Midterm Exam Questions and Correct Detailed
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Quiz: Which of the following best describes asthma?
A. Intermittent airway inflammation with occasional bronchospasm
B. A disease of bronchospasm that leads to airway inflammation
C. Chronic airway inflammation with superimposed bronchospasm
D. Relatively fixed airway constriction
Ans: C. Chronic airway inflammation with superimposed bronchospasm
Quiz: The patient you are evaluating is having an asthma flare. You have
assessed that his condition is appropriate for office treatment. You expect to
find the following on physical exam:
A. Tripod posture
B. Inspiratory crackles
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, C. Increased vocal fremitus
D. Hyperresonance on thoracic percussion
Ans: D. Hyperresonance on thoracic percussion
Quiz: A 44-year-old man has a long-standing history of moderate persistent
asthma that is normally well controlled by fluticasone with salmeterol (Advair)
via metered-dose inhaler, one puff twice a day, and the use of albuterol one to
two times a week as needed for wheezing. Three days ago, he developed a
sore throat, clear nasal discharge, body aches, and a cough with a small amount
of white sputum production. In the past 24 hours, he has had intermittent
wheezing that necessitated the use of albuterol, two puffs, every 3 hours,
which produced partial relief. Your next most appropriate action is to obtain a:
A. Chest radiograph
B. Measurement of oxygen saturation (SaO2)
C. Spirometry measurement
D. Sputum smear for WBCs
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, Ans: C. Spirometry measurement
Quiz: You examine Jane, a 24-year-old woman who has an acute asthma flare
following a 3-day history of upper respiratory tract symptoms (clear nasal
drainage, dry cough, no fever). She has a history of moderate persistent asthma
that is in good control and an acceptable peak expiratory flow (PED). She is
using budesonide (Pulmicort) and albuterol as directed and continues to have
difficulty with coughing and wheezing. At home, her PEF is 55% of personal
best. In the office, her forced expiratory volume at 1 second (FEV1) is 65% of
predicted. Her medication regimen should be adjusted to include:
A. Oral theophylline
B. Inhale salmeterol (Serevent) via MDI
C. Oral prednisone
D. Oral montelukast (Singulair)
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, For Jane in the previous question, the NP also considers prescribing:
A. A 10-day course of oral amoxicillin
B. A 5-day course of oral azithromycin
C. A 14-day course of levofloxacin
D. No antimicrobial therapy
Ans: C. Oral prednisone
D. No antimicrobial therapy
Quiz: Which of the following describes a PEF meter?
A. Should only be used in the presence of a medical professional
B. Provides convenient method to check expiratory air flow at home
C. Is as accurate as spirometry
D. Should not be used more than once daily
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