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NUR 524 EXAM 2 NEWEST 2024 ACTUAL EXAM
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NUR 524 EXAM 2 NEWEST 2024 ACTUAL EXAM/NUR 524 EXAM 2 NEWEST 2024 ACTUAL EXAM/NUR 524 EXAM 2 NEWEST 2024 ACTUAL EXAM
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NUR 524 EXAM 2 NEWEST 2024ACTUAL EXAM
What is the treatment for intermittent asthma (step 1)? - correct answer PRN
SABA (albuterol and other -buterols)
What are the treatments for mild persistent asthma (step 2)? - correct answer
Low dose ICS (fluticasone, budesonide)+ SABA (PRN)
True or False: Peak Flow Meters are as accurate as Spirometry - correct answer
False - PFMs are used at home for monitoring, spirometry is used for asthma
diagnosis in office.
What are the clinical findings in an exam for an asthma flare? - correct answer
Percussion Hyperresonance
Decreased tac fremitus
Low diaphragm
Increased AP ratio (barreling)
What is the normal FEV1 of a patient in between 40-59? What % of a normal FEV1
would be considered intermittent asthma for this patient? - correct answer 75%.
Greater than 80% of expected
What is the normal FEV1 of a patient in between 8-19? What % of a normal FEV1
would be considered mild persistent asthma for this patient? - correct answer
85%
Greater than or equal to 80% of expected
What is the normal FEV1 of a patient in between 20-39? What % of a normal FEV1
would be considered moderate persistent asthma for this patient? - correct
answer 80%
In between 60 and 80% of expected
What is the normal FEV1 of a patient in between 60-80? What % of a normal FEV1
would be considered severe persistent asthma for this patient? - correct answer
70%
Less than 60% of expected
, NUR 524 EXAM 2 NEWEST 2024
ACTUAL EXAM
When are systemic steroids warranted for treatment of asthma? What is the
regimen? - correct answer In moderate to severe exacerbations and when there
is partial response to SABA therapy. Typically 5-10day dose without taper.
What is an example of a LABA? What type of asthma is it used to treat? - correct
answer Salmeterol
Moderate to Severe persistent asthma (steps 3-6)
What spirometry measurements confirm airflow obstruction when diagnosing
COPD? Once diagnosed, how is the grade of severity of COPD determined? -
correct answer FEV1/FVC ratio of less than 70%
FEV1 deviation from expected percentage.
What are the goals of COPD treatment? - correct answer Relieve symptoms and
reduce risk of future adverse health events (incl of exacerbations)
What medication type is recommended at all levels of treatment of COPD? -
correct answer SABA like albuterol
What is the primary culprit in a COPD exacerbation caused by a respiratory tract
infection? - correct answer Viruses
When do you need a chest film for a COPD exacerbation? - correct answer When
trying to rule out a concomitant pneumonia
What is a key difference between the treatment steps for asthma and COPD? -
correct answer Earlier utilization of LAMAs like tiotropium in COPD
What is the first line treatment for severe COPD? - correct answer high dose ICS
(fluticasone)+ LABA(salmeterol) + LAMA (tiotropium)
In a patient who has had the BCG vax for TB, when should you consider a TB skin
test positive? - correct answer 10mm or more of induration
When is a TB skin test induration of 5mm or more considered positive? - correct
answer -Patient has HIV/Hx of organ transplant/Is immunosuppressed
-Patient has had recent contact with a TB infected person
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