問題一覧
1
What is the fourth-leading cause of death in the United States?
COPD
2
Albuterol, Atrovent, Maxair are a few quick-relief beta-agonists that an asthmatic person might take.
True
3
Inflammation can be prevented by the administration of corticosteroid medication to an asthmatic patient.
True
4
The most critical component of a care plan for a patient with asthma is patient education.
True
5
COPD a curable disease.
False
6
Blue bloater is the nickname for patients with chronic bronchitis, based upon their presentation.
True
7
Pink puffer is the nickname for patients with emphysema, based upon their presentation.
True
8
Tobacco smoke has been attributed to be the leading cause of the development of COPD.
True
9
Smoking cessation programs operate off of five A’s, Ask, Advise, Assess, Assist, and Arrange.
True
10
Corticosteroids may be used for patients with asthma and patients with COPD. Are corticosteroids as effective in use with COPD patients as they are with asthmatic patients?
No
11
Asthma is best described as:
Episodes of reversible airway hyperreactivity and inflammation
12
How many work days are estimated to be missed annually due to asthma exacerbations?
11.8 million
13
Which of the following should not be found with an asthmatic patient?
Increased anterior–posterior chest diameter
14
Which is true of the difference between chest radiographs of a COPD patient and an asthma patient?
I.Overinflation is always present in COPD.
II.Overinflation is always present with asthma.
III.Overinflation is only usually present during an asthma exacerbation.
IV.Overinflation is only usually present during a COPD exacerbation.
I & III
15
All of the following could result in a reduction of exacerbations due to viral infection except:
Consider specific immunotherapy
16
Which of the following is the most common symptom associated with asthma?
I.Wheezing
II.Shortness of breath
III.Eupnea
IV.Chest tightness
I, II, & IV
17
Which of the following is the most prominent clinical feature of asthma?
Wheezing
18
Which of the following are considered potential triggers for asthma?
I.Smoke
II.Mold
III.Pollen
IV.Pet food
I, II, & III
19
Which of the following is not associated with asthma?
Loss of elastic recoil in the lung
20
You are evaluating an asthmatic patient in a hospital clinic. When asked how often her symptoms occur, she explains that her attacks occur every day, and they prevent her from walking to work and school. She adds that on some nights, her sleep is disrupted because she is having difficulty breathing. How would you classify the severity of her asthma?
Moderate persistent
21
How often do moderate persistent asthmatics experience symptoms?
Daily
22
Intermittent asthma presents with what frequency of symptoms?
Less than or equal to 2 times a week
23
All are systemic corticosteroids except:
Flunisolide
24
All of the following are inhaled corticosteroids except:
Methylprednisolone
25
Which of the following would be useful in stabilizing the mast cell?
Intal
26
Which of the following are the two general categories of medications for the treatment of asthma?
I.Long-term control
II.Quick relief
III.Analgesics
IV.Anesthetics
I & II
27
Which of the following describes the mechanism of action for corticosteroids?
Upregulates the beta2-receptor
28
Of the following, which is a quick relief medication?
Albuterol
29
Of the following, which is considered a long-term control medicine?
Salmeterol
30
Which medication can be given to modify leukotrienes?
Zileuton
31
A physician has asked for your recommendation in setting up a drug regimen for an adolescent patient with chronic allergic asthma. Which of the following agents would be beneficial for long-term effects in controlling this patient’s asthma?
I.Cromolyn sodium
II.Ipratropium bromide
III.Salmeterol
I & III
32
Which of the following is true of inhaled corticosteroids?
They require mouth rinsing after inhalation.
33
Which of the following would provide quickest relief of shortness of breath symptoms in an asthmatic patient?
Proventil
34
Which of the following should a patient with exercise-induced asthma be instructed to do to help prevent an asthma attack from occurring?
Use a short- or long-acting bronchodilator
35
According to the NAEPP guidelines, all patients with intermittent asthma should know how to do all except which of the following?
Use a long-term medication daily
36
A patient arrives to the ER with a complaint of dyspnea and shortness of
breath. She informs you that she is an asthmatic and her albuterol inhaler has been empty for several days. The patient presents with diffuse wheezing. You administer three albuterol and Atrovent® nebulizer treatments in succession about 15 minutes apart from one another. There is still no improvement. Which of the following would you recommend at this time?
Administration of systemic corticosteroids
37
Which of the following is the most important aspect of caring for your asthmatic patients to prevent future exacerbations?
Educate them on the proper use of all medications and how to identify triggers and understand when they are at risk for an exacerbation
38
Of the following, which products combine LABAs and corticosteroids?
I.Combivent
II.Advair
III.Symbicort
II & III
39
What is the difference between asthma and COPD?
Inflammatory process
40
Why should you not give corticosteroids to a COPD patient?
COPD is not as much of an inflammatory disease as is asthma
41
In which of the following ways is asthma most different from COPD?
Inflammation involving cellular and chemical mediators
42
Which of the following helps confirm a COPD diagnosis?
History of smoking
43
Of the following, which is the primary cause of COPD?
Exposure to tobacco
44
Which of the following clinical presentations are typical for emphysema?
I.Cyanosis
II.Exhaling through pursed lips
III.Marked weight loss
II & III
45
Which of the following patients is likely to present with a hyperinflated barrel chest?
I.A patient with asthma
II.A patient with chronic bronchitis
III.A patient with emphysema
II & III
46
Which of the following is mostly associated with chronic bronchitis?
Hyperinflated barrel chest
47
What is the primary cause of COPD?
Tobacco smoke
48
Smoking for 10 years and 1 pack per day is the equivalent to how many pack- years?
10 pack-year
49
Emphysema patients are also known as which of the following?
Pink puffer
50
What is the pack-year history of someone who has smoked for 15 years and 2 packs per day?
30 pack-years
51
Which medication does not provide NRT but is effective in smoking cessation?
Zyban
52
NRT medications include which of the following?
Nicoderm CQ
53
Which of the following is not a benefit to NRT?
Blood levels of nicotine from NRT are not as consistent as with smoking.
54
What is the main focus of the management and treatment of COPD?
Slowing the progression of the disease
55
A patient with COPD who was admitted to the hospital 2 days ago in acute exacerbation is ordered a pulmonary function test. Upon performing the test, you record his results as an FEV1/FVC of 60% and an FEV1 of 39% of predicted value. This patient is in which of the following stages of COPD?
Stage III
56
Severe COPD is classified as which of the following?
Stage III
57
A COPD patient who presents with an FEV1/FVC of less than 70% and an FEV1 greater than 80% of predicted value would be classified as:
Having mild COPD
58
Which of the following medications would you select in the treatment of a patient who presents with an acute exacerbation of COPD?
Albuterol
59
Which of the following medications contains two different types of bronchodilators?
Combivent
60
When should a patient receive long-term supplemental oxygen according to GOLD guidelines?
Stage IV
61
Which medication is recommended to begin during stage III COPD?
Inhaled corticosteroids
62
Asthma is not that prevalent in the United States.
False
63
Asthma causes nearly 5 million deaths annually, and the majority of those could have been prevented.
False
64
Asthma does not have reversible airway narrowing and hyperreactivity.
False
65
Asthma is characterized as an obstructive disorder.
True
66
Asthma is an acute inflammatory disorder of the airways.
False
67
Wheezing is the least prominent clinical feature of asthma.
False
68
Very few allergens can serve as triggers for asthma exacerbations.
False
69
Respiratory tract infections put patients at no risk for an asthma exacerbation.
False
70
A patient having symptoms of asthma 3–6 days per week is said to have mild persistent asthma.
True
71
If a patient has symptoms greater than two times per week, then he is said to have intermittent asthma.
False
72
Serevent® is a LABA.
True
73
Omalizumab causes IgE to activate mast cells.
False
74
Corticosteroids should be considered and used with the treatment of asthma.
True
75
Atrovent® is an anticholinergic.
True
76
Zileuton® is not a leukotriene modifier.
False
77
Long-term agents are used to exacerbate symptoms of asthma.
False
78
Intal® is a mast cell stabilizer.
True
79
Patients with asthma do not need to be prescribed quick-relief medications.
False
80
Proventil® is a SABA.
True
81
Patient education is not important for an asthmatic patient.
False
82
COPD has a great amount of airway reversibility.
False
83
COPD is the sixth-leading cause of death in the United States.
False
84
Patients with asthma are sometimes referred to as a “pink puffer.”
False
85
The development of COPD has very little to do with tobacco smoke.
False
86
Smoking cessation is not necessary for a patient with COPD who has smoked all his life.
False
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47問 • 2年前問題一覧
1
What is the fourth-leading cause of death in the United States?
COPD
2
Albuterol, Atrovent, Maxair are a few quick-relief beta-agonists that an asthmatic person might take.
True
3
Inflammation can be prevented by the administration of corticosteroid medication to an asthmatic patient.
True
4
The most critical component of a care plan for a patient with asthma is patient education.
True
5
COPD a curable disease.
False
6
Blue bloater is the nickname for patients with chronic bronchitis, based upon their presentation.
True
7
Pink puffer is the nickname for patients with emphysema, based upon their presentation.
True
8
Tobacco smoke has been attributed to be the leading cause of the development of COPD.
True
9
Smoking cessation programs operate off of five A’s, Ask, Advise, Assess, Assist, and Arrange.
True
10
Corticosteroids may be used for patients with asthma and patients with COPD. Are corticosteroids as effective in use with COPD patients as they are with asthmatic patients?
No
11
Asthma is best described as:
Episodes of reversible airway hyperreactivity and inflammation
12
How many work days are estimated to be missed annually due to asthma exacerbations?
11.8 million
13
Which of the following should not be found with an asthmatic patient?
Increased anterior–posterior chest diameter
14
Which is true of the difference between chest radiographs of a COPD patient and an asthma patient?
I.Overinflation is always present in COPD.
II.Overinflation is always present with asthma.
III.Overinflation is only usually present during an asthma exacerbation.
IV.Overinflation is only usually present during a COPD exacerbation.
I & III
15
All of the following could result in a reduction of exacerbations due to viral infection except:
Consider specific immunotherapy
16
Which of the following is the most common symptom associated with asthma?
I.Wheezing
II.Shortness of breath
III.Eupnea
IV.Chest tightness
I, II, & IV
17
Which of the following is the most prominent clinical feature of asthma?
Wheezing
18
Which of the following are considered potential triggers for asthma?
I.Smoke
II.Mold
III.Pollen
IV.Pet food
I, II, & III
19
Which of the following is not associated with asthma?
Loss of elastic recoil in the lung
20
You are evaluating an asthmatic patient in a hospital clinic. When asked how often her symptoms occur, she explains that her attacks occur every day, and they prevent her from walking to work and school. She adds that on some nights, her sleep is disrupted because she is having difficulty breathing. How would you classify the severity of her asthma?
Moderate persistent
21
How often do moderate persistent asthmatics experience symptoms?
Daily
22
Intermittent asthma presents with what frequency of symptoms?
Less than or equal to 2 times a week
23
All are systemic corticosteroids except:
Flunisolide
24
All of the following are inhaled corticosteroids except:
Methylprednisolone
25
Which of the following would be useful in stabilizing the mast cell?
Intal
26
Which of the following are the two general categories of medications for the treatment of asthma?
I.Long-term control
II.Quick relief
III.Analgesics
IV.Anesthetics
I & II
27
Which of the following describes the mechanism of action for corticosteroids?
Upregulates the beta2-receptor
28
Of the following, which is a quick relief medication?
Albuterol
29
Of the following, which is considered a long-term control medicine?
Salmeterol
30
Which medication can be given to modify leukotrienes?
Zileuton
31
A physician has asked for your recommendation in setting up a drug regimen for an adolescent patient with chronic allergic asthma. Which of the following agents would be beneficial for long-term effects in controlling this patient’s asthma?
I.Cromolyn sodium
II.Ipratropium bromide
III.Salmeterol
I & III
32
Which of the following is true of inhaled corticosteroids?
They require mouth rinsing after inhalation.
33
Which of the following would provide quickest relief of shortness of breath symptoms in an asthmatic patient?
Proventil
34
Which of the following should a patient with exercise-induced asthma be instructed to do to help prevent an asthma attack from occurring?
Use a short- or long-acting bronchodilator
35
According to the NAEPP guidelines, all patients with intermittent asthma should know how to do all except which of the following?
Use a long-term medication daily
36
A patient arrives to the ER with a complaint of dyspnea and shortness of
breath. She informs you that she is an asthmatic and her albuterol inhaler has been empty for several days. The patient presents with diffuse wheezing. You administer three albuterol and Atrovent® nebulizer treatments in succession about 15 minutes apart from one another. There is still no improvement. Which of the following would you recommend at this time?
Administration of systemic corticosteroids
37
Which of the following is the most important aspect of caring for your asthmatic patients to prevent future exacerbations?
Educate them on the proper use of all medications and how to identify triggers and understand when they are at risk for an exacerbation
38
Of the following, which products combine LABAs and corticosteroids?
I.Combivent
II.Advair
III.Symbicort
II & III
39
What is the difference between asthma and COPD?
Inflammatory process
40
Why should you not give corticosteroids to a COPD patient?
COPD is not as much of an inflammatory disease as is asthma
41
In which of the following ways is asthma most different from COPD?
Inflammation involving cellular and chemical mediators
42
Which of the following helps confirm a COPD diagnosis?
History of smoking
43
Of the following, which is the primary cause of COPD?
Exposure to tobacco
44
Which of the following clinical presentations are typical for emphysema?
I.Cyanosis
II.Exhaling through pursed lips
III.Marked weight loss
II & III
45
Which of the following patients is likely to present with a hyperinflated barrel chest?
I.A patient with asthma
II.A patient with chronic bronchitis
III.A patient with emphysema
II & III
46
Which of the following is mostly associated with chronic bronchitis?
Hyperinflated barrel chest
47
What is the primary cause of COPD?
Tobacco smoke
48
Smoking for 10 years and 1 pack per day is the equivalent to how many pack- years?
10 pack-year
49
Emphysema patients are also known as which of the following?
Pink puffer
50
What is the pack-year history of someone who has smoked for 15 years and 2 packs per day?
30 pack-years
51
Which medication does not provide NRT but is effective in smoking cessation?
Zyban
52
NRT medications include which of the following?
Nicoderm CQ
53
Which of the following is not a benefit to NRT?
Blood levels of nicotine from NRT are not as consistent as with smoking.
54
What is the main focus of the management and treatment of COPD?
Slowing the progression of the disease
55
A patient with COPD who was admitted to the hospital 2 days ago in acute exacerbation is ordered a pulmonary function test. Upon performing the test, you record his results as an FEV1/FVC of 60% and an FEV1 of 39% of predicted value. This patient is in which of the following stages of COPD?
Stage III
56
Severe COPD is classified as which of the following?
Stage III
57
A COPD patient who presents with an FEV1/FVC of less than 70% and an FEV1 greater than 80% of predicted value would be classified as:
Having mild COPD
58
Which of the following medications would you select in the treatment of a patient who presents with an acute exacerbation of COPD?
Albuterol
59
Which of the following medications contains two different types of bronchodilators?
Combivent
60
When should a patient receive long-term supplemental oxygen according to GOLD guidelines?
Stage IV
61
Which medication is recommended to begin during stage III COPD?
Inhaled corticosteroids
62
Asthma is not that prevalent in the United States.
False
63
Asthma causes nearly 5 million deaths annually, and the majority of those could have been prevented.
False
64
Asthma does not have reversible airway narrowing and hyperreactivity.
False
65
Asthma is characterized as an obstructive disorder.
True
66
Asthma is an acute inflammatory disorder of the airways.
False
67
Wheezing is the least prominent clinical feature of asthma.
False
68
Very few allergens can serve as triggers for asthma exacerbations.
False
69
Respiratory tract infections put patients at no risk for an asthma exacerbation.
False
70
A patient having symptoms of asthma 3–6 days per week is said to have mild persistent asthma.
True
71
If a patient has symptoms greater than two times per week, then he is said to have intermittent asthma.
False
72
Serevent® is a LABA.
True
73
Omalizumab causes IgE to activate mast cells.
False
74
Corticosteroids should be considered and used with the treatment of asthma.
True
75
Atrovent® is an anticholinergic.
True
76
Zileuton® is not a leukotriene modifier.
False
77
Long-term agents are used to exacerbate symptoms of asthma.
False
78
Intal® is a mast cell stabilizer.
True
79
Patients with asthma do not need to be prescribed quick-relief medications.
False
80
Proventil® is a SABA.
True
81
Patient education is not important for an asthmatic patient.
False
82
COPD has a great amount of airway reversibility.
False
83
COPD is the sixth-leading cause of death in the United States.
False
84
Patients with asthma are sometimes referred to as a “pink puffer.”
False
85
The development of COPD has very little to do with tobacco smoke.
False
86
Smoking cessation is not necessary for a patient with COPD who has smoked all his life.
False