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MN 568 MIDTERM EXAM ACTUAL EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS

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MN 568 MIDTERM EXAM ACTUAL EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS You are doing a cerumen extraction and touch the external meatus of your pt's ear. He winces and starts coughing. What is the name of this reflex? - Answer️️ -Arnold Reflex Sam, age 78, presents to the clinic w/resp...

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mn 568 midterm exam actual exam 180 questions and

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TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

MN 568 MIDTERM EXAM ACTUAL EXAM
180 QUESTIONS AND CORRECT
DETAILED ANSWERS

You are doing a cerumen extraction and touch the external meatus of your pt's ear. He

winces and starts coughing. What is the name of this reflex? - Answer✔️✔️-Arnold Reflex

Sam, age 78, presents to the clinic w/respiratory symptoms. His PFTs are as follows:

normal total lung capacity, decreased PaO2, increased PaCO2. On assessment, you

auscultate course crackles and forced expiratory wheezes. What is your dx? -

Answer✔️✔️-Chronic Bronchitis

George has COPD and an 80% forced expiratory volume in 1 second. How would you

classify the severity of his COPD? - Answer✔️✔️-Stage 1 mild COPD

African American pt's seems to have a negative reaction to which of the following

asthma meds? - Answer✔️✔️-Long-term beta-agonist bronchodilators

You are using the CURB-65 clinical prediction tool to decide whether Mabel, whom you

have diagnosed with community-acquired pneumonia (CAP), should be hospitalized or

treated at home. Her score is 3. What should you do? - Answer✔️✔️-Hospitalize and

consider admitting her to the ICU

Why do you suspect that your pt may have a decreased response to the TB test? -

Answer✔️✔️-She has been on long-term corticosteroid therapy

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Marci has been started on a TB regimen. Because isoniazid (INH) may cause peripheral

neuropathy, you consider ordering which of the following drugs prophilactically? -

Answer✔️✔️-Pyroxidine

Jolene has breast cancer that has been staged as T1, N0, M0. What might this mean?

A. The tumor size cannot be evaluated; the cancer has not spread to the lymph nodes;

and the distant spread cannot be evaluated.

B. The cancer is in situ; it is spreading into the lymph nodes but the spread cannot be

evaluated otherwise.

C. The cancer is less than 3 cm in size and has not spread to the lymph nodes or other

parts of the body.

D. The cancer is about 5 cm in size; nearby lymph nodes cannot be evaluated; and

there is no evidence of distant spreading. - Answer✔️✔️-The cancer is less than 3cm in

size and has not spread to the lymph nodes or other parts of the body

Nathan, a 32yo policeman, has a 15-pack-year history of smoking and continues to

smoke heavily. During every visit, he gets irate when you try to talk to him about

quitting. What should you do? - Answer✔️✔️-Continue to ask him at every visit if he is

ready to quit

Your pt has decided to try to quit smoking with Chantix. You are discussing his quit date

and he will begin taking the med tomorrow. When should he plan to quit smoking? -

Answer✔️✔️-His quit date should be in 1 week

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Which info should be included when you are teaching your pt about the use of nicotine

gum? - Answer✔️✔️-The gum must be correctly chewed to a softened state and then

placed in the buccal mucosa

Cydney presents with a h/o asthma. She has not been treated for a while. She c/o daily

but not continual symptoms, greater than 1 week and at nighttime. She has been using

her rescue inhaler. Her FEV1 is 60-80% predicted. How would you classify her asthma

severity? - Answer✔️✔️-Moderate persistent

Joyce is taking a long-acting beta agonist for her asthma. What additional med should

she be taking? - Answer✔️✔️-Inhaled corticosteroid

Your pt is on theophylline (Therabid) for his asthma. You want to maintain his serum

levels between: - Answer✔️✔️-5-15mcg/mL

Which of the following statements regarding TST is true? - Answer✔️✔️-The size of the

TST reaction has nothing to do with erythema but is based solely on induration

Which obstructive lung disease is classified as reversible? - Answer✔️✔️-asthma

You have taught Jennifer, age 15, about using a flow meter to assess how to manage

her asthma exacerbations. She calls you today because her peak expiratory flow rate is

65%. What would you tell her? - Answer✔️✔️-Use your rescue inhaler, begin the Rx of

PO glucocorticoids you have, and call back tomorrow."

Which statement about adenocarcinoma of the lung is accurate? - Answer✔️✔️-It is the

most prevalent carcinoma of the lungs in both sexes and in nonsmokers, representing

35-40% of all tumors

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Jason, age 62, has obstructive sleep apnea. What do you think is one of his contributing

factors? - Answer✔️✔️-His collar size is 17in

The forced vital capacity is decreased in:

a. Asthma

b. Chronic bronchitis

c. Emphysema

d. Restrictive disease - Answer✔️✔️-restrictive disease

The most common cause of CAP is: - Answer✔️✔️-Streptococcus pneumoniae

Which of the following pt's would you expect to have a decreased response to TST? -

Answer✔️✔️-Sandy, a 40yo pt who recently survived a fire that left 40% of her total body

surface covered in burns

Which of the following is a possible consequence of sleep apnea?

a. Asthma

b. Increased WBC

c. Insulin resistance

d. Hyperactivity - Answer✔️✔️-insulin resistance

Which of the following conditions is associated with cigarette smoking?

a. Glaucoma

b. Increased sperm quality

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