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Comprehensive AANP Review/ Complete Study Guide (LEIK/Barkley/Fitzgerald) pt. 3 (printed from Tiffeny Wade) 1846 Questions with Definitive Solutions. $14.99
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Comprehensive AANP Review/ Complete Study
Guide (LEIK/Barkley/Fitzgerald) pt. 3 (printed from
Tiffeny Wade) 1846 Questions with Definitive
Solutions.
Stages of Pertussis
______________ Stage: mild cough, low fever, rhinorrhea - Answer: Catarrhal Stage
Ethambutol S/E - Answer: Causes optic neuritis; avoid if pt has abnormal vision (blindness,
retinal vein occlusion)
What characteristic best distinguishes asthma from COPD?
1. Severity of shortness of breath
2. Need for rescue medicine
3. Use of steroids for exacerbations
4. Presence of inflammation - Answer: 4. Presence of inflammation
Mild Intermittent Asthma
Page 1 of 367
,FEV1/PEF ______%, symptoms __________days/week.
Treatment= - Answer: >80%
<2 days/week
SABA only
Stages of Pertussis
_____________ Stage: cough less severe and less frequent - Answer: Convalescent
Leukotriene Inhibitors (Montelukast, Zileuton) side effect - Answer: side effects
Neuropsychological effects (agitation, aggression, depression); monitor LFTs
Stages of Pertussis
_____________ Stage: severe cough with "whooping" sound, posttussive emesis common -
Answer: Paroxysmal
Risk Factors for Death from Asthma (many) - Answer: • Infants <1 year old
• Previous severe exacerbations
• ≥2 hospitalizations in past year
• ≥3 ED visits in past year
• Hospitalization/ED visit in past month
• > 2 canisters SABA use per month
• Poor patient perception of symptoms
• Lack of written asthma care plan
• Sensitivity to Alternaria
• Low socioeconomic status
• Illicit drug use
• Major psychosocial problems
• Comorbidities (CV disease, Other chronic lung disease)
• Major psychological disease
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,T/F: Combination inhaled orticosteroid/long-acting bronchodilator is more effective in
improving symptoms and lung function, and reducing exacerbations in patients with moderate
to very severe COPD than either individual component. - Answer: True
Prophylaxis for TB if positive PPD - Answer: INH 300mg/day x 9 months, x 12 months if HIV
INH is high risk for what? - Answer: Liver disorder especially >age 35.
CLASSIC CASE & FINDINGS
[Clinical Presentation]
Hx of recent URI, albuterol inhaler use increased, SOB, wheezing, chest tightness, dry cough in
night and early AM that awakens from sleep - Answer: asthma
Roflumilast (Daliresp) is a phosphodiesterase-4 inhibitor indicated for the reduction of
exacerbations in severe and very severe chronic ____________. - Answer: bronchitis
albuterol (Proventil, Ventolin, ProAir), levalbuterol (Xopenex), and pirbuterol (Maxair) are what
kind of medications? - Answer: SABAs
T/F: SABAs are the drug of choice for all age groups to relieve acute asthma symptoms including
bronchoconstriction and to prevent exercise-induced bronchoconstriction. - Answer: True
SABAs work by binding to the beta2 adrenergic receptor, causing _________ muscle relaxation
and ____________. This effect occurs within _____ to _____ minutes. - Answer: Smooth
muscle, bronchodilation, 3 to 5
Asthma
__________zone on PEFR
Page 3 of 367
, 80-100% expected volume, maintain or reduce meds - Answer: green
LABAs increase the risk of what? - Answer: Asthma deaths
Ipratropium bromide (Atrovent) is a _________________ agent indicated for the treatment of
moderate or severe asthma exacerbations to provide additional bronchodilation to albuterol.
What disorder is it used primarily for? - Answer: short-acting muscarinic (anticholinergic)
COPD
salmeterol (Serevent) and formoterol (Foradil) are what kind of drugs? - Answer: Long-acting
beta2-agonists
Ipratropium bromide (Atrovent) an anticholinergic inhaled agent that inhibits muscarinic
cholinergic receptors, reducing ________ tone in the airway, decreasing mucus secretion and
blocking reflex bronchoconstriction because of reflex esophagitis. - Answer: vagal
T/F: The Duration of oral corticosteroids for asthma is usually 5 to 10 days. There is no need to
taper the dose for a 7 day course and usually no need to taper for a 10-day course, particularly if
a patient is on an inhaled corticosteroid - Answer: True
________________Asthma
Page 4 of 367
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