CPC Respiratory Assessment and Management 2

Question 1

Which of the following is the CORRECT interpretation of peak expiratory flow rate (PEFR) results in asthma management using the traffic light system?

Accepted Answer

Green ≥80% predicted, Yellow 50–79%, Red <50%

Answer

Green ≥90% predicted, Yellow 70–89%, Red <70%

Answer

Green ≥70% predicted, Yellow 40–69%, Red <40%

Answer

Green ≥60% predicted, Yellow 40–59%, Red <40%

Question 2

A community paramedic visits a patient with CHF who has developed progressive dyspnea over 3 days. On auscultation, fine crackles are heard bilaterally at the bases. These crackles MOST likely represent:

Accepted Answer

Pulmonary edema from fluid accumulation in the alveoli

Answer

Pneumonia consolidation in both lower lobes

Answer

Bronchospasm from concurrent asthma

Answer

Normal breath sounds in an elderly patient

Question 3

Which respiratory pattern is characterized by cycles of gradually increasing tidal volume followed by gradually decreasing tidal volume with periods of apnea?

Accepted Answer

Cheyne-Stokes respiration

Answer

Kussmaul breathing

Answer

Biot's respiration

Answer

Apneustic breathing

Question 4

Which medication class is the CORNERSTONE of maintenance pharmacotherapy for moderate-to-severe COPD?

Accepted Answer

Long-acting muscarinic antagonists (LAMAs)

Answer

Short-acting beta-2 agonists (SABAs)

Answer

Inhaled corticosteroids (ICS) alone

Answer

Oral theophylline

Question 5

A community paramedic is assessing a patient for sleep apnea using the STOP-BANG screening tool. A STOP-BANG score of 5 indicates:

Accepted Answer

High risk for obstructive sleep apnea

Answer

Low risk for obstructive sleep apnea

Answer

Intermediate risk for obstructive sleep apnea

Answer

The patient has already been diagnosed with sleep apnea

Question 6

Which of the following is the PRIMARY long-term oxygen therapy (LTOT) criterion for a patient with COPD?

Accepted Answer

PaO2 ≤55 mmHg (or SaO2 ≤88%) at rest on room air, confirmed on two measurements at least 3 weeks apart

Answer

SpO2 <94% on any occasion

Answer

SpO2 <92% only during exercise

Answer

Physician preference regardless of objective measurements