NAECB Asthma Education 4

Question 1

A pregnant patient with previously well-controlled asthma presents with worsening symptoms during the second trimester. What is the recommended approach?

Accepted Answer

Continue or adjust controller therapy to maintain control, as uncontrolled asthma poses greater fetal risk

Answer

Uncontrolled asthma during pregnancy poses greater risk to the fetus than properly used asthma medications, so maintaining control is the priority.

Question 2

Which of the following is the MOST appropriate outcome measure for evaluating the effectiveness of an asthma education intervention?

Accepted Answer

Reduction in emergency department visits and hospitalizations

Answer

Reduced emergency department visits and hospitalizations are clinical outcome measures that directly reflect improved asthma management.

Question 3

A patient reports that their asthma symptoms worsen when they take ibuprofen. This pattern is most consistent with which condition?

Accepted Answer

Aspirin-exacerbated respiratory disease (AERD)

Answer

AERD (also called Samter's triad) involves asthma, nasal polyps, and sensitivity to NSAIDs including aspirin and ibuprofen.

Question 4

When assessing a patient's health literacy, which approach is most effective for confirming understanding of inhaler technique?

Accepted Answer

Using the teach-back method and asking the patient to demonstrate the technique

Answer

The teach-back/demonstrate-back method is the gold standard for confirming procedural understanding and correcting errors in real time.

Question 5

Long-acting beta-agonists (LABAs) should NEVER be used in asthma without which concurrent therapy?

Accepted Answer

An inhaled corticosteroid

Answer

LABAs carry an FDA black box warning and must always be combined with an ICS in asthma due to risk of asthma-related death when used as monotherapy.

NAECB Exam Practice Test

NAECB Exam Practice Test

NAECB Asthma Education 4