CSE

Question 1

Ability to only talk in words is a sign of what

Answer 1

Severe asthma exacerbation
Talking in phrases is moderate

Question 2

Wheezing warranting a pt is in moderate exacerbatin, what about severe?

Answer 2

Moderate has expiratory wheezing
Severe has insp and exp wheezing

Question 3

Severity of asthma exacerbation based on FEV1

Answer 3

moderate >40%
severe <40
Life threatening <25%

Question 4

Treatment of choice for moderate asthma exacerbation

Answer 4

SABA 3 times in one hour
O2 titrate above 90%

Question 5

Treatment of choice for severe asthma exacerbation

Answer 5

SABA plus ipratropium
Use of heliox to get O2 >90%
Possible trial of PPV

Question 6

Croup is caused by what

Answer 6

Viral infection usually post influenza

Question 7

Spot to find croup vs epiglottitis

Answer 7

Croup is subglottic

Question 8

Steeple sign

Answer 8

associated with croup, found on the x ray

Question 9

Sweat test evaluates a pt for what

Answer 9

Cystic Fibrosis (Sweat Chloride >60

Question 10

A sputum sample of someone with CF would pop hot for what?

Answer 10

Pseudomonas aeruginosa

Question 11

What is used to evaluate severity of ARDS

Answer 11

P/F ratio
200-300mild
100-200 moderate
<100 severe

Question 12

How many stages are there to COPD and how are they evaluated?

Answer 12

4 stages measured by FEV1

Question 13

Stages of COPD

Answer 13

mild >80%
moderate 50-79%
severe 30-50%

Question 14

GBS usually develops after what infection

Answer 14

cytomegoly virus or jejuni (diarrhea)

Question 15

Clostridium

Answer 15

Cause of tetanus

Question 16

Meds for tetnus

Answer 16

Immediate IV immunoglobulin

Question 17

Positive sweat test

Answer 17

> 60 confirms likely CF

Question 18

What medication groups are NOT recommended for COPD patients

Answer 18

mucolytics or routine antibiotics

Question 19

what main therapy will extend the life of COPD patient

Answer 19

supplemental oxygen

Question 20

PFT– the VC test evaluates what?

Answer 20

restrictive disorder
the FEV1 tests obstructive

Question 21

What medications do you NOT administer to ARDS

Answer 21

corticosteroids
surfactant
beta-agonist
Mucomyst (Acetylcystein)

Question 22

purulent foul smelling sputum indicates what?

Answer 22

bronchiectasis