Smith Seminars Online Status Asthmaticus Test

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If for some reason you do not pass the test with 70% correct you will be notified by email to retake the test. Your order confirmation number will stay valid until you pass the test.

 

 Part 1 - Your Information

 

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AARC Member #:

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 Part 2 - The Test

 

1) Status Asthmaticus:

A) Is an acute exacerbation of asthma that remains unresponsive to initial treatment with bronchodilators

B) Can vary from a mild form to a severe form

C) Can include airway inflammation and mucus plugging

D) All the above

2) Air trapping results in:

A) Lung hyperinflation

B) Decreased dead space ventilator

C) A & B

D) None of the above

3) Factors associated with the increased prevalence of asthma include:

A) Indoor pollution and overcrowding

B) Increased incidence of viral infections and allergens

C) Cockroach allergy and possibly a decrease in breastfeeding

D) All the above

4) As the degree of airway obstruction worsens there may be:

A) Use of abdominal muscles on inspiration

B) Improved V/Q mismatching

C) Respiratory distress, including retractions

D) None of the above

5) Oxygen is the primary therapeutic modality and:

A) Can be provided via nasal cannula or face masks

B) Helps to correct V/Q mismatch

C) Must be provided in any patient who presents with status asthmaticus
D) All the above

6) Beta-agonist agents are the mainstays of acute therapy in asthma because:
A) They act via stimulation of cyclic AMP–mediated bronchodilation
B) They prevent relaxation of the airway smooth muscles
C) The nebulized inhaled route of administration is generally the less effective route of delivery
D) All the above

7) The administration of a helium-oxygen mixture (heliox) reduces turbulent airflow across narrowed airways and:
A) Does not relieve the work of breathing
B) Can result in improved gas exchange, pH, and clinical symptoms
C) Improves the caliber of the narrowed airways
D) A & B

8) In the face of high peak airway pressures, the principle of mechanical ventilation of status asthmaticus is:
A) Controlled hypoventilation, tolerating higher levels of PCO2 in order to minimize tidal volume and peak inspiratory pressures
B) Permissive hypercapnia can be tolerated as long as the patient remains adequately oxygenated
C) A longer I:E ratio, often greater than 1:3-4, helps allow slow but complete emptying of the lungs during exhalation, facilitating ventilation and avoiding excessive further air-trapping (auto-PEEP)
D) All the above

9) During mechanical ventilation you need to monitor:
A) Flow-volume loops
B) Exhaled tidal volume
C) Auto PEEP
D) All the above

10) Cardiac output may be decreased because of decreased preload that results from:
A) Air trapping/td>
B) Auto-PEEP
C) A & B
D) None of the above

 

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Smith Seminars

PO Box 516 · Paradise · TX · 76073 

Phone 866-857-2211 · Fax 972-759-9197
Email debra@smithseminars.com

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