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MN 568 MIDTERM EXAM ACTUAL EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS Latest Update
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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? Arnold Reflex Sam, age 78, presents to the clinic w/respiratory symptoms. His PFTs are as follows: normal total lung capacity, decreased PaO2, in...

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  • November 15, 2024
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  • 2024/2025
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MN 568 MIDTERM EXAM ACTUAL EXAM
180 QUESTIONS AND CORRECT DETAILED
ANSWERS Latest Update
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?

✓ 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?

✓ Chronic Bronchitis



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

classify the severity of his COPD?

✓ Stage 1 mild COPD



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

meds?

✓ 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?


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✓ Hospitalize and consider admitting her to the ICU



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

✓ She has been on long-term corticosteroid therapy



Marci has been started on a TB regimen. Because isoniazid (INH) may cause peripheral

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

✓ 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.

✓ The cancer is less than 3cm in size and has not spread to the lymph nodes or other parts
of the body




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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?

✓ 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?

✓ His quit date should be in 1 week



Which info should be included when you are teaching your pt about the use of nicotine gum?

✓ 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?

✓ Moderate persistent



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

taking?

✓ Inhaled corticosteroid



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

between:

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✓ 5-15mcg/mL



Which of the following statements regarding TST is true?

✓ 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?

✓ 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?

✓ 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?

✓ It is the most prevalent carcinoma of the lungs in both sexes and in nonsmokers,
representing 35-40% of all tumors



Jason, age 62, has obstructive sleep apnea. What do you think is one of his contributing

factors?

✓ His collar size is 17in



The forced vital capacity is decreased in:


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