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  • August 28, 2024
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  • 2024/2025
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CMN 568 practice questions and
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A @\thin @\patient @\w/ @\a @\slight @\build @\present @\with @\constant @\difficulty @\breathing @\and @\
clear @\mucus. @\A @\physical @\exam @\also @\indicates @\an @\increased @\chest @\anteroposterior @\
diameter @\and @\hyperresonance @\on @\percussion. @\Given @\the @\most @\likely @\diagnosis, @\which
@\class @\of @\medications @\is @\best @\suited @\for @\long-term @\tx? @\- @\(correct @\answer) @\-

anticholinergics

Which @\of @\these @\manifestations @\is @\LEAST @\likely @\to @\present @\with @\the @\onset @\of @\
asthma?

A. @\Plugging @\the @\airways @\by @\thick @\mucus

B. @\Hypertrophy @\of @\the @\mucus @\glands

C. @\Thinning @\of @\the @\epithelial @\basement @\membrane

D. @\Hypertrophy @\of @\smooth @\muscle @\- @\(correct @\answer) @\-C

Your @\patient @\was @\seen @\by @\a @\pulmonologist @\2 @\months @\ago @\and @\diagnosed @\with @\
asthma. @\The @\pulmonologist @\ordered @\a @\short @\acting @\beta-2 @\agonist @\for @\initial @\
symptom @\relief. @\However, @\on @\today's @\visit @\to @\your @\office, @\the @\patient @\states, @\"I @\
don't @\think @\this @\stuff @\is @\really @\working @\because @\I'm @\still @\short @\of @\breath." @\You @\
refer @\the @\patient @\back @\to @\the @\pulmonologist. @\Which @\of @\the @\following @\would @\you @\
anticipate @\being @\the @\next @\step @\in @\the @\patient's @\management @\following @\the @\latest @\
national @\guidelines? @\- @\(correct @\answer) @\-an @\inhaled @\corticosteroid @\(ICS)

Jackie, @\a @\25-yo @\female, @\comes @\to @\the @\clinic @\experiencing @\respiratory @\distress @\and @\
difficulty @\speaking. @\Her @\lungs @\are @\hyperresonant @\and @\show @\hyperinflation @\on @\the @\x-
ray. @\Which @\result @\would @\most @\strongly @\indicate @\that @\Jackie @\should @\be @\admitted @\to
@\a @\hospital?


A. @\Forced @\expiratory @\volume @\is @\below @\30%

,B. @\Respiratory @\rate @\is @\25 @\breaths/minute

C. @\Pulsus @\paradoxus @\of @\8 @\mmHg

D. @\Pulse @\is @\112 @\bpm @\- @\(correct @\answer) @\-A

Which @\of @\these @\is @\NOT @\a @\common @\indoor @\trigger @\for @\asthma?

Cockroaches

Dust @\mites

Exercise

Termites @\- @\(correct @\answer) @\-termites

Upon @\examination, @\you @\notice @\that @\Alex, @\an @\obese @\63yo @\male, @\has @\moderate @\
dyspnea @\and @\purulent @\sputum. @\His @\lungs @\are @\normal @\upon @\percussion. @\Laboratory @\
results @\reveal @\an @\increased @\hematocrit @\level. @\Given @\the @\most @\likely @\diagnosis, @\which
@\of @\the @\following @\drugs @\would @\you @\be @\LEAST @\likely @\to @\prescribe @\for @\the @\patient's

@\condition?


A. @\Ipratropium @\bromide

B. @\Albuterol

C. @\Budesonide

D. @\Montelukast @\- @\(correct @\answer) @\-D. @\montelukast

Which @\of @\the @\following @\medications @\is @\considered @\to @\be @\the @\mainstay @\of @\treatment
@\for @\chronic @\obstructive @\pulmonary @\disease?


A. @\Budesonide

B. @\Ipratropium @\bromide

C. @\Salmeterol

D. @\Triamcinolone @\- @\(correct @\answer) @\-B

Victor, @\a @\stocky @\40yo @\male, @\presents @\to @\the @\clinic @\with @\complaints @\of @\difficulty @\
breathing @\and @\"endless @\amounts @\of @\gunk @\whenever @\he @\coughs." @\During @\the @\visit, @\
he @\coughs @\up @\a @\substantial @\amount @\of @\yellow @\phlegm. @\A @\blood @\test @\reveals @\an @\
increased @\hematocrit @\level, @\and @\a @\physical @\exam @\detects @\lungs @\that @\are @\normal @\
upon @\percussion. @\You @\order @\a @\pulmonary @\lab @\for @\the @\patient. @\Given @\the @\most @\
likely @\condition, @\which @\of @\the @\following @\findings @\would @\you @\LEAST @\expect?

, A. @\Increased @\forced @\expiratory @\volume @\in @\1 @\second

B. @\Increased @\total @\lung @\capacity

C. @\Increased @\functional @\residual @\capacity

D. @\Increased @\residual @\volume @\- @\(correct @\answer) @\-A. @\(this @\is @\an @\indication @\of @\
healthy @\lung @\functioning)

Winston, @\a @\42yo @\male, @\is @\an @\HIV-positive @\patient @\whose @\TB @\skin @\test @\returns @\with
@\an @\elevation @\of @\5mm. @\After @\confirming @\a @\diagnosis @\of @\TB, @\you @\prescribe @\a @\

traditional @\drug @\regimen. @\For @\what @\minimum @\period @\of @\time @\is @\Winston @\expected @\
to @\continue @\his @\regimen? @\- @\(correct @\answer) @\-9 @\months

Common @\symptoms @\of @\COPD @\are: @\- @\(correct @\answer) @\-cough, @\dyspnea, @\sputum @\
production

Is @\a @\chest @\x-ray @\needed @\to @\diagnose @\COPD? @\- @\(correct @\answer) @\-No. @\Chest @\x-ray @\
may @\show @\hyperinflation, @\but @\PFTs @\are @\the @\standard @\for @\diagnosis. @\PFT @\may @\be @\
able @\to @\diagnose @\prior @\to @\the @\presentation @\of @\symptoms.

What @\is @\the @\PFT @\result @\need @\for @\diagnosis @\of @\COPD? @\- @\(correct @\answer) @\-FEV1 @\
<0.7

Does @\every @\patient @\with @\asthma @\need @\a @\SABA? @\- @\(correct @\answer) @\-yes

30yo @\patient @\with @\persistent @\asthma, @\what @\are @\the @\essential @\components @\of @\their @\
care @\plan? @\(select @\all @\that @\apply)

A. @\Asthma @\action @\plan

B. @\Flu @\and @\pneumonia @\vaccine

C. @\Rescue @\inhaler

D. @\LABA @\- @\(correct @\answer) @\-A, @\B, @\C

T @\or @\F: @\Asthma @\patients @\and @\COPD @\pts @\both @\need @\rescue @\inhalers? @\- @\(correct @\
answer) @\-true

Most @\common @\side @\effects @\of @\long-term @\inhaled @\steroid @\use? @\- @\(correct @\answer) @\-
Bone @\demineralization @\(osteopenia) @\and @\cataracts

A @\12yo @\patient @\presents @\to @\the @\clinic @\with @\wheezing, @\SOB, @\a @\feeling @\of @\tightness
@\in @\the @\chest. @\He @\is @\afebrile. @\Which @\of @\the @\following @\would @\be @\the @\best @\test @\

to @\confirm @\diagnosis? @\- @\(correct @\answer) @\-PFT

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