‘ASTHMA’ DAY5/5/2015

NILOUFER HOSPITALHYDERABAD

1.Asthama consistently linked

to which gene.

iL-4 gene on chromosome 5

Answer

2.What is the % of eosinophils in order to predict bronchial Asthma?

A) Asthma > 4%

Answer

3. Which type of allergen sensitization has a strong association with Bronchial Asthma?

A) Inhalant Allergen Sensitization.

Answer

4. Late onset Asthma in females, Associated with obesity and early onset puberty.

what is the age of incidence?

A) 8 – 13 years

Answer

5. Earliest attempts for measurements of respiratory volumes were done by …

A) Giovanni Borelli in 1681

Answer

6. The important two terms • vital capacity &• spirometer were coined by….?

A) Sir John Hutchinson.

Answer

7.What is the instrument used, for measuring ‘Residual Volume’ ?

A) Body Plethysmography.

8. World asthma day was observed for first time in which year?

A) 1998

9. Theme of world asthma day 2015?

A) You can Control your ‘Asthma’

10. Which year’s ‘theme’ includes children –

(‘ to help our children breath’)?

A) 1998

11.How many puffs (MD SPAPER) of salbutamol is equivalent to one nebulizer dose?

A) 4 to 6

12.Difference between old Peak flow meter and latest Peak low meter of European standard?

A) As we move up, the distance between readings will come down.

13. What is the optional total volume of nebulizer fluid?

A) 3 to 5 ml

14. Instrument used to test PFT in Children below 6 years?

A) Impulse OScillometry

15. If a child presents with symptoms of Acute Severs Asthma for the first time, you should suspect?

A) Suspect FB

16. Definition of Bronchial Asthma in a single Sentence?

A) Intermittent, Reversible Airway Obstruction

17. Diagnosis of Asthma by peak flow meter?

A) 20% increase in PEFR volume after Administration of broncodilator.

18.What is the role of PEFM in the evaluation of dyspnoea?

A) PEFR volume > 2.5lit/sec in a patient with dyspnoea excludes bronchial cause.

19. Where was the first world Asthma Day Celebrated?

A) Barcelona in Spain in 1998

20.What is the velocity of air that is expelled during cough?

A) 800 to 900km/hr

21. Difference between a normal cough and pertussoid cough?

A) Many cough episodes doing single expiration.

22. what is the common spirometry abnormarity seen in asthamatics?

A) FVC & FEV/ FVC ratio < 0.80.

23. what are the two most common co-morbid conditions for asthma in children?

A) Rhinosinusitis, GERD

24. whish clinical finding differentiates asthma from other asthma masquerading conditions?

A) Clubbing

25. What is the recommended first line drug for allergic rhinitis if the symptoms are sneezing and nasal discharge?

A) Intranasal Corticosteroids.

26. What are the most common two symptoms of asthma?

A) Intermittent dry coughing and wheezing

27. what is the minimum period of inhaled corticosteroids once bronchial asthma in diagnosed?

A) one year

28. Why should we treat allergic rhinitis in management of bronchial Asthma?

A) Chemical mediators of inflammation released from upper airways induce bronchospasm in the lower airways.

29. what is the minimum age for starting ICS and LABA?

A) More than 5 years.

30. The term ‘crepitations’ were replaced by

A) Crackles.

31. What is anti lg E drug used in the treatment of Asthma?

A) Omalizumab

32. What proportion of asthmatic children : out grow” their symptoms?

A) 30 – 50 % with milder disease

33. What is the time course of EIA (excercise induced Asthma)?

A) cough and dyspnoea peak 15 mts after conclusion of excerise and resolve with in 30 – 60 min.

34. What is EIA incidence in atopic children?

A) 40%

35. If both parents are asthmatic, what is the risk for their child to have asthma?

A) 60%

36. World asthma day is Organized by whom to improve the awareness and care of asthma around the world?

A) GINA (Global Initiative for Asthma)

37. Expand NAEPP in relation to asthma?

A) National Asthma Education & Prevention Program.

38. Role of leukotriene antagonists for children?

A) “add on therapy in pre school child receiving

inhaled steroids & short acting B2 agonists.

Thank you

39.FEV1 / FVC : 75-80% indicates which category of asthma according to naepp?

A) Moderate persistent

44. Abnormalities on spirometry are

A) FEV1 and FEV1 / FVC ratio

45. What is EVH in related to asthma?

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%)