Asthma in Adults

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Question 1 of 10

1. Question
Which of the following cells contribute to the airway inflammation that characteristically occurs in an acute exacerbation of asthma?
- Mast cells
- Macrophages
- Eosinophils
- T-lymphocytes
- All of the above
Question 2 of 10

2. Question
The presence of which of the following factors should lead to a patient being labelled as having a ‘history of severe asthma’?
- Previous near-fatal asthma (ventilation, ICU)
- Previous admission for asthma in the last year
- Heavy use of β2-agonist
- Repeated emergency department (ED) attendances with asthma
- All of the above
Question 3 of 10

3. Question
According to BTS/SIGN asthma guidelines, the presence of which of the following symptoms or signs should lead to the current exacerbation being categorised as acute severe asthma?
- RR ≥25/min
- PEFR<33% best or predicted
- Pulse rate ≥100 bpm
- Oxygen saturations <92%
- All of the above
Question 4 of 10

4. Question
Which of the following statements about Peak Expiratory Flow Rate (PEFR) measurement in adults is true?
- It should be recorded for all patients presenting with an acute exacerbation of asthma
- It is effort dependent
- The predicted score falls progressively as age increases
- If the patient’s best PEFR score is to be used as a comparator it should have been achieved in the last year
- All of the above
Question 5 of 10

5. Question
According to BTS/SIGN guidelines, for adults with acute asthma, which of the following is an indication for requesting a chest radiograph?
- Features consistent with a severe exacerbation
- Failure of the patient to respond to standard treatment
- Cough as a predominant feature
- Oxygen saturations <94%
- All of the above
Question 6 of 10

6. Question
Which of the following statements regarding the use of β₂agonists for acute asthma exacerbations is true?
- Giving more than 10 mg salbutamol per hour by nebuliser in severe cases is not recommended
- Intravenous salbutamol is no more effective than nebulised salbutamol in severe cases
- Hypokalaemia is a common side effect
- Use of metered dose β2 agonist inhalers with spacers is recommended for patients with moderate exacerbations
- All of the above
Question 7 of 10

7. Question
The BTS/SIGN asthma guidelines strongly advise routinely administering which of the following treatments to adult patients with life-threatening asthma exacerbations?
- Magnesium sulphate infusion
- Heliox®
- Intravenous fluid
- Intravenous aminophylline infusion
- None of the above
Question 8 of 10

8. Question
Which of the following statements regarding the use of steroids for adults with an acute exacerbation of asthma is true?
- In severe cases intravenous hydrocortisone is preferred to oral prednisolone
- Oral steroids should be prescribed for all discharged patients unless the exacerbation was mild
- Patients whose initial PEFR was <50% best or predicted should be prescribed steroids on discharge
- A 7-day course of prednisolone should be prescribed for patients discharged from the ED
- All of the above
Question 9 of 10

9. Question
Which of the following factors is an indication for admitting a patient with an acute exacerbation of asthma?
- Poor inhaler technique
- Initial PEFR<50% best or predicted
- Patient has no fixed abode
- PEFR <50% best or predicted after 5mg salbutamol nebuliser
- All of the above
Question 10 of 10

10. Question
Which of the following patient factors should prompt involvement of the intensive care team?
- Oxygen sats. <94%
- Poor respiratory effort
- Previous ICU admission with asthma
- History of brittle asthma
- All of the above

Asthma in Adults – Post Test

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