Question 1

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?

Accepted Answer

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

Question 2

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

Accepted Answer

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

Question 3

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

Accepted Answer

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

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?

Accepted Answer

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

Question 5

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

Accepted Answer

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

Question 6

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

Accepted Answer

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

Question 7

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

Accepted Answer

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

Question 8

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

Accepted Answer

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

Question 9

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?

Accepted Answer

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. 
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 10

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

Accepted Answer

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

Question 11

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?

Accepted Answer

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

Question 12

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

Accepted Answer

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

Question 13

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

Accepted Answer

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

Question 14

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

Accepted Answer

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

Question 15

At what age does asthma severity peak in males?

Accepted Answer

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

Exam 13: Asthma

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?

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

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

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?

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

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

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

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

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?

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 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?

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

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

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

At what age does asthma severity peak in males?

The Patient Interview

The Physical Examination and Its Basis in Physiology

Pulmonary Function Study Assessments

Arterial Blood Gas Assessments

Oxygenation Assessments

Cardiovascular System Assessments

Radiologic Examination of the Chest

Other Important Tests and Procedures

The Therapist-Driven Protocol Program and the Role of the Respiratory Therapist

Respiratory Failure and the Mechanical Ventilation Protocol

Recording Skills: The Basis for Data Collection, Organization, Assessment Skill

Chronic Obstructive Pulmonary Disease (COPD), Chronic Bronchitis, and Emphysema

Bronchiectasis

Cystic Fibrosis

Pneumonia

Lung Abscess

Tuberculosis

Fungal Diseases of the Lung

Pulmonary Edema

Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension

Flail Chest

Pneumothorax

Pleural Effusion and Empyema

Kyphoscoliosis

Interstitial Lung Diseases

Cancer of the Lung

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Sleep Apnea

Clinical Manifestations Common with Newborn and Early Childhood Respiratory Dis

Meconium Aspiration Syndrome

Transient Tachypnea of the Newborn

Respiratory Distress Syndrome

Pulmonary Air Leak Syndromes

Respiratory Syncytial Virus (Bronchiolitis or Pneumonitis)

Bronchopulmonary Dysplasia

Congenital Diaphragmatic Hernia

Congenital Heart Diseases

Croup Syndrome: Laryngotracheobronchitis and Acute Epiglottitis

Near Drowning/Wet Drowning

Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication

Atelectasis

Filters

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