bronchial asthma
TRANSCRIPT
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‘ASTHMA’ DAY5/5/2015
NILOUFER HOSPITALHYDERABAD
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1.Asthama consistently linked
to which gene.
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iL-4 gene on chromosome 5
Answer
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2.What is the % of eosinophils in order to predict bronchial Asthma?
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A) Asthma > 4%
Answer
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3. Which type of allergen sensitization has a strong association with Bronchial Asthma?
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A) Inhalant Allergen Sensitization.
Answer
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4. Late onset Asthma in females, Associated with obesity and early onset puberty.
what is the age of incidence?
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A) 8 – 13 years
Answer
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5. Earliest attempts for measurements of respiratory volumes were done by …
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A) Giovanni Borelli in 1681
Answer
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6. The important two terms • vital capacity &• spirometer were coined by….?
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A) Sir John Hutchinson.
Answer
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7.What is the instrument used, for measuring ‘Residual Volume’ ?
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A) Body Plethysmography.
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8. World asthma day was observed for first time in which year?
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A) 1998
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9. Theme of world asthma day 2015?
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A) You can Control your ‘Asthma’
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10. Which year’s ‘theme’ includes children –
(‘ to help our children breath’)?
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A) 1998
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11.How many puffs (MD SPAPER) of salbutamol is equivalent to one nebulizer dose?
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A) 4 to 6
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12.Difference between old Peak flow meter and latest Peak low meter of European standard?
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A) As we move up, the distance between readings will come down.
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13. What is the optional total volume of nebulizer fluid?
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A) 3 to 5 ml
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14. Instrument used to test PFT in Children below 6 years?
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A) Impulse OScillometry
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15. If a child presents with symptoms of Acute Severs Asthma for the first time, you should suspect?
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A) Suspect FB
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16. Definition of Bronchial Asthma in a single Sentence?
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A) Intermittent, Reversible Airway Obstruction
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17. Diagnosis of Asthma by peak flow meter?
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A) 20% increase in PEFR volume after Administration of broncodilator.
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18.What is the role of PEFM in the evaluation of dyspnoea?
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A) PEFR volume > 2.5lit/sec in a patient with dyspnoea excludes bronchial cause.
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19. Where was the first world Asthma Day Celebrated?
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A) Barcelona in Spain in 1998
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20.What is the velocity of air that is expelled during cough?
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A) 800 to 900km/hr
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21. Difference between a normal cough and pertussoid cough?
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A) Many cough episodes doing single expiration.
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22. what is the common spirometry abnormarity seen in asthamatics?
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A) FVC & FEV/ FVC ratio < 0.80.
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23. what are the two most common co-morbid conditions for asthma in children?
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A) Rhinosinusitis, GERD
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24. whish clinical finding differentiates asthma from other asthma masquerading conditions?
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A) Clubbing
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25. What is the recommended first line drug for allergic rhinitis if the symptoms are sneezing and nasal discharge?
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A) Intranasal Corticosteroids.
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26. What are the most common two symptoms of asthma?
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A) Intermittent dry coughing and wheezing
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27. what is the minimum period of inhaled corticosteroids once bronchial asthma in diagnosed?
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A) one year
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28. Why should we treat allergic rhinitis in management of bronchial Asthma?
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A) Chemical mediators of inflammation released from upper airways induce bronchospasm in the lower airways.
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29. what is the minimum age for starting ICS and LABA?
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A) More than 5 years.
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30. The term ‘crepitations’ were replaced by
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A) Crackles.
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31. What is anti lg E drug used in the treatment of Asthma?
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A) Omalizumab
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32. What proportion of asthmatic children : out grow” their symptoms?
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A) 30 – 50 % with milder disease
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33. What is the time course of EIA (excercise induced Asthma)?
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A) cough and dyspnoea peak 15 mts after conclusion of excerise and resolve with in 30 – 60 min.
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34. What is EIA incidence in atopic children?
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A) 40%
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35. If both parents are asthmatic, what is the risk for their child to have asthma?
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A) 60%
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36. World asthma day is Organized by whom to improve the awareness and care of asthma around the world?
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A) GINA (Global Initiative for Asthma)
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37. Expand NAEPP in relation to asthma?
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A) National Asthma Education & Prevention Program.
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38. Role of leukotriene antagonists for children?
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A) “add on therapy in pre school child receiving
inhaled steroids & short acting B2 agonists.
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Thank you
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39.FEV1 / FVC : 75-80% indicates which category of asthma according to naepp?
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A) Moderate persistent
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44. Abnormalities on spirometry are
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A) FEV1 and FEV1 / FVC ratio
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45. What is EVH in related to asthma?
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A) (Eucapnic Voluntary Hyperventilation) to diagnose excersise induced Bronchospam, ( Involves breathing a dry gas at an timed RR in a effort to induce bronchospam & see FEV1 of >10%)