MN 568 Midterm Review Exam Questions and Answers 2025
Respiratory Review
1. A chronic cough lasts longer than:
8 Weeks
2. You are doing a cerumen extraction and touch the external meatus of your pt's ear. He winces and starts
coughing. What is the name of this reflex?
Arnold Reflex
3. Julie has a postnasal drip along with her cough. You assess her for:
Allergic or vasomotor rhinitis
4. A pt with HTN comes in and insists that one of his new meds is causing him to cough. When looking at his
list of meds, you think the cough must be from:
Captopril
5. African American pt's seems to have a negative reaction to which of the following asthma meds?
Long-term beta-agonist bronchodilators
6. Sam, age 78, presents to the clinic w/respiratory symptoms. His PFTs are as follows: normal total lung
capacity, decreased PaO2, increased PaCO2. On assessment, you auscultate course crackles and forced
expiratory wheezes. What is your dx?
Chronic Bronchitis
7. You are using the CURB-65 clinical prediction tool to decide whether Mabel, whom you have diagnosed
with community-acquired pneumonia (CAP), should be hospitalized or treated at home. Her score is 3. What
should you do?
Hospitalize and consider admitting her to ICU
8. Why do you suspect that your pt may have a decreased response to the TB test?
She has been on long-term corticosteroid therapy
9. Marci has been started on a TB regimen. Because isoniazid (INH) may cause peripheral neuropathy, you
consider ordering which of the following drugs prophylactically?
Pyroxidine
10. Jolene has breast cancer that has been staged as T1, N0, M0. What might this mean?
The cancer is less than 2cm in size and has not spread to the lymph nodes or other parts of the body
11. Nathan, a 32yo policeman, has a 15-pack-year history of smoking and continues to smoke heavily.
During every visit, he gets irate when you try to talk to him about quitting. What should you do?
Continue to ask him at every visit if he is ready to quit
1
,12. Your pt has decided to try to quit smoking with Chantix. You are discussing his quit date and he will
begin taking the med tomorrow. When should he plan to quit smoking?
His quit date should be in 1 week
2
,13. Which info should be included when you are teaching your pt about the use of nicotine gum?
The gum must be correctly chewed to a softened state and then placed in the buccal mucosa or “parked”
3
, MN 568 / Midterm Review With Correct Answers
14. Your pt states he has a strep throat infection. Which of the following symptoms makes you consider a
viral etiology instead?
Rhinorrhea
15. What is the first-line recommended treatment against Group A beta-hemolytic streptococci (GABHS),
the most common cause of bacterial pharyngitis?
PCN
16. Cydney presents with a h/o asthma. She has not been treated for a while. She c/o daily but not
continual symptoms, greater than 1 week and at nighttime. She has been using her rescue inhaler. Her FEV1
is 60-80% predicted. How would you classify her asthma severity?
Moderate Persistent
17. Joyce is taking a long-acting beta agonist for her asthma. What additional med should she be taking?
Inhaled corticosteroid
18. Your pt is on Therabid (theophylline) for his asthma. You want to maintain his serum levels between:
5-15mcg/mL
19. George has COPD and an 80% forced expiratory volume in 1 second. How would you classify the severity
of his COPD?
Stage 1-Mild COPD
20. Most nosocomial pneumonias are caused by:
Gram-negative bacteria
21. Which of the following statements regarding TST is true?
The size of the TST reaction has nothing to do with erythema but is based solely on induration
22. Which obstructive lung dz is classified as reversible?
Asthma
23. You have taught Jennifer, age 15, about using a flow meter to assess how to manage her asthma
exacerbations. She calls you today because her peak expiratory flow rate is 65%. What would you tell her?
"Use your rescue inhaler, begin the Rx of PO glucocorticoids you have, and call back tomorrow."
24. Which statement about adenocarcinoma of the lung is accurate?
It is the most prevalent carcinoma of the lungs in both sexes and in nonsmokers, representing 35-40% of all
tumors
25. Jason, age 62, has obstructive sleep apnea. What do you think is one of his contributing factors?
His collar size is 17 inches
26. The forced vital capacity is decreased in:
Restrictive Disease
27. The most common cause of CAP is:
Streptococcus pneumoniae
4
Respiratory Review
1. A chronic cough lasts longer than:
8 Weeks
2. You are doing a cerumen extraction and touch the external meatus of your pt's ear. He winces and starts
coughing. What is the name of this reflex?
Arnold Reflex
3. Julie has a postnasal drip along with her cough. You assess her for:
Allergic or vasomotor rhinitis
4. A pt with HTN comes in and insists that one of his new meds is causing him to cough. When looking at his
list of meds, you think the cough must be from:
Captopril
5. African American pt's seems to have a negative reaction to which of the following asthma meds?
Long-term beta-agonist bronchodilators
6. Sam, age 78, presents to the clinic w/respiratory symptoms. His PFTs are as follows: normal total lung
capacity, decreased PaO2, increased PaCO2. On assessment, you auscultate course crackles and forced
expiratory wheezes. What is your dx?
Chronic Bronchitis
7. You are using the CURB-65 clinical prediction tool to decide whether Mabel, whom you have diagnosed
with community-acquired pneumonia (CAP), should be hospitalized or treated at home. Her score is 3. What
should you do?
Hospitalize and consider admitting her to ICU
8. Why do you suspect that your pt may have a decreased response to the TB test?
She has been on long-term corticosteroid therapy
9. Marci has been started on a TB regimen. Because isoniazid (INH) may cause peripheral neuropathy, you
consider ordering which of the following drugs prophylactically?
Pyroxidine
10. Jolene has breast cancer that has been staged as T1, N0, M0. What might this mean?
The cancer is less than 2cm in size and has not spread to the lymph nodes or other parts of the body
11. Nathan, a 32yo policeman, has a 15-pack-year history of smoking and continues to smoke heavily.
During every visit, he gets irate when you try to talk to him about quitting. What should you do?
Continue to ask him at every visit if he is ready to quit
1
,12. Your pt has decided to try to quit smoking with Chantix. You are discussing his quit date and he will
begin taking the med tomorrow. When should he plan to quit smoking?
His quit date should be in 1 week
2
,13. Which info should be included when you are teaching your pt about the use of nicotine gum?
The gum must be correctly chewed to a softened state and then placed in the buccal mucosa or “parked”
3
, MN 568 / Midterm Review With Correct Answers
14. Your pt states he has a strep throat infection. Which of the following symptoms makes you consider a
viral etiology instead?
Rhinorrhea
15. What is the first-line recommended treatment against Group A beta-hemolytic streptococci (GABHS),
the most common cause of bacterial pharyngitis?
PCN
16. Cydney presents with a h/o asthma. She has not been treated for a while. She c/o daily but not
continual symptoms, greater than 1 week and at nighttime. She has been using her rescue inhaler. Her FEV1
is 60-80% predicted. How would you classify her asthma severity?
Moderate Persistent
17. Joyce is taking a long-acting beta agonist for her asthma. What additional med should she be taking?
Inhaled corticosteroid
18. Your pt is on Therabid (theophylline) for his asthma. You want to maintain his serum levels between:
5-15mcg/mL
19. George has COPD and an 80% forced expiratory volume in 1 second. How would you classify the severity
of his COPD?
Stage 1-Mild COPD
20. Most nosocomial pneumonias are caused by:
Gram-negative bacteria
21. Which of the following statements regarding TST is true?
The size of the TST reaction has nothing to do with erythema but is based solely on induration
22. Which obstructive lung dz is classified as reversible?
Asthma
23. You have taught Jennifer, age 15, about using a flow meter to assess how to manage her asthma
exacerbations. She calls you today because her peak expiratory flow rate is 65%. What would you tell her?
"Use your rescue inhaler, begin the Rx of PO glucocorticoids you have, and call back tomorrow."
24. Which statement about adenocarcinoma of the lung is accurate?
It is the most prevalent carcinoma of the lungs in both sexes and in nonsmokers, representing 35-40% of all
tumors
25. Jason, age 62, has obstructive sleep apnea. What do you think is one of his contributing factors?
His collar size is 17 inches
26. The forced vital capacity is decreased in:
Restrictive Disease
27. The most common cause of CAP is:
Streptococcus pneumoniae
4
