Chapter 29 Asthma
Clinical Case Problem 1: A 22-Year-Old Man with a Chronic Cough
Select the best answer to the following questions
1. What is the most likely diagnosis in this patient?
2. In children, which of the following statements is (are) true?
3. Which of the following is (are) included in the working definition of asthma?
4. Which of the following statements regarding incidence and mortality of asthma is (are) false?
5. Asthma, from a pathophysiologic basis, is primarily
6. Following antigenic stimulation of the bronchial airway, which cell is most responsible for the beginning of the airway’s response?
7. What substance(s) released by the cell is (are) most responsible for the beginning of the airway’s response?
8. The parameter most useful in evaluating a patient with asthma is
9. The main classification classes for asthma as provided by the Expert Panel Report 3 (2007) from the National Heart, Lung, and Blood Institute include
10. The reversible airflow obstruction seen in asthma results from which of the following?
11. Which of the following is (are) a clinical hallmark(s) of asthma?
12. Which of the following is (are) associated with an increase in asthma incidence?
Clinical Case Problem 2: A 24-Year-Old Runner with Wheezing and Shortness of Breath
13. Which of the following statements regarding exercise-induced bronchospasm (EIB) is false?
14. Which of the following is the agent of choice for the treatment of acute symptoms in these circumstances?
15. What is the mechanism of action of the agent of choice in question 14?
16. What is the pre-exercise preventive treatment of choice for EIB?
17. Nonpharmacologic means of reducing EIB include all of the following except
18. For a patient with EIB who has frequent symptoms despite nonpharmacologic treatment modalities and a beta2 agonist for acute symptoms, choose the list of long-term medications for better control in the correct order of efficacy (most effective to least effective).
19. Vocal cord dysfunction can masquerade as EIB or asthma. Characteristics of vocal cord dysfunction include all of the following except
20. What is the chief characteristic of exercise-induced hyperventilation?
Clinical Case Problem 3: A 30-Year-Old New Patient with Chronic Asthma
21. Which of the following stepped care classifications used to guide pharmacotherapy in asthma require(s) environmental control as the necessary first step for his treatment?
22. All except which of the following are characteristics of mild persistent asthma?
23. Which of the following most accurately describes the preferred pharmacologic treatment of moderate persistent asthma in adults?
24. All except which of the following are characteristics of severe persistent asthma?
25. Pharmacotherapy of severe persistent asthma includes
26. In a patient whose PEF rate is less than 50% of personal best, suggesting a severe exacerbation, the initial home treatment includes which of the following?
27. Which of the following pulmonary function tests is the most useful for diagnosis of asthma?