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NUR524 Exam 1 Questions And Accurate Answers
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NUR524 Exam 1 Questions And Accurate AnswersWhat is the treatment for intermittent asthma (step 1)? -Answer PRN SABA (albuterol
and other -buterols)
What are the treatments for mild persistent asthma (step 2)? -Answer Low dose ICS
(fluticasone, budesonide)+ SABA (PRN)
True or False: Peak Flow Meters are as accurate as Spirometry -Answer False - PFMs
are used at home for monitoring, spirometry is used for asthma diagnosis in office.
What are the physical exam findings in an examination for an asthma exacerbation?
-Answer Percussion Hyperresonance
Decreased tac fremitus
Low diaphragm
Increased AP ratio (barreling)
What is the normal FEV1 of a patient who is between 40-59 years old? What % of a
normal FEV1 would be considered intermittent asthma for this patient? -Answer 75%.
>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? - 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? - Answer 80%
60-80% of predicted
, What is the patient's normal FEV1 if it falls between 60-80? What percentage of a normal
FEV1 is considered to be severe persistent asthma for the patient? -Answer 70%
Less than 60% of predicted
For which indications is systemic steroids indicated to tx asthma? What is course?
-Answer In moderate-severe exacerbations and w/partial response to SABA therapy.
Usual course is 5-10day course w/o taper.
What is one example of a LABA? What kind of asthma does it treat? -Answer Salmeterol
Treats Moderate-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? - Answer FEV1/FVC
ratio of less than 70%
FEV1 deviation from expected percentage.
What are the goals of COPD treatment? - 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? - Answer
SABA like albuterol
What is the main culprit in a COPD exacerbation due to a respiratory tract infection?
-Answer Viruses
When would you want to obtain a chest film in a COPD exacerbation?-Answer In an
attempt to exclude a concomitant pneumonia
What is one of the key differences between the treatment measures regarding asthma
and COPD? -Answer The earlier use of LAMAs such as tiotropium in COPD
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