13 asthma

Question 1

comorbid conditions of asthma

Answer 1

GERD
obesity
OSA
rhinitis/sinusitis
stress/depression

Question 2

chronic sinusitis

Answer 2

12 weeks

Question 3

asthma severity depends on

Answer 3

frequency of sxs, nighttime wakenings, short-acting beta-2 agonist use, interference with normal acitivy
FEV1, FEV1/FVC

Question 4

longterm effects uncontrolled asthma

Answer 4

airway remodeling
inflammation
mucous secreation 
airway smooth muscle hypertriphy 
angiogenesis
subepithelial 

less reversibility of airway obstruction

Question 5

for pts with chronic cough thought to be asthma, tx with

Answer 5

inhale bronchodilator and an inhaled corticosteroid

Question 6

allergic rhinitis tx

Answer 6

oral antihistamine

nasal corticosteroid

Question 7

4 key tasks in initial eval of asthma

Answer 7

classify severity
assess knowledge and skills for self managment
id environmental factors
offer appropriate meds

Question 8

moderate asthma tx

Answer 8

low dose inhaled corticosteroid and LABA
OR
medium dose inhaled corticosteroid alone

Question 9

tdap in adults

Answer 9

11+: Get Tdap and td every 10 years
2 doses Td at least 4 weeks apart and 3rd dose 6-12 months after 2nd dose
if incomplete, up to 3 doses

Question 10

for adults 19-64 with chronic heart/lung/liver disease, alcoholism or DM

Answer 10

administer PPSV23