Asthma

Question 1

intermittent asthma symptoms per week, nighttime awakenings, and use of short acting inhaler

Answer 1

symptoms: <2days/week,
nighttime:<2times per month
inhaler use: <2days/week

Question 2

Persistent mild asthma symptoms per week, nighttime awakenings, and use of short acting inhaler

Answer 2

symptoms: >2 days/week but not every day
nighttime: 3-4 times/month
inhaler use: >2 days/week but not daily and not more than once a day

Question 3

Persistent moderate asthma symptoms per week, nighttime awakenings, and use of short acting inhaler

Answer 3

symptoms: daily
nighttime: >1 time/WK but not every night
inhaler use: daily

Question 4

Persistent severe asthma symptoms per week, nighttime awakenings, and use of short acting inhaler

Answer 4

symptoms: throughout the day
nighttime: 7 times/WK
inhaler use: daily

Question 5

Obstructive pattern vs

Restrictive pattern:

Answer 5

Obstructive pattern: reduced FEV1/FVC ratio

Restrictive pattern: reduced FVC with a normal FEV1/FVC ratio

Question 6

FEV1

Answer 6

amount of forced air in 1 second. Should be 4L

Question 7

FVC

Answer 7

total amount of forced air. Should be 5L

Question 8

FEV1/FVC ratio

Answer 8

8.0.

anything equal or less than 7 is COPD

Question 9

Methacholine challenge

Answer 9

patients breath methacholine in and then do spirometry. can r/o asthma not rule in

Question 10

If you have to step up treatment when should you reassess?

Answer 10

2-6 weeks

Question 11

If you step down in treatment because they are well-controlled when should you reassess?

Answer 11

3-6 months

Question 12

How long do LABAs (Advair) cause bronchodilator?

Answer 12

12 hours