USMLE Forum Archives - USMLE Step 2 CK - asthma
asthma
bingousmle - 04-23-10 12:44
You are caring for an 18-year-old man with asthma. He smokes, and reports needing to use his short-acting bronchodilator daily. He gets flares of asthma at least twice a week, and while some days are relatively symptom free, some exacerbations may last several days. He wakes up at least once a week with symptoms. Which of the following classifications best characterizes his asthma?
a. Mild intermittent
b. Moderate intermittent
c. Mild persistent
d. Moderate persistent
e. Severe persistent
bingousmle - 04-23-10 12:44
You are caring for an 18-year-old man with asthma. He smokes, and reports needing to use his short-acting bronchodilator daily. He gets flares of asthma at least twice a week, and while some days are relatively symptom free, some exacerbations may last several days. He wakes up at least once a week with symptoms. Which of the following classifications best characterizes his asthma?
a. Mild intermittent
b. Moderate intermittent
c. Mild persistent
d. Moderate persistent
e. Severe persistent
The correct answer and explanation will be available after you answer.
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#5
Re: asthma mtniharika - 04-30-10 09:02 My answer is: d.
Frequency of symptoms (daily)
Frequency of nighttime awakenings with asthma symptoms (more than once/week, but not nightly)
Use of a quick-relief inhaler (daily)
How much asthma interferes with daily activities (some limitations)
Peak flow readings (peak flow is 60 to 80% of personal best)
Whether asthma flares require use or oral steroids (at least twice a year)
#7
Re: asthma
bingousmle - 05-04-10 13:32 My answer is: d.
Frequency of symptoms (daily)
Frequency of nighttime awakenings with asthma symptoms (more than once/week, but not nightly)
Use of a quick-relief inhaler (daily)
How much asthma interferes with daily activities (some limitations)
Peak flow readings (peak flow is 60 to 80% of personal best)
Whether asthma flares require use or oral steroids (at least twice a year)
well explained..
#11
Re: asthma babbu5508 - 05-20-10 03:36 My answer is: c.
treatment: The first is a long-term control medicine, such as an inhaled corticosteroid, that reduces inflammation of the airways to prevent asthma symptoms and asthma attacks. The second medication, used in combination with the first, is a long-acting bronchodilator
#18
Re: asthma babbu5508 - 09-30-10 14:45 mild persistent=
Frequent exacerbations (>2x/week) but not daily
Exacerbations may affect activity
Nocturnal symptoms more than twice per month
Pulmonary Function Test Criteria
FEV1 or PEF > 80% predicted
PEF variability 20-30%
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