2023-09-30T04:57:39+03:00[Europe/Moscow] en true <p>global initiative for asthma </p>, <p>national asthma education and prevention panel </p>, <p>b</p>, <p>b</p>, <p>b</p>, <p>c</p>, <p>d</p>, <p>e</p>, <p>a</p>, <p>atopy, school age onset, presence of bronchial hyper-responsiveness (BHR)</p>, <p>atopic dermatitis, asthma, allergic rhinitis </p>, <p>genetic predisposition + environmental interaction </p>, <p>&gt;= 6 months</p>, <p>infections, allergic rhinitis, GERD, obesity, OSA, mental illness </p>, <p>f; no single diagnostic test</p>, <p>obstruction; reversible </p>, <p>c</p>, <p>d</p>, <p>FeNO; PEFR</p>, <p>Spirometery, PFTs </p>, <p>&gt;=5 yo</p>, <p>a</p>, <p>b</p>, <p>&gt; 80%</p>, <p>percentage of total air capacity that can be exhaled in one second</p>, <p>initial assessment, after therapy initiation/ PEF have normalized, every year at follow up</p>, <p>increase in FEV1 of &gt; 200 ml; &gt;= 12% from baseline after inhalation of SABA</p>, <p>methacoline; &gt;=20%</p>, <p>c</p>, <p>b</p>, <p>a</p>, <p>b</p>, <p>use of FeNO in diagnosis/management, indoor allergen mitigation, use of intermittent ICS, use of LAMA, use of SQ/SL immunotherapy, bronchial thermoplasty </p>, <p>ICS + formoterol; reduces exacerbations/ED visits; adds simplicity to doses</p>, <p>controller replaced with maintenance, ICS + SABA not for MART; can be used in steps 2-5, no SABA monotherapy </p>, <p>ICS + form ; ICS + SABA </p>, <p>Low dose ICS + formoterol; for patient maintenance &amp; prn for relief </p> flashcards
Intro to Asthma

Intro to Asthma

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  • global initiative for asthma

    What does GINA stand for?

  • national asthma education and prevention panel

    What does NAEPP stand for?

  • b

    Which one is updated annually?

    a) NAEPP

    b) GINA

  • b

    Which one is based ONLY off symptoms?

    a) NAEPP

    b) GINA

  • b

    Which is for symptom relief, or before exercise/known allergen exposure?

    a) maintenance and reliever (MART)

    b) Reliever

    c) Controller

    d) Maintenance

    e) anti-inflammatory reliever (AIR)

  • c

    Which targets symptoms & future risk?

    a) maintenance and reliever (MART)

    b) Reliever

    c) Controller

    d) Maintenance

    e) anti-inflammatory reliever (AIR)

  • d

    Which is used regularly?

    a) maintenance and reliever (MART)

    b) Reliever

    c) Controller

    d) Maintenance

    e) anti-inflammatory reliever (AIR)

  • e

    Which provide rapid relief + controller therapy?

    a) maintenance and reliever (MART)

    b) Reliever

    c) Controller

    d) Maintenance

    e) anti-inflammatory reliever (AIR)

  • a

    Which is for maintenance treatment + symptom relief?

    a) maintenance and reliever (MART)

    b) Reliever

    c) Controller

    d) Maintenance

    e) anti-inflammatory reliever (AIR)

  • atopy, school age onset, presence of bronchial hyper-responsiveness (BHR)

    What are predictors of adult asthma? (3)

  • atopic dermatitis, asthma, allergic rhinitis

    Which conditions are a part of the allergic triad?

  • genetic predisposition + environmental interaction

    Etiology of Asthma =

  • >= 6 months

    Annual flu vaccine is recommended in all patients ______ of age.

  • infections, allergic rhinitis, GERD, obesity, OSA, mental illness

    Comorbid conditions of Asthma? (6)

  • f; no single diagnostic test

    Asthma diagnosis only requires one test. T/F?

  • obstruction; reversible

    Diagnosis of asthma requires expiratory airflow _____ that is at least partially _______.

  • c

    Measures nitric oxide in exhaled breath; used to indicate level of airway

    inflammation.

    a) FVC

    b) FEV1

    c) FeNO

    d) PEFR

  • d

    Used in initial diagnosis to test for variability in expiratory airway flow

    limitation.

    a) FVC

    b) FEV1

    c) FeNO

    d) PEFR

  • FeNO; PEFR

    _______ & _______ should be measured at baseline and after use of SABA to

    test for reversibility.

  • Spirometery, PFTs

    Asthma diagnosis is confirmed by what tests? (2)

  • >=5 yo

    At what age can patients be assessed with a FVC test?

  • a

    Total volume of air that can be exhaled after deep inhalation.

    a) FVC

    b) FEV1

    c) FeNO

    d) PEFR

  • b

    Volume of air that can be exhaled in the first second of FVC.

    a) FVC

    b) FEV1

    c) FeNO

    d) PEFR

  • > 80%

    What is a normal FVC reading?

  • percentage of total air capacity that can be exhaled in one second

    What does FEV1/FVC ratio tell us?

  • initial assessment, after therapy initiation/ PEF have normalized, every year at follow up

    How often do we conduct FEV1/FVC tests? (3)

  • increase in FEV1 of > 200 ml; >= 12% from baseline after inhalation of SABA

    How can we test reversibility? (2)

  • methacoline; >=20%

    ________ should cause a ________ decrease in FEV1 and can be used to

    identify airway hyper-responsiveness

  • c

    Respond well to ICS.

    a) asthma w/ peristent airflow limitation

    b) adult-onset asthma

    c) allergic asthma

    d) non-allergic asthma

  • b

    Require higher doses of ICS.

    a) asthma w/ peristent airflow limitation

    b) adult-onset asthma

    c) allergic asthma

    d) non-allergic asthma

  • a

    Asthma caused by long periods of standing.

    a) asthma w/ peristent airflow limitation

    b) adult-onset asthma

    c) allergic asthma

    d) non-allergic asthma

  • b

    This form of asthma is usually in women.

    a) asthma w/ peristent airflow limitation

    b) adult-onset asthma

    c) allergic asthma

    d) non-allergic asthma

  • use of FeNO in diagnosis/management, indoor allergen mitigation, use of intermittent ICS, use of LAMA, use of SQ/SL immunotherapy, bronchial thermoplasty

    What are the 6 priority topics of NAEPP guidelines?

  • ICS + formoterol; reduces exacerbations/ED visits; adds simplicity to doses

    What is the track 1 recommended medication?

    Why?

  • controller replaced with maintenance, ICS + SABA not for MART; can be used in steps 2-5, no SABA monotherapy

    What were the 3 key changes to GINA 2023?

  • ICS + form ; ICS + SABA

    What medications are involved in AIR (anti-inflammatory reliever) ?

  • Low dose ICS + formoterol; for patient maintenance & prn for relief

    What medications are involved in MART (maintenance and reliever therapy)?