Deck 13: Asthma

Question 1

What is the name for the microscopic structures formed from the breakdown of eosinophils in allergic asthma?

A) Charlene-Lichty crystals
B) Charcot-Leyden crystals
C) Colleen-Lyndahl clusters
D) Charles-Lahr casts

Answer 1

Charcot-Leyden crystals

Question 2

What findings on a chest radiograph would be expected during a prolonged asthma episode?
1) Depressed diaphragm
2) Increased anterior-posterior diameter
3) Asymmetrical lung inflation
4) Translucent lung fields

A) 1, 2
B) 3, 4
C) 1, 2, 4
D) 1, 2, 3, 4

Answer 2

1, 2, 4

Question 3

How many components of care are included in the NAEPP-EPR-3 asthma management guidelines?

A) 3
B) 4
C) 5
D) 6

Answer 3

4

Question 4

After the inhalation of a bronchodilator, what percentage change in peak expiratory flow (PEFR) would be required to demonstrate reversible airflow limitation consistent with asthma?

A) -20%
B) -10%
C) +10%
D) >20%

Question 5

Which of the following would be expected when a chest assessment is performed on a patient during an asthmatic episode?
1) Inverse I:E ratio
2) Decreased vocal fremitus
3) Increased vesicular breath sounds
4) Hyperresonant percussion note

A) 1, 4
B) 2, 4
C) 2, 3, 4
D) 1, 2, 3, 4

Question 6

What is the term for an inspiratory fall in systolic blood pressure exceeding 10 mm Hg?

A) Pulsus paradoxus
B) Stage I hypotension
C) Swanson's phenomenon
D) Hoover's sign

Question 7

Which of the following is the acronym for the bronchospasm and airway inflammation resulting from the aspergillus fungus?

A) ABPA
B) AGA
C) ACOS
D) AEC

Question 8

A sputum sample from a patient has been sent to the laboratory for analysis. Which of the following findings could help confirm the diagnosis of extrinsic asthma?

A) Increased IgE level
B) Increased erythrocyte count
C) Colonization of P. aeruginosa
D) Decreased IgE level

Question 9

All of the following symptoms are commonly associated with asthma EXCEPT recurrent:

A) cough.
B) chest tightness.
C) fever.
D) wheeze.

Question 10

Which of the following ABG values would be consistent with ventilatory failure with hypoxemia in a patient with severe status asthmaticus?
1) Increased PaCO₂
2) Decreased SaO₂
3) Increased pH
4) Decreased pH

A) 1, 2
B) 2, 3
C) 1, 2, 4
D) 1, 3, 4

Question 11

What term is used to describe the situation when an initial asthmatic response occurs within 1 hour of exposure to an allergen followed by a delayed asthmatic response hours later?

A)Deferred dyspneic response
B)Asynchronous activation response
C)Biphasic response
D)Bipolar response

Question 12

At what age does asthma severity peak in males?

A) 1 and 3 years
B) 5 and 7 years
C) 18 and 20 years
D) 30 and 32 years

Question 13

If a beta?-agonist agent and an anticholinergic agent were administered concurrently to a patient during an acute asthma episode, what result would be expected?

A) Bronchial smooth muscle contraction will occur.
B) Airway edema will increase.
C) The medications oppose each other, resulting in no airway changes.
D) Bronchial smooth muscle relaxation will occur.

Question 14

Which of the following are associated with extrinsic asthma?
1) Animal dander
2) Mold
3) Emotional stress
4) Male gender

A) 1, 2
B) 2, 3
C) 1, 2, 3
D) 1, 3, 4

Question 15

Which of the following factors are associated with intrinsic asthma?
1. Emotional stress
2) Cockroach allergen
3) GERD
4) Dust mites

A) 2, 4
B) 1, 3
C) 2, 3, 4
D) 1, 2, 3, 4