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Question 1

Acute wheezing in kids DDx

Answer 1

RSV, parainfluenza

Aspiration of foreign

Question 2

RIsk factors for asthma

Answer 2

Genetic predospisition

Atopy

Airway hyperresponsiveness

Male if under 10, Female if adult

Question 3

Asthma Sx

Answer 3

Wheezing

Breathlessness

Chest tightness

Nighttime or early morning coughing

Question 4

Two big guns for pathology of asthma

Answer 4

Smooth muscle bronchial INFLAMMATION and HYPERREACTIVVITY

Question 5

Wheezing _________ is probably benign, represents

Answer 5

before age 6

Question 6

Pathology of viral influenza in asthma

Answer 6

Viral effeccts include inhibition of M2 reeptors binding of Ach

(thus unregulated Ach release and more bronchoconstriction)

Question 7

Six key messages

Answer 7

Inhaled CS

Asthma action plan

Asthma severity

Follow up visitis

Asthma control

Allergen and irritant control

Question 8

Asthma physical exam

Answer 8

Weezing furing normal breathing

hyperexpansion of thorax

Icreased nasal secretions/polyps

Atopic dermatitis/eczema or other skin conditions

Question 9

Step 1

Answer 9

SABA

Question 10

Step 2

Answer 10

Low dose CS inhaled

Question 11

Step 3

Answer 11

Low Dose IGC’s

and ither LABA, LTRA, or thophylline