Asthma

Question 1

Disease characterized by hyper-responsive airways, airway inflammation, and airway obstruction caused by bronchial smooth muscle constriction (bronchospasm) that is reversible.

Answer 1

Asthma

Question 2

Which antibody does the body produce too much of in Extrinsic Asthma?

Answer 2

IgE
(E for Extrinsic)

Question 3

Is extrinsic or intrinsic asthma more common?

Answer 3

Extrinsic Asthma

Question 4

Which type of asthma is most often diagnosed in childhood?

Answer 4

Extrinsic Asthma

Question 5

Type of Asthma with normal serum IgE

Answer 5

Intrinsic Asthma

Question 6

When is intrinsic asthma most often diagnosed?

Answer 6

Adulthood

Question 7

What are the 3 components of Samter’s Triad for Asthma?

Answer 7

Aspirin or NSAID Intolerance
Asthma
Nasal Polyps

Question 8

What is one of the hallmark physical exam findings of a patient with Asthma?

Answer 8

Expiratory Wheezes

Question 9

What test is used to diagnose Asthma?

Answer 9

Spirometry

Question 10

A FEV1/FVC ration of what value would indicate obstruction?

Answer 10

≤ 0.7

Question 11

How much must the ratio increase after a bronchodilator is administered to indicate reversibility?

Answer 11

> 12%

Question 12

During a brochoprovocation test, a decrease in FEV1 of more than what value would indicate a positive test?

Answer 12

20%

Question 13

A handheld portable way to assess the severity of symptoms of asthma. The normal values are based on age, height, and biologic sex.

Answer 13

Peak Expiratory Flow Rate

Question 14

A diagnostic test that is more helpful in the acute setting with an exacerbation of asthma. It can help asses impeding respiratory failure.

Answer 14

ABG Test

Question 15

What is the goal of management of a patient with Asthma?

Answer 15

Maintain ADLs
Reduce Exacerbation and Hospital Visits

Question 16

What should every asthmatic be prescribed, regardless of the frequency of symptoms?

Answer 16

Rescue Inhaler

Question 17

Medication used to treat Asthma. Works by binding to beta receptors and causes smooth muscle relaxation within minutes and last for 6 hours.

Answer 17

Albuterol
(SABA)

Question 18

Medication used to treat Asthma. It is never given on its own and is often given with ICS.

Answer 18

Formoterol
(LABA)

Question 19

Mainstay of treatment that is indicated for all persistent asthmatics. Has strong anti-inflammatory properties and improves lung function.

Answer 19

Inhaled Corticosteroids
(Budesonide and Fluticasone)

Question 20

Medications that works synergistically with Albuterol and is often given together.

Answer 20

Ipratropium Bromide (Atrovent)

Question 21

Name a Long-Acting Muscarinic Antagonist (LAMA)

Answer 21

Tiotropium

Question 22

Name a leukotriene modiferier.

Answer 22

Montelukast (Singulair)

Question 23

Name a monoclonal antibody that can be used to treat Asthma.

Answer 23

Omalizumab

Question 24

In a patient with a Severe Asthma exacerbation, what is the target SpO2 percentage?

Answer 24

Greater than 90%

Question 25

What mediations should be given to a patient with a Severe Asthma Exacerbation (Status Asthmaticus)

Answer 25

Albuterol + Ipratropium Bromide
Methylprednisone or Dexamethasone
Magnesium Sulfate

Question 26

What can be used to drastically improve the medication delivery of an MDI?

Answer 26

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