CMN 568 - UNIT 3: ASTHMA QUESTIONS WITH 100%
ANSWERS | COMPLETE SET
When classifying the severity of a patients asthma, it is important to assess
what?
a. risk
b. control
c. impairment
d. a and c - ANSWER d. a and c
Classification goes mostly by the frequency of symptoms and need for
rescue meds.
(papa 244)
A 12 year old has asthma symptoms about once a week requiring the use
of a SABA, and had night-time awakening twice a month with no
interference in daily activity. Where would he be classified in severity of
asthma? a. Intermittent
b. Mild Persistent
c. Moderate Persistent
d. Severe Persistent - ANSWER a. Intermittent
(papa 244)
An asthma patient on theophylline (which is a methylxanthine, and second
line agent) must have blood monitoring done.
Theophylline levels must be maintained at:
A) 1-5 mcg/ml
B) 2-10 mcg/ml
C) 5-10 mcg/ml
D) 5-15 mcg/ml - ANSWER d. 5-15 mcg/ml at steady-state: At least 48
hours on same dosage.
(papa 252)
Preferred treatment for intermittent asthma? - ANSWER SABA
PRN
(papa249)
,A 15 year old with asthma symptoms 4 days a week requiring SABA
use, with nighttime awakenings 3-4 times a month and minor limitation
of normal activity, would be classified as having what severity of
asthma? a. Intermittent
b. Mild Persistent
c. Moderate Persistent
d. Severe Persistent - ANSWER b. Mild Persistent
(papa 244)
Preferred treatment for a 14 year old with asthma symptoms 3 days a
week and dyspnea with activity. a. SABA PRN
b. Low-dose ICS and SABA PRN
c. Low-dose ICS and LABA
d. Medium-dose ICS and SABA PRN - ANSWER b. Low-dose
ICS and SABA PRN
(papa 249)
A 12 year old with daily asthma symptoms requiring rescue SABA inhaler
use, awakening more than once a week with an FEV < 80% predicted
would be classified as having what severity of asthma?
a. Intermittent
b. Mild Persistent
c. Moderate Persistent
d. Severe Persistent - ANSWER c. Moderate Persistent
(papa 244)
A 12 year old has daily asthma symptoms requiring rescue SABA
inhaler use, awakening 3 nights a week, and an FEV < 80%
predicted. What step of tx should you initiate, what is the recommended tx?
- ANSWER - Pt has moderate persistent asthma.
- Step 3
Low dose ICS + LABA
OR
Medium-dose ICS + LABA
, Which is often the initial symptom of asthma?
A) cough
B) sneezing
C) chills and fever
D) breathlessness - ANSWER A. cough
T/F: Before you step up a patient's asthma medication therapy, FIRST
check adherence, environmental control, and comorbid conditions -
ANSWER True
T/F: Improper inhaler technique is a critical component in
treatment failure for asthma patients. - ANSWER True
If systemic corticosteroids are prescribed for an asthma exacerbation, how
long should the duration of treatment be?
A) less than 3 days
B) 3-10 days
C) 2-3 weeks - ANSWER b. 3-10 days
You may consider stepping down a patient's asthma medication therapy if
they have been well controlled for at least how long?
A) 1 month
B) 3 months
C) 6 months
D) 1 year - ANSWER B. 3 months
ALL asthma patients get which of the following meds for step 1?
(No matter what!)
A) SABAs
B) ICSs
C) LRTAs
D) oral steroids - ANSWER A. SABAs
True/ false: for asthma, the level of control is based on the most
severe impairment or risk category. - ANSWER True
ANSWERS | COMPLETE SET
When classifying the severity of a patients asthma, it is important to assess
what?
a. risk
b. control
c. impairment
d. a and c - ANSWER d. a and c
Classification goes mostly by the frequency of symptoms and need for
rescue meds.
(papa 244)
A 12 year old has asthma symptoms about once a week requiring the use
of a SABA, and had night-time awakening twice a month with no
interference in daily activity. Where would he be classified in severity of
asthma? a. Intermittent
b. Mild Persistent
c. Moderate Persistent
d. Severe Persistent - ANSWER a. Intermittent
(papa 244)
An asthma patient on theophylline (which is a methylxanthine, and second
line agent) must have blood monitoring done.
Theophylline levels must be maintained at:
A) 1-5 mcg/ml
B) 2-10 mcg/ml
C) 5-10 mcg/ml
D) 5-15 mcg/ml - ANSWER d. 5-15 mcg/ml at steady-state: At least 48
hours on same dosage.
(papa 252)
Preferred treatment for intermittent asthma? - ANSWER SABA
PRN
(papa249)
,A 15 year old with asthma symptoms 4 days a week requiring SABA
use, with nighttime awakenings 3-4 times a month and minor limitation
of normal activity, would be classified as having what severity of
asthma? a. Intermittent
b. Mild Persistent
c. Moderate Persistent
d. Severe Persistent - ANSWER b. Mild Persistent
(papa 244)
Preferred treatment for a 14 year old with asthma symptoms 3 days a
week and dyspnea with activity. a. SABA PRN
b. Low-dose ICS and SABA PRN
c. Low-dose ICS and LABA
d. Medium-dose ICS and SABA PRN - ANSWER b. Low-dose
ICS and SABA PRN
(papa 249)
A 12 year old with daily asthma symptoms requiring rescue SABA inhaler
use, awakening more than once a week with an FEV < 80% predicted
would be classified as having what severity of asthma?
a. Intermittent
b. Mild Persistent
c. Moderate Persistent
d. Severe Persistent - ANSWER c. Moderate Persistent
(papa 244)
A 12 year old has daily asthma symptoms requiring rescue SABA
inhaler use, awakening 3 nights a week, and an FEV < 80%
predicted. What step of tx should you initiate, what is the recommended tx?
- ANSWER - Pt has moderate persistent asthma.
- Step 3
Low dose ICS + LABA
OR
Medium-dose ICS + LABA
, Which is often the initial symptom of asthma?
A) cough
B) sneezing
C) chills and fever
D) breathlessness - ANSWER A. cough
T/F: Before you step up a patient's asthma medication therapy, FIRST
check adherence, environmental control, and comorbid conditions -
ANSWER True
T/F: Improper inhaler technique is a critical component in
treatment failure for asthma patients. - ANSWER True
If systemic corticosteroids are prescribed for an asthma exacerbation, how
long should the duration of treatment be?
A) less than 3 days
B) 3-10 days
C) 2-3 weeks - ANSWER b. 3-10 days
You may consider stepping down a patient's asthma medication therapy if
they have been well controlled for at least how long?
A) 1 month
B) 3 months
C) 6 months
D) 1 year - ANSWER B. 3 months
ALL asthma patients get which of the following meds for step 1?
(No matter what!)
A) SABAs
B) ICSs
C) LRTAs
D) oral steroids - ANSWER A. SABAs
True/ false: for asthma, the level of control is based on the most
severe impairment or risk category. - ANSWER True
