad (asthma triad)
Answer: - eczema
- allergic rhinitis
- asthma
,●● main symptoms of asthma
Answer: - symptoms worse at night of in early AM
- prolonged expiration and diffuse wheezing
- reversibility of airflow obstruction either spontaneously or after
bronchodilator tx
●● asthma hospitalization rates are highest in....
Answer: - blacks
- children
●● allergen asthma triggers
Answer: - roaches
- dustmites
- cat dander
- seasonal pollen
●● what medications are asthma triggers?
Answer: - ASA
- NSAIDs
- Tartrazine dyes
,●● catamenial asthma
Answer: in women, occurs at predictable times during menstrual cycle
●● exercise induced bronchoconstriction
Answer: happens during exercise or within 3 minutes after it ends; peaks
within 10-15min; resolves by 60min after
●● cardiac asthma
Answer: wheezing due to decompensated HF
●● nonspecific asthma precipitants
Answer: - exercise
- URI/rhinosinusitis
- postnasal drip
- GERD
- stress
- exposure to cold air
●● asthmatic response times
Answer: can be immediate or late response; late response occurs 4-6hr
after exposure
●● when are asthma symptoms worse?
, Answer: nighttime, 3-4am
●● what are asthma exacerbation breath sounds like?
Answer: episodic wheezing or high pitched whistling during expiration;
PROLONGED EXPIRATORY PHASE WITH WHEEZING
●● symptoms of severe asthma attack
Answer: - globally diminished breath sounds
- absent wheeze
- use of accessory muscles
●● what patients do not receive lung function testing?
Answer: ages 0-4, nighttime awakenings guide treatment in these
patients
●● mild intermittent asthma
Answer: - day symptoms: <2 days/week
- night symptoms: <2 nights/month
- FEV: >80%
BEGIN AT STEP 1
●● mild persistent asthma
Answer: - day symptoms: >2 days/week (but not daily)
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY SHEET
●● patho of asthma
Answer: - airway inflammatory cell inflammation with eosinophils,
neutrophils, and T lymphocytes (T cells)
- this causes goblet cell hyperplasia
- mucus then plugs small airways
- hypertrophy of bronchial submucosa
- mast cell activation and denudation of airway epithelium
●● strongest predictor of asthma
Answer: atopy
●● atopy definition
Answer: genetic tendency to develop allergic disease
●● atopic triad (asthma triad)
Answer: - eczema
- allergic rhinitis
- asthma
,●● main symptoms of asthma
Answer: - symptoms worse at night of in early AM
- prolonged expiration and diffuse wheezing
- reversibility of airflow obstruction either spontaneously or after
bronchodilator tx
●● asthma hospitalization rates are highest in....
Answer: - blacks
- children
●● allergen asthma triggers
Answer: - roaches
- dustmites
- cat dander
- seasonal pollen
●● what medications are asthma triggers?
Answer: - ASA
- NSAIDs
- Tartrazine dyes
,●● catamenial asthma
Answer: in women, occurs at predictable times during menstrual cycle
●● exercise induced bronchoconstriction
Answer: happens during exercise or within 3 minutes after it ends; peaks
within 10-15min; resolves by 60min after
●● cardiac asthma
Answer: wheezing due to decompensated HF
●● nonspecific asthma precipitants
Answer: - exercise
- URI/rhinosinusitis
- postnasal drip
- GERD
- stress
- exposure to cold air
●● asthmatic response times
Answer: can be immediate or late response; late response occurs 4-6hr
after exposure
●● when are asthma symptoms worse?
, Answer: nighttime, 3-4am
●● what are asthma exacerbation breath sounds like?
Answer: episodic wheezing or high pitched whistling during expiration;
PROLONGED EXPIRATORY PHASE WITH WHEEZING
●● symptoms of severe asthma attack
Answer: - globally diminished breath sounds
- absent wheeze
- use of accessory muscles
●● what patients do not receive lung function testing?
Answer: ages 0-4, nighttime awakenings guide treatment in these
patients
●● mild intermittent asthma
Answer: - day symptoms: <2 days/week
- night symptoms: <2 nights/month
- FEV: >80%
BEGIN AT STEP 1
●● mild persistent asthma
Answer: - day symptoms: >2 days/week (but not daily)
