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ch 13
  • Darya Rose

  • 問題数 86 • 11/8/2023

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    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