Asthma Flashcards

1
Q

Is asthma an obstructive or restrictive disease?

A

Obstructive

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2
Q

What happens to the basement membrane in remodelling?

A

It thickens

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3
Q

What happens to the submucosa in remodelling?

A

Collagen deposition

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4
Q

What happens to smooth muscle in remodelling?

A

Hypertrophy

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5
Q

Asthmatics usually have a productive cough with wheeze. True/False?

A

False

Cough is usually dry/non-productive

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6
Q

What is wheeze?

A

High pitched expiratory sound

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7
Q

List the British Thoracic Society drug guidelines for asthma treatment

A
  1. SABA
    • Inhaled steroid
  2. +LTRA
  3. ICS + LABA + LTRA
  4. MART (ICS + LABA) +/- LTRA
    • LAMA/ Theophylline
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8
Q

CysLT antagonists (Montelukast) are more potent than inhaled steroids. True/False?

A

False

2nd line additive to inhaled steroid

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9
Q

Cetirizine and Loratidine are sedative antihistamines. True/False?

A

False

They are non-sedative

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10
Q

What do anti-IgE monoclonal antibody treatments (Omalizumab) do?

A

Prevent binding to IgE receptor and inhibit mediator release from basophils and mast cells

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11
Q

What would be PEFR in moderate asthma?

A

Less than 80% predicted

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12
Q

What would be PEFR in severe asthma?

A

Less than 50% predicted

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13
Q

What would be PEFR in life threatening asthma?

A

Less than 30% predicted

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14
Q

Outline management of acute severe asthma

A
Oxygen (40-60%)
Salbutamol (nebulised)
Hydrocortisone (IV)
Ipratropium (nebulised)
Theophylline (oral)
Magnesium sulphate (IV)
Anaesthetist!
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15
Q

List features of an acute-severe asthma attack

A

Unable to finish sentences
PEFR less than 50% predicted
Tachycardia
RR more than 25 breaths/min

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16
Q

List features of a life-threatening asthma attack

A

PEFR less than 30% predicted
Bradycardia, hypotension, silent chest
Exhaustion/confusion
Hypoxia, acidosis

17
Q

What drugs are used in the treatment of eosinophillic inflammation?

A

CCS

Cromones

18
Q

What drugs are used to stop the release of mediators, TH2 cytokines?

A

Anti-leukotrienes
Anti-histamines
Anti-IgE
Anti-IL5

19
Q

What drugs are used to treat twitchy SM?

A

Bronchodilators
B2 agonists
Muscarinic antagonists

20
Q

List some triggers of asthma

A
Cold air
Exercise
Emotion
Pollution
Smoking/ Passive smoking
Drugs - NSAIDS, B Blockers
Allergens
21
Q

List some features of asthma

A
Episodic SOB
Diurnal variation
Non-productive cough
Wheeze
Associated atopy
Family history
22
Q

List some tools used in the diagnosis of asthma

A

Peak flow
PFTs
Reversibility with salbutamol
Provocation testing