Description : Inhaled beclomethasone dipropionate should be used only in: A. Acute attack of asthma B. Moderate to severe chronic asthma C. Status asthmaticus D. Asthma not responding to systemic corti- costeroids
Last Answer : B. Moderate to severe chronic asthma
Description : Inhaled salbutamol is useful in bronchial asthma for: A. Aborting/terminating asthma attacks B. Round the clock prophylaxis of asthma C. Status asthmaticus D. All of the above
Last Answer : A. Aborting/terminating asthma attacks
Description : The most consistent, pronounced and sustained relief of symptoms in chronic bronchial asthma is afforded by: A. β2 sympathomimetics B. Anticholinergics C. Sodium cromoglycate D. Corticosteroids
Last Answer : D. Corticosteroids
Description : In patients of bronchial asthma inhaled corticosteroids achieve the following except: A. Reduce the need for bronchodilator medication B. Control an attack of refractory asthma C. Reduce bronchial hyperreactivity D. Reverse diminished responsiveness to sympathomimetic bronchodilators
Last Answer : B. Control an attack of refractory asthma
Description : In comparison to inhaled β 2 adrenergic agonists, the inhaled anticholinergics: A. Are more effective in bronchial asthma B. Are better suited for control of an acute attack of asthma C. Produce slower response in bronchial asthma D. Produce little benefit in chronic obstructive lung disease
Last Answer : C. Produce slower response in bronchial asthma
Description : Theophylline is believed to benefit asthma patients by exerting the following actions except: A. Bronchodilatation B. Augmentation of diaphragmatic contractility C. Reduced mediator release D. Inhibition of antigen: antibody reaction
Last Answer : D. Inhibition of antigen: antibody reaction
Description : The National Institutes of Health (NIH) guidelines for the treatment of asthma recommended institution of routine inhaled corticosteroids when patients are classified as having greater than or equal to which ... (a) Mild intermittent (b) Mild persistent (c) Moderate persistent (d) Severe persistent
Last Answer : Ans: B
Description : A young child presents with respiratory distress, worsening over 2 days. Blood gases show a pH of 7.25, a PCO2 of 7.5kPa, a PO2 of 8.5kPa, and a base excess of -4. Which of the ... required. 4) Results are consistent with late severe asthma. 5) Bicarbonate may be necessary to correct the acidosis.
Last Answer : Answers-4 In interpreting blood gas results, the following sequence may be useful: Inspect the pH: Is it low, normal or high? Inspect the CO2: Is it low, normal or high? Inspect the PO2: Is ... excess and normal pH. Bicarbonate is usually only considered if the base deficit exceeds about -8 or 00.
Description : Montelukast produces the following action(s) in bronchial asthma patients: A. Bronchodilatation B. Suppression of bronchial hyperreactivity C. Stabilization of mast cells D. Both 'A' and 'B'
Last Answer : D. Both 'A' and 'B'
Description : Which of the following β 2 agonist bronchodilators is given by inhalation, and is suitable for both terminating asthma attacks as well as for twice daily prophylaxis: A. Terbutaline B. Bambuterol C. Salmeterol D. Formoterol
Last Answer : D. Formoterol
Description : In a patient of bronchial asthma, inhaled salbutamol produces the following effect(s): A. Inhibits antigen-antibody reaction in the lungs B. Causes bronchodilatation C. Reduces bronchial hyperreactivity D. Both ‘B’ and ‘C’ are correct
Last Answer : B. Causes bronchodilatation
Description : Intranasal spray of budesonide is indicated in: A. Common cold B. Acute sinusitis C. Perennial vasomotor rhinitis D. Epistaxis
Last Answer : C. Perennial vasomotor rhinitis
Description : Mucokinetic is a drug which: A. Reduces airway mucus secretion B. Increases airway mucus secretion C. Makes respiratory secretions more watery D. Stimulates mucociliary activity of bronchial epithelium
Last Answer : C. Makes respiratory secretions more watery
Description : Which of the following physical findings are associated with the various classes of hemorrhagic shock? a. Mild shock (< 20% blood volume): Pallor, cool extremities, diminished capillary refill and ... ): Systemic hypotension, changes in mental status, tachycardia, oliguria d. All of the above
Last Answer : Answer: a, c PHYSICAL FINDINGS IN HEMORRHAGIC SHOCK* Moderate Mild (40% Blood Volume) Blood Volume) Blood Volume) Pallor Pallor Pallor Cool extremities Cool extremities Cool extremities ... hypotension Mental status changes * Alcohol or drug intoxication may alter physical findings
Description : According to the American Society of Anesthesiology Physical Status Classification System, a patient with severe systemic disease that is not incapacitating is noted to have physical status ... normal healthy patient d) P2 Classification P2 reflects a patient with mild systemic disease
Last Answer : a) P3 Classification P3 patients are those who have compensated heart failure, cirrhosis, or poorly controlled diabetes, for example.
Description : In an asthma patient treated with systemic corticosteroids, bronchodilator drugs (a) Are not needed (b) Are contraindicated (c) May be used on ‘as and when required’ basis (d) Are ineffective
Last Answer : Ans: C
Description : In an asthma patient treated with systemic corticosteroids, bronchodilator drugs: A. Are not needed B. Are contraindicated C. May be used on ‘as and when required’ basis D. Are ineffective
Last Answer : C. May be used on ‘as and when required’ basis
Description : Neutrophil chemotaxis is a fundamental aspect of inflammatory injury in conditions such as the Adult Respiratory Distress Syndrome (ARDS). Neutrophil chemotaxis is directly attributable to which of the following molecules? ... TNFa c. LPS d. IL-1 e. ENA-78 (Epithelial Neutrophil Activating Protein)
Last Answer : Answer: a, e There is a large collection of peptide, polypeptide and lipid mediators which have chemotactic properties. Although TNF a, IL-1 and LPS were initially reported to have direct ... are several complement-derived peptides. Perhaps, the most potent of these is the short-lived C5a peptide
Description : Choose the correct statement(s) about inhaled glucocorticoids in chronic obstructive pulmonary disease (COPD): A. They are indicated in COPD only for severe/ advanced cases B. Instituted early they retard the progression of COPD C. Their use predisposes to respiratory infections D. Both 'A' and 'B
Last Answer : A. They are indicated in COPD only for severe/ advanced cases
Description : After chronic systemic therapy, withdrawal of corticosteroids should be gradual because: A. Corticosteroids produce psychological dependence B. Abrupt withdrawal may reactivate the underlying disease C. Abrupt withdrawal produces rebound hypertension D. All of the above are correct
Last Answer : B. Abrupt withdrawal may reactivate the underlying disea
Description : The most consistent, pronounced and sustained relief of symptoms in chronic bronchial asthma is afforded by (a) ß2 sympathomimetics (b) Anticholinergics (c) Sodium cromoglycate (d) Corticosteroids
Last Answer : Ans: D
Description : Select the antiasthma drug which cannot be administered by inhalation: A. Theophylline B. Ipratropium bromide C. Budesonide D. Terbutaline
Last Answer : A. Theophylline
Description : Which of the following drugs inhibits theophylline metabolism and raises its plasma concentration: A. Phenytoin B. Ciprofloxacin C. Levofloxacin D. Rifampicin
Last Answer : B. Ciprofloxacin
Description : Caffeine is more powerful than theophylline in exerting the following action: A. Bronchodilatation B. Cardiac stimulation C. Diuresis D. Augmentation of skeletal muscl contractility
Last Answer : D. Augmentation of skeletal muscl contractility
Description : Select the correct statement about salmeterol: A. It is a long acting selective β2 agonist bronchodilator B. It is a bronchodilator with anti-inflammatory property C. It is a β blocker that can be safely given to asthmatics D. It is an antihistaminic with mast cell stabilizing property
Last Answer : A. It is a long acting selective β2 agonist bronchodilator
Description : Bronchodilators are useful in cough: A. Only when cough is nonproductive B. Only when cough is associated with thick sticky secretions C. Only when reflex bronchoconstriction is associated D. Irrespective of nature of cough or associated features
Last Answer : C. Only when reflex bronchoconstriction is associated
Description : Which of the following ingredients has neither specific antitussive nor expectorant nor bronchodilator action, but is commonly present in proprietary cough formulations: A. Ambroxol B. Chlorpheniramine C. Guaiphenesin D. Noscapine
Last Answer : B. Chlorpheniramine
Description : The following antitussive is present in opium but has no analgesic or addicting properties: A. Noscapine B. Codeine C. Pholcodeine D. Ethylmorphine
Last Answer : A. Noscapine
Description : Which of the following is not an antitussive: A. Oxeladin B. Clophedianol C. Dextropropoxyphene D. Dextromethorphan
Last Answer : C. Dextropropoxyphene
Description : Dextromethorphan is an: A. Analgesic B. Antitussive C. Expectorant D. Antihistaminic
Last Answer : B. Antitussive
Description : Antitussives act by: A. Liquifying bronchial secretions B. Raising the threshold of cough centre C. Reducing cough inducing impulses from the lungs D. Both ‘B’ and ‘C’ are correct
Last Answer : D. Both ‘B’ and ‘C’ are correct
Description : Codeine is used clinically as: A. Analgesic B. Antitussive C. Antidiarrhoeal D. All of the above
Last Answer : D. All of the above
Description : Bromhexine acts by: A. Inhibiting cough centre B. Irritating gastric mucosa and reflexly increasing bronchial secretion C. Depolymerizing mucopolysaccharides present in sputum. D. Desensitizing stretch receptors in the lungs
Last Answer : C. Depolymerizing mucopolysaccharides present in sputum.
Description : The following expectorant acts both directly on the airway mucosa as well as reflexly: A. Potassium iodide B. Guaiphenesin C. Terpin hydrate D. Bromhexine
Last Answer : A. Potassium iodide
Description : Acute respiratory distress syndrome?
Last Answer : DefinitionAcute respiratory distress syndrome (ARDS) is a life-threatening lung condition that prevents enough oxygen from getting into the blood.See also: Infant respiratory distress syndromeAlternative NamesNoncardiogenic ... , and decreases the lungs' ability to expand. The level of oxygen in th
Description : The primary goals of asthma therapy include all of the following except (a) maintain normal activity levels (b) maintain control of symptoms (c) avoid adverse effects of asthma medications (d) prevent acute exacerbations and chronic symptoms (e) prevent destruction of lung tissue
Last Answer : Ans: E
Description : In patients of bronchial asthma inhaled corticosteroids achieve the following except (a) Reduce the need for bronchodilator medication (b) Control an attack of refractory asthma (c) Reduce bronchial hyperreactivity (d) Reverse diminished responsiveness to sympathomimetic bronchodilators
Description : Sodium cromoglycate has a role in the treatment of the following conditions except: A. Chronic bronchial asthma B. Chronic urticaria C. Chronic allergic rhinitis D. Chronic allergic conjunctivitis
Last Answer : B. Chronic urticaria
Description : Along with effective antimicrobial therapy, corticosteroids are indicated in the following infective conditions except: A. Tubercular meningitis B. Severe P. carinii pneumonia in AIDS patient C. Herpes simplex keratitis D. Erythema nodosum leprosum
Last Answer : C. Herpes simplex keratitis
Description : Thyroxine therapy is indicated in the following conditions except: A. Euthyroid status with raised TSH level B. Diffuse nontoxic goiter C. Nonfunctional thyroid nodule D. Benign functioning thyroid nodule
Last Answer : C. Nonfunctional thyroid nodule
Description : When the nurse observes that the postoperative patient demonstrates a constant low level of oxygen saturation, although the patient's breathing appears normal, the nurse identifies that the patient may ... , and cardiac arrest. d) Anemic Anemic hypoxemia results from blood loss during surgery.
Last Answer : a) Subacute Supplemental oxygen may be indicated.
Description : 15.47 The following component of management protocol of status asthmaticus has now been shown to be useless: A. Intravenous aminophylline B. Intravenous hydrocortisone C. Nebulized salbutamol D. Nebulized ipratropium bromid
Last Answer : ntravenous aminophylline
Description : Name the chronic respiratory disorder caused mainly by cigarette smoking. (a) Respiratory acidosis (b) Respiratory alkalosis (c) Emphysema (d) Asthma
Last Answer : (c) Emphysema
Description : A 36-year-old woman recently treated for leukemia is admitted to hospital with malaise, chills and high fever. Gram stain of blood reveals the presence of gramnegative bacilli. The initial diagnosis is ... (b) Aztreonam (c) Cefazolin (d) Imipenem plus cilastatin (e) Ticarcillin plus clavulanic acid
Description : The effective treatment of dendritic ulcer of the cornea is: a. Surface anesthesia b. Local corticosteroids c. Systemic corticosteroids d. Acyclovir ointment
Last Answer : ANSWER: D
Description : What immunodeficiency disorder is associated with a tack of T and B cells and complete immune dysfunction? a. DiGeorge syndrome b. Severe combined immunodeficiency disease c. Chronic granulomatous disease d. Chédiak-Higashi syndrome
Last Answer : b. Severe combined immunodeficiency disease
Description : When the patient who has experienced trauma to an extremity complains of severe burning pain, vasomotor changes, and muscles spasms in the injured extremity, the nurse ... heterotrophic ossification. Heterotrophic ossification causes muscular pain and limited muscular contraction and movement.
Last Answer : a) reflex sympathetic dystrophy syndrome. RSD is frequently chronic and occurs most often in women.
Description : All of the following are true about neurogenic shock except: A. There is a decrease in systemic vascular resistance and an increase in venous capacitance. B. Tachycardia or bradycardia may be ... Severe head injury, spinal cord injury, and high spinal anesthesia may all cause neurogenic shock.
Last Answer : Answer: C DISCUSSION: Neurogenic shock occurs when severe head injury, spinal cord injury, or pharmacologic sympathetic blockade leads to sympathetic denervation and loss of vasomotor tone. ... of treatment. The use of alpha-adrenergic agonist is infrequently necessary to treat neurogenic shock
Description : Morphine affords symptomatic relief of dyspnoea in acute left ventricular failure by the following mechanisms except: A. Bronchodilatation B. Depression of respiratory centre C. Reduction in cardiac preload D. Shift of blood from pulmonary to systemic circuit
Last Answer : A. Bronchodilatation
Description : Inhaled ipratropium bromide has the following advantages except: A. It does not alter respiratory secretions B. It does not depress airway mucociliary clearance C. It has faster onset of bronchodilator action than inhaled salbutamol D. It only rarely produces systemic side effects
Last Answer : C. It has faster onset of bronchodilator action than inhaled salbutamol