Scoping Test Flashcards
What is FeNO and what are the units
fractional exhaled nitric oxide
Parts per billion
What dose of oral prednisone is used for adult acute asthma management
40-50mg oral prednisolone once daily for 5 days
How should peak flow be monitored
2 blows, twice a day for 2 weeks. Recording the best of 3 each time
What are the 3 treatments for an acute exacerbation of asthma
2.5mg of oxygen driven nebulised salbutamol
10 puffs of salbutamol via spacer with 30-60 seconds between each
40-50mg prednisolone daily for 5 days
Theophylline : bronchodilator or anti-inflammatory
Bronchodilator
Salbutamol : bronchodilator or anti-inflammatory
Bronchodilator
What diurnal variability indicates asthma
PEF = 20% or more
Which courses of oral corticosteroids for asthma should be tapered down before stopping
High dose corticosteroids or long courses
A patient has been on AIR therapy for 6 weeks but is still experiencing breathlessness and wheeze on exercise, what is the appropriate next step in his management
Start MART regimen ( maintenance and reliever therapy)
What can FeNO testing results be affected by
Smoking and nitrate rich foods
Name 2 short acting beta 2 agonists
Salbutamol
Terbutaline
When are emergency steroid cards used
For patients on medium-high dose inhaled steroids
How are Qvar and Clenil different
Qvar is small particle, Clenil is large particle
They are not dose equivalent so a lower dose of qvar would have the same effect as higher dose of clenil
What are the aims of good asthma control
Normal lung function [FEV1/PEF >80%] with minimal side effects
What test can be given to establish if a patient has good asthma management
Asthma control test - ACT
What asthma medication has a potential risk of neuropsychiatric reactions
Montelukast
What is the more effective diagnostic test for asthma
FeNO
What drugs are in fostair nexthaler
Formoterol and Beclometasone
What is the dose frequency for clenil modulite 100mcg dose
Clenil modulite = Beclometasone
Two puffs twice daily
What’s the dose for a salbutamol inhaler
2 puffs as required up to 4 times a day
Mr G has been on salbutamol and Beclometasone, but has still been breathless and had wheezing on exercise.
According to the old guidelines what is the next step [2]
LABA (BTS/NICE)
LTRA (NICE/GINA)
What’s the maximum dose actuations per day of fostair nexthaler
Maximum dose 8 actuations daily
