Asthma

Question 1

Defination

Answer 1

It is a reversible disorder chadacterizwd by Airway hyperreactivity and

Question 2

What are cf of asthma

Answer 2

Classic traid : Cough, sob and wheeze
Early morning symptoms are high
Exacerbation are associated with : tachypnea, tachycardia, diaphoresis, fatigue, use of assecory muscles.

Question 3

What are triggers of asthma

Answer 3

Exercise
Cold or hot weather
Infection
Emotional stress
allergen like pollens and dust
resporatory irritant smoke and perfumes
drugs( Nsaid , betablocker, aspirin)

Question 4

Atopy?

Answer 4

Asthma+ allerhic rhinitis + atopic dermatits

Question 5

Churg struas syndrome

Answer 5

Astham+ granulamatous vasculitis+ eosinophilia

Question 6

Samters syndrome

Answer 6

Asthma+ aspirin sensitivity+ nasal polyp

Question 7

Allergic bronchio pulmonary aspergillosis

Answer 7

Asthma+ pulmonary inflitrate + aspergillosis

Question 8

Diagnotic cruteria of asthma

Answer 8

IncreaseinFEV1of~15%(& 200ml)withuseofabronchodilator (albuterol).
o Decrease in FEV 1of z 15%after 6 minutes of exercise
o > 20%peak expiratory flow (PEF) diurnal variation on z 3 days in a week
for 2 week.

Question 9

Methacholine test

Answer 9

It is bronchioconstrictor
In asthma the test is positive i.e. decreased FEV12:20%.
o In COPD the test is negative i.e. no decrease in FEV1.

Question 10

other test for asthma

Answer 10

o CBC
o Skin testing o IgE levels
- eosinophilia
- identifies specific allergens that provoke
b r o n ch o c o n s t r i c t i o n
- increased levels in allergic etiology as well as Allergic
Bronchopulmonary Aspergillosis (ABPA)