Asthma Flashcards

1
Q

All of the following are characteristic symptoms of asthma, except:

a. Cough
b. Wheezing
c. Chest tightness
d. Easy fatigability
e. No exception

A

d. Easy fatigability

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2
Q

All of the following is/are true about Atopy asthma:

a. It is a major trigger factor of asthma
b. Allergic rhinitis is commonly found in patients with asthma.
c. The most common allergens are derived from house dust mites an cat furs.
d. B and C
e. All of the above

A

d. B and C

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3
Q

What are the major risk factors for asthma deaths?

a. Poorly controlled with frequent use of bronchodilator inhalers
b. Lack of or poor compliance with ICS therapy
c. Previous ER visit due to asthma flare
d. A and B
e. All of the above

A

d. A and B

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4
Q

All of the following are true about intrinsic asthma, except:
a. Adult-onset asthma
b. Usually more severe, persistent asthma
c. Serum IgE concentration is high (normal serum IgE)
d. There is concomitant nasal polyposis. e. No exception

A

c. Serum IgE concentration is high (normal serum IgE)

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5
Q

The following infections are the most common triggers of acute severe asthma exacerbations, except:

a. Rhinovirus
b. Respiratory syncytial virus
c. Corona virus
d. Streptococcal pneumonia infection

A

d. Streptococcal pneumonia infection

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6
Q

The following statements are true about Fractional exhaled nitric oxide (FENO):

a. It is used as a noninvasive test to measure eosinophilic airway inflammation.
b. It may be useful in demonstrating insufficient bronchodilator therapy.
c. It may be useful in down-titrating ICS
d. A and C
e. All of the above

A

d. A and C

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7
Q

The following statements are descriptions why asthma is considered as a variable disease, except:

a. The symptoms occur variably over time and vary in intensity.
b. The symptoms often occur or are worse at early evening or on waking
c. Symptoms are often triggered by exercise, laughter, or cold air.
d. Symptoms often occur with or worsen with infection.
e. No exception

A
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8
Q

A 22-year old female medical student came back for follow-up of asthma treatment. She has been on regular low dose ICS with as-needed SABA for the past 3 months. On review, for the past 4 weeks, she often experiences chest tightness after exposure to dust in the classroom. She also reports nocturnal coughing causing her to use Salbutamol inhaler almost daily otherwise her sleep will be disturbed. However, she denies any restrictions of her morning activities. What is her level of asthma control?

a. Well controlled
b. Partly controlled
c. Moderately controlled
d. Uncontrolled
e. Assess the compliance of the medications and inhaler technique before categorizing the level of control

A

d. Uncontrolled

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9
Q

A 22-year old female medical student came back for follow-up of asthma treatment. She has been on regular low dose ICS with as-needed SABA for the past 3 months. On review, for the past 4 weeks, she often experiences chest tightness after exposure to dust in the classroom. She also reports nocturnal coughing causing her to use Salbutamol inhaler almost daily otherwise her sleep will be disturbed. However, she denies any restrictions of her morning activities.After evaluation, you noted that the patient knows how to use the inhaler/gadget and the compliance of the medicines was good. What will be your plan?

a. Change the current medicines to Low dose ICS-LABA maintenance PLUS as-needed SABA.
b. Change the current medicines to as-needed low dose ICS-formoterol
c. Change the current medicines to Low dose ICS-Formoterol maintenance and reliever therapy
d. A and C
e. All of the above

A

d. A and C

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10
Q

The following is/are the characteristic lung function test results of asthma, except:

a. FEV1/FVC < 70%
b. Acute Bronchodilator Response: > 12 % increase and/or an absolute increase of 200 ml in FEV1 and/or FVC
c. Acute Bronchodilator Response: > 15% increase in PEF
d. Average daily diurnal PEF variability: > 10%
e. No exception

A

b. Acute Bronchodilator Response: > 12 % increase and/or an absolute increase of 200 ml in FEV1 and/or FVC

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11
Q

Parameters to discontinue antibiotic regime n for primary lung abscess
A. imaging- abscess is already cleared
B. imaging- abscess regressed into scar
C. all of the symptoms are resolved
D. a & b
E. aota
26. All of the above

A

D. a & b

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12
Q

All of the ff is advantage of CT Scan except:

A. Diagnosed early cavitation
B. Provides information for possible underlying cause
C. Cannot differentiate peripheral lung abscess from pleural infection
D. A and B
E. AOTA

A

C. Cannot differentiate peripheral lung abscess from pleural infection

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13
Q

All of the following is/are true about atopy in asthma:

a. Atopy is the major risk factor of asthma
b. Atopic dermatitis and rhinitis often accompany asthma in this group
c. Non-atopic individuals do not have a risk of developing asthma
d. A and B
e. All of the a

A

E. All of the above

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14
Q

What are the major risk factors for asthma deaths?

a. Poorly controlled with frequent use of bronchodilator inhalers
b. Lack of or poor compliance with ICS therapy
c. Previous ER visit due to asthma flare Book says: “previous admissions to hospital with near-fatal asthma’?
d. A and B
e. All of the above

A

d. A and B

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15
Q

The following is/are proven risk factors for asthma:

a. Diet
b. Smoking
c. Viral infection
d. Allergen
e. None of the above

A

d. Allergen

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16
Q

The following viral infections are the most common triggers of acute severe asthma exacerbations, except:

a. Rhinovirus
b. Respiratory syncytial virus
c. Adenovirus
d. Coronavirus e. No exception

A

c. Adenovirus