Asthma

Question 1

What type of exploratory flow limitation is seen in asthma?

Answer 1

Variable

Question 2

Name 3 changes in airway smooth muscle in asthma

Answer 2

Hyperesponsive
Contraction
Thickening

Question 3

What 2 cells will be seen high n number?

Answer 3

Neutrophils and eosinophils

Question 4

2 things that can be noted about the cough in asthma?

Answer 4

Dry and nocturnal

Question 5

Give 5 things that may be seen on examination.

Answer 5

High resp rate 
Pulse rate raised
Oxygen saturation 
Wheeze 
Atopy

Question 6

How is asthma diagnosed?

Answer 6

PEF

Spirometry showing obstructive pattern

Question 7

What should be the initial added therapy to improve control of asthma?

Answer 7

LABA (as combination inhaler with low-dose ICS)

Question 8

What drugs can be used in WORSEING cases of asthma?

Answer 8

LAMA
LTRA
SR Theophylline
Tablet form of beta agonist

Question 9

What is in a purple inhaler?

Answer 9

Steroid + LABA

Question 10

How is an asthma attack managed?

Answer 10

Oxygen 
SABA 
Prednisolone or hydrocortisone (steroids) 
ADMIT 
Consider adding other medications
GP follow up

Question 11

How should intermediate probability of asthma be managed?

Answer 11

Spirometry with reversibility testing