Asthma Control in Adults: A Pop Quiz

February 10, 2015

What does fractional exhaled nitric oxide have to do with a diagnosis of asthma? Find the answer and 6 more questions in this asthma pop quiz.

 

1. Studies in adult patients have suggested that what percentage of those diagnosed with asthma do not have the condition?A. 10%

B. 20%

C. 30%

D. 40%

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Answer: C. 30%1

 

2. Measurement of fractional exhaled nitric oxide can be used to confirm an equivocal asthma diagnosis and to adjust inhaled corticosteroid dosage.A. True

B. False

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Answer: A. True2

 

3. Before escalating pharmacologic therapy, it is imperative to:A. Check adherence with existing therapy

B. Check bronchodilator reliance

C. Perform a physical

D. A and B

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Answer: A and B1

 

4. Spacers are ____  nebulizers for delivering short-acting β-agonists during moderate asthma exacerbations.A. Equally effective as

B. Less effective than

C. More effective than

D. None of the above; data in moderate exacerbations are limited.

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Answer: A. Equally effective as2

 

5. A written asthma action plan should contain:A. Medication and environmental control strategies for daily asthma management

B. Strategies for recognizing and dealing with exacerbations

C. Personalized strategies

D. Symptom or flow-based strategies

E. All of the above

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Answer: E. All of the above2

 

6. Mr Smith is 50 years old and has asthma that is not well controlled with low-dose inhaled corticosteroids (ICS). The next step in pharmacologic management is to:A. Increase the ICS to medium dose

B. Add adjunctive therapy to Mr Smith’s low-dose ICS

C. Either A or B

D. None of the above.

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Answer: C. Either A or B2

 

7. Risk factors for death from asthma include:A. Three or more emergency department visits for asthma in the past year

B. Using more than two canisters of short-acting ß-agonist per month

C. Not having a written asthma action plan

D. Having a chronic psychiatric illness

E. All of the above

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Answer: E. All of the above2

References:

1. Funston W, Higgins B. Improving the management of asthma in adults in primary care. Practitioner. 2014;258:15-19.

2. National Heart, Lung, and Blood Institute. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. 2007. 

3. Pakhale S, Doucette S, Vandemheen K, et al. A comparison of obese and nonobese people with asthma: exploring an asthma-obesity interaction.Chest. 2010;137:1316-1323.