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ASTHMA MANAGEMENT FOR SPECIAL POPULATIONS Self-Assessment Answers and Rationales
1. The correct answer is B. Rationale: The EPR3 identifies four categories of severity: intermittent, mild persistent, moderate persistent, and severe persistent. GINA has incorporated intermittent asthma into the mild persistent category. GINA is updated yearly; the EPR3 was updated in 2020 for the first time since its 2007 version. Both GINA and EPR3 focus on risk and control. Specific recommendations are based on age groups that vary slightly depending upon the guideline. GINA (2021) differentiates treatment for adults/adolescents, children ages 6 to 11 years, and children 5 years and younger; the latest updates to the EPR3 (NHLBI, 2021) delineate the age groups 12 years and older, 5 to 11 years, and 0 to 4 years. 2. The correct answer is D. Rationale: The most widely available tests, peak flow monitoring and spirometry, can be normal unless the patient is experiencing an exacerbation, making an asthma diagnosis challenging. Treating asthma before carrying out objective tests decreases their sensitivity and can make confirmation of the diagnosis difficult. Unfortunately, there is no agreed-upon gold standard for diagnosing asthma. Asthma may present with common respiratory symptoms and physical examination may be unrevealing.
3. The correct answer is C. Rationale: The fact that asthma symptoms improved when not at work raises the possibility that something in the workplace is responsible for these asthma symptoms. This is not nocturnal asthma, as the symptoms improved when not at work and were present during daytime as well. Exercise-induced asthma occurs with physical exercise, which was not mentioned in the scenario. 4. The correct answer is A. Rationale: Both asthma and obesity prevalence have increased according to recent data.
Course Code: ANCCUS03AS
Page 15
Book Code: ANCCUS2423
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