CMN 568 Unit 3 Test Questions with All Correct Answers
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Course
CMN 568
Institution
CMN 568
CMN 568 Unit 3 Test Questions with All Correct Answers
When should IGRA tb testing be done? - Answer In place of, but not in addition to TST testing when concern for pt. returning to have TST read. Not for children <5 unless in conjunction with TST
What are the symptoms of pulmonary TB? - ...
CMN 568 Unit 3 Test Questions
with All Correct Answers
When should IGRA tb testing be done? - Answer ✔ In place of, but not in addition to
TST testing when concern for pt. returning to have TST read. Not for children <5 unless
in conjunction with TST
What are the symptoms of pulmonary TB? - Answer ✔ cough > 3 weeks, hemoptysis,
chest pain, weight loss, night sweats, fever, fatigue
What should be tested in any person suspected of having TB? How should specimens
be obtained? - Answer ✔ sputum cx; 3 different specimens atleast 8 hours apart, one of
which should be first thing in the morning
What is the gold standard for diagnosing TB? - Answer ✔ sputum culture
What is the treatment of choice for LTBI? - Answer ✔ Isoniazid 9 month daily regimen
What is the preferred medication for children ages 2-11 with LTBI? - Answer ✔ Isoniazid
What are some serious adverse effects of Isoniazid? - Answer ✔ peripheral neuropathy,
fatal hepatitis, and elevated liver enzymes
What medication should be offered to patients with TB disease, but NOT for LTBI? -
Answer ✔ pyrazinamide
What are the four first-line drugs to treat TB disease? - Answer ✔ Isoniziad, Rifampin,
Pyrazinamide, ethambutol
What serious side effects are associated with LTRAs in asthma treatment? - Answer ✔
anxiety, depression, and suicidal ideations
What patient education should be included on patients taking LTRAs? - Answer ✔ take
on empty stomach and it will take 1-2 weeks for therapeutic response is reached
What is the "booster phenomenon"? - Answer ✔ When someone (e.g. older person) is
infected with TB, but initially tests negative, then on subsequent tests, tests positive.
The initial test "boosts" their immune response.
, How can vocal cord dysfunction be distuinguished from asthma or EIB? - Answer ✔
response to bronchodilators, normal spirometry immediately after an attack, spirometric
evidence of upper airway, negative bronchial provocation test, or direct visualization of
vocal cord adduction on both inspiration and expiration
How is vocal cord dysfunction treated? - Answer ✔ speech therapy, breathing, voice,
and neck relaxation exercises.
What is the strongest identifiable predisposing factor for the development of asthma?
What is becoming increasingly recognizable as a significant risk factor? - Answer ✔
atopy (tendency to be hyperallergic); obesity
What is considered a late asthmatic response? - Answer ✔ 4-6 hours after exposure to
allergen
What are the most common allergens? - Answer ✔ dust mites, cockroaches, cat
dander, and seasonal pollens
What medications can induce an asthma attack? - Answer ✔ beta blockers, NSAIDS,
ASA, Histamine, methacholine, acetylcysteine, pentamidine, and any nebulized
medication, tartrazine dyes
What is catamenial asthma? - Answer ✔ Asthma attacks that occur at predictable times
during menstruation
When does EIB usually occur? when does it peak? when does it usually resolve? -
Answer ✔ during exercise or within 3 minutes after its end;within 10-15 in.; by 60 min.
When are symptoms of asthma usually worse at? - Answer ✔ at night/ early morning
b/w 3am and 4am
What does NOT correlate with the presence of airflow obstruction? - Answer ✔
Wheezing during forced expiration
What should be included in the evaluation for asthma before and after the
administration of a short-acting bronchodilator? - Answer ✔ spirometry
What may be useful in diagnosing asthma when spirometry is not diagnostic? - Answer
✔ bronchial provocation testing
When should bronchial provocation testing be avoided? - Answer ✔ When the FEV1 is
less than 65% of predicted
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