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Pulmonology - ABIM

Asthma

QuestionAnswer
Asthma symptoms less than two times per week Intermittent asthma, FEV1 > 80%
Asthma symptoms 2 to 6 times per week Mild persistent asthma, FEV1 > 80%
Daily asthma symptoms Moderate persistent asthma, FEV1 60 to 80%
Continuous asthma symptoms Severe persistent asthma, FEV1 <60%
Treatment for intermittent asthma Albuterol
Treatment for mild persistent asthma Albuterol plus inhaled corticosteroid or leukotriene receptor agonist such as montelukast
Treatment for moderate persistent asthma Albuterol plus inhaled corticosteroid plus long-acting beta agonist
Treatment for severe persistent asthma Albuterol plus inhaled corticosteroid plus long-acting beta agonist, plus PO steroids
Name the FEV1 for the different asthma categories FEV1> 80% – intermittent and mild persistent asthma. FEV1 60 to 80% - moderate persistent asthma; FEV1 <60% - severe persistent asthma
When to use omalizumab in asthma? In moderate persistent or severe persistent asthma if the patient has high levels of IgE. it is a humanized antibody that decreases the patient's sensitivity to antigens.
When to use cromolyn and what is its mechanism? Use if patient's asthma is exercise induced. It stabilizes mast cells.
What can be used to decrease a patient's steroid usage? montelukast
Nighttime symptoms less than two times per month Intermittent asthma, FEV1 > 80%
Nighttime symptoms from 2 to 5 times a month Mild persistent asthma, FEV1 > 80%
Nighttime symptoms greater than five times per month Moderate persistent asthma, FEV1 60 to 80%
Nighttime symptoms very frequent Severe persistent asthma, FEV1 <60%
Created by: christinapham