MN568 Midterm Final Exam Questions
And Correct Answers.
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? - Answer Arnold Reflex
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? - Answer Chronic Bronchitis
George has COPD and an 80% forced expiratory volume in 1 second. How would you classify the
severity of his COPD? - Answer Stage 1 mild COPD
African American pt's seems to have a negative reaction to which of the following asthma
meds? - Answer Long-term beta-agonist bronchodilators
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? - Answer Hospitalize and consider admitting her to
the ICU
Why do you suspect that your pt may have a decreased response to the TB test? - Answer She
has been on long-term corticosteroid therapy
Marci has been started on a TB regimen. Because isoniazid (INH) may cause peripheral
neuropathy, you consider ordering which of the following drugs prophilactically? - Answer
Pyroxidine
Jolene has breast cancer that has been staged as T1, N0, M0. What might this mean?
A. The tumor size cannot be evaluated; the cancer has not spread to the lymph nodes; and the
distant spread cannot be evaluated.
B. The cancer is in situ; it is spreading into the lymph nodes but the spread cannot be evaluated
otherwise.
C. The cancer is less than 3 cm in size and has not spread to the lymph nodes or other parts of
,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? - Answer Continue to ask him at every visit if he is ready to quit
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? - Answer His quit
date should be in 1 week
Which info should be included when you are teaching your pt about the use of nicotine gum? -
Answer The gum must be correctly chewed to a softened state and then placed in the buccal
mucosa
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? - Answer
Moderate persistent
Joyce is taking a long-acting beta agonist for her asthma. What additional med should she be
taking? - Answer Inhaled corticosteroid
Your pt is on theophylline (Therabid) for his asthma. You want to maintain his serum levels
between: - Answer 5-15mcg/mL
Which of the following statements regarding TST is true? - Answer The size of the TST reaction
has nothing to do with erythema but is based solely on induration
Which obstructive lung disease is classified as reversible? - Answer asthma
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? - Answer Use your rescue inhaler, begin the Rx of PO glucocorticoids you have,
and call back tomorrow."
Which statement about adenocarcinoma of the lung is accurate? - Answer It is the most
prevalent carcinoma of the lungs in both sexes and in nonsmokers, representing 35-40% of all
tumors
,a. Asthma
b. Chronic bronchitis
c. Emphysema
d. Restrictive disease - Answer restrictive disease
The most common cause of CAP is: - Answer Streptococcus pneumoniae
Which of the following pt's would you expect to have a decreased response to TST? - Answer
Sandy, a 40yo pt who recently survived a fire that left 40% of her total body surface covered in
burns
Which of the following is a possible consequence of sleep apnea?
a. Asthma
b. Increased WBC
c. Insulin resistance
d. Hyperactivity - Answer insulin resistance
Which of the following conditions is associated with cigarette smoking?
a. Glaucoma
b. Increased sperm quality
c. Bladder cancer
d. Eczema - Answer Bladder cancer
Marta is taking TB drugs prophylactically. How do you instruct her to take them? - Answer Take
them on an empty stomach to facilitate absorption
Which of the following statements regarding pulmonary function is true?
a. Cigarette smoking accelerates the decline in pulmonary function tenfold
b. Smoking cessation can reverse most pathological changes
, Supplemental oxygen for how many hours per day has been shown to improve the mortality
associated with COPD? - Answer 15-18 hours
The barrel chest characteristic of emphysema is a result of: - Answer hyperinflation
Which ethnic group has the highest lung cancer incidence and mortality rates? - Answer
African American men
A pt is 66in in height, weighing 200lbs, and newly diagnosed with T2DM. Her fasting plasma
glucose level is 215mg/dL. What is the best initial treatment? - Answer Diet and exercise for 6
week trial
The clinician suspects that a client seen in the office has hyperthyroidism. Which of the
following tests should the clinician order on the initial visit?
-High sensitivity thyroid-stimulating hormone (TSH) and free T4
-Free T4 and serum calcium
-Free T3 and T4
-TSH and thyroxin antibodies - Answer High sensitivity thyroid-stimulating hormone (TSH) and
free T4
A pt whit T2DM asks the clinician why she needs to exercise. In order to answer her, the
clinician must understand that exercise has what effect on the pt with T2DM?
-Reduces postprandial blood glucose
-Reduces triglycerides and increases HDL
-Reduces total cholesterol-
All of the above - Answer All of the above
A pt with T1DM comes to the clinic c/o feeling nervous and clammy. He states that he took his
insulin this morning but was late for work and did not eat breakfast. Which action should the
clinician take first.
-Check his blood sugar
-Have him drink 4oz of juice
And Correct Answers.
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? - Answer Arnold Reflex
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? - Answer Chronic Bronchitis
George has COPD and an 80% forced expiratory volume in 1 second. How would you classify the
severity of his COPD? - Answer Stage 1 mild COPD
African American pt's seems to have a negative reaction to which of the following asthma
meds? - Answer Long-term beta-agonist bronchodilators
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? - Answer Hospitalize and consider admitting her to
the ICU
Why do you suspect that your pt may have a decreased response to the TB test? - Answer She
has been on long-term corticosteroid therapy
Marci has been started on a TB regimen. Because isoniazid (INH) may cause peripheral
neuropathy, you consider ordering which of the following drugs prophilactically? - Answer
Pyroxidine
Jolene has breast cancer that has been staged as T1, N0, M0. What might this mean?
A. The tumor size cannot be evaluated; the cancer has not spread to the lymph nodes; and the
distant spread cannot be evaluated.
B. The cancer is in situ; it is spreading into the lymph nodes but the spread cannot be evaluated
otherwise.
C. The cancer is less than 3 cm in size and has not spread to the lymph nodes or other parts of
,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? - Answer Continue to ask him at every visit if he is ready to quit
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? - Answer His quit
date should be in 1 week
Which info should be included when you are teaching your pt about the use of nicotine gum? -
Answer The gum must be correctly chewed to a softened state and then placed in the buccal
mucosa
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? - Answer
Moderate persistent
Joyce is taking a long-acting beta agonist for her asthma. What additional med should she be
taking? - Answer Inhaled corticosteroid
Your pt is on theophylline (Therabid) for his asthma. You want to maintain his serum levels
between: - Answer 5-15mcg/mL
Which of the following statements regarding TST is true? - Answer The size of the TST reaction
has nothing to do with erythema but is based solely on induration
Which obstructive lung disease is classified as reversible? - Answer asthma
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? - Answer Use your rescue inhaler, begin the Rx of PO glucocorticoids you have,
and call back tomorrow."
Which statement about adenocarcinoma of the lung is accurate? - Answer It is the most
prevalent carcinoma of the lungs in both sexes and in nonsmokers, representing 35-40% of all
tumors
,a. Asthma
b. Chronic bronchitis
c. Emphysema
d. Restrictive disease - Answer restrictive disease
The most common cause of CAP is: - Answer Streptococcus pneumoniae
Which of the following pt's would you expect to have a decreased response to TST? - Answer
Sandy, a 40yo pt who recently survived a fire that left 40% of her total body surface covered in
burns
Which of the following is a possible consequence of sleep apnea?
a. Asthma
b. Increased WBC
c. Insulin resistance
d. Hyperactivity - Answer insulin resistance
Which of the following conditions is associated with cigarette smoking?
a. Glaucoma
b. Increased sperm quality
c. Bladder cancer
d. Eczema - Answer Bladder cancer
Marta is taking TB drugs prophylactically. How do you instruct her to take them? - Answer Take
them on an empty stomach to facilitate absorption
Which of the following statements regarding pulmonary function is true?
a. Cigarette smoking accelerates the decline in pulmonary function tenfold
b. Smoking cessation can reverse most pathological changes
, Supplemental oxygen for how many hours per day has been shown to improve the mortality
associated with COPD? - Answer 15-18 hours
The barrel chest characteristic of emphysema is a result of: - Answer hyperinflation
Which ethnic group has the highest lung cancer incidence and mortality rates? - Answer
African American men
A pt is 66in in height, weighing 200lbs, and newly diagnosed with T2DM. Her fasting plasma
glucose level is 215mg/dL. What is the best initial treatment? - Answer Diet and exercise for 6
week trial
The clinician suspects that a client seen in the office has hyperthyroidism. Which of the
following tests should the clinician order on the initial visit?
-High sensitivity thyroid-stimulating hormone (TSH) and free T4
-Free T4 and serum calcium
-Free T3 and T4
-TSH and thyroxin antibodies - Answer High sensitivity thyroid-stimulating hormone (TSH) and
free T4
A pt whit T2DM asks the clinician why she needs to exercise. In order to answer her, the
clinician must understand that exercise has what effect on the pt with T2DM?
-Reduces postprandial blood glucose
-Reduces triglycerides and increases HDL
-Reduces total cholesterol-
All of the above - Answer All of the above
A pt with T1DM comes to the clinic c/o feeling nervous and clammy. He states that he took his
insulin this morning but was late for work and did not eat breakfast. Which action should the
clinician take first.
-Check his blood sugar
-Have him drink 4oz of juice
