AHN 572 PULMONARY 1 ACTUAL EXAM

AHN 572 PULMONARY 1 (ACTUAL / ) EXAM

QUESTIONS AND VERIFIED CORRECT ANSWERS,

long term steroids use ------Answers---need vitamin d and calcium supplements

steroid adrenal suppression ------Answers---osteoporosis, thin skin, muscle wasting/weakness

adverse effects of steroids ------Answers---oral candidiasis, dysphonia, ecchymosis, cataracts, glaucoma, HTN, sleep disturbances

COPD diagnosis ------Answers---spirometry with airflow limitation, that's incompletely reversible after bronchodilator FEV1/FEV <0.7

gold 0 ------Answers---at risk for copd +cough and sputum remove toxins/lifestyle mods Long Acting Beta Agonists (LABA) ------Answers--- salmeterol, aformoterol, formoterol used in combo with ICS NOT for monotherapy

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Inhaled Corticosteroids ------Answers---1st line asthma tx wash mouth after use beclomethasone, budesonide, flunisolide, fluticasone, mometasone, triamcinolone

LABA-ICS combination medication ------Answers--- symbicort (budesonide/ formoterol) advair (fluticasone/salmeterol) dulera (mometasone/formoterol)

Long acting anticholinergics ------Answers---Tiotropium (Spiriva)

Leukotriene Modifiers ------Answers---Montelukast (Singulair) alt to low dose ICS in mild asthma

phosphodiesterase inhibitor ------Answers---Theophylline mild bronchodilator, antiinflammatory, immunomodulatory, strengthens diaphragmatic contractility, enhances mucocilliary clearance

mast cell modulators ------Answers---cromolyn/nedocromil prevent asthma symptoms and improve airway function

SABA ------Answers---albuterol, levalbuterol 2 / 3

most effective bronchodilator during exacerbation

Anticholinergics ------Answers---Ipratropium for those intolerant to SABA or with BB induced bronchospasm cans be combined with albuterol

Systemic Corticosteroids ------Answers---prompt control for those not responding to SABA methylprednisolone, prednisolone, prednisone refractory poorly controlled asthmas CXR in COPD ------Answers---hyper-expansion, flattened diaphragm, air pockets (bullae)

CXR in CF ------Answers---peribronchial cuffing, mucus plug, bronchiectasis (ring shadows and cysts), increased interstitial markings, small rounded peripheral opacities, focal atelectasis, ptx

pneumonia on cxr ------Answers---infiltrates, patchy opacities, lobar consolidation, air bronchograms

pleural effusion on CXR ------Answers---blunting of costophrenic angle, loss of demarcation of diaphragm and heart, mediastinal shift to uninvolved side

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