ATSDR seeks feedback on this course so we can assess its usefulness and effectiveness. We ask you to complete the assessment questionnaire online for this purpose.
In addition, if you complete the Assessment and Posttest online, you can receive continuing education credits as follows:
The Centers for Disease Control and Prevention (CDC) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. CDC designates this educational activity for a maximum of 1.75AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
This activity for 1.75 contact hours is provided by the Centers for Disease Control and Prevention, which is accredited as a provider of continuing education in nursing by the American Nurses Credentialing Center's Commission on Accreditation.
The Centers for Disease Control and Prevention is a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is a designated event for the Certified Health Education Specialist (CHES) to receive 1.5 Category I contact hours in health education, CDC provider number GA0082.
The Centers for Disease Control and Prevention (CDC) has been reviewed and approved as an Authorized Provider by the International Association for Continuing Education and Training (IACET), Suite 800, McLean, VA 22102. CDC will award 0.15 of CEU's to participants who successfully complete this program.
In compliance with continuing education requirements, all presenters must disclose any financial or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters as well as any use of unlabeled product(s) or product(s) under investigational use.
CDC/ATSDR, our planners, and the presenters for this seminar do not have financial or other relationships with the manufacturers of commercial products, suppliers of commercial services or commercial supporters. This presentation does not involve the unlabeled use of a product or product under investigational use.
To complete the Assessment and Posttest, go to http://www2.cdc.gov/atsdrce/ and follow the instructions on that page. You can immediately print your continuing education certificate from your personal transcript online. No fees are charged.
In the diagnosis of asthma in adults, all the following are true except
Reversibility of airway obstruction on spirometry testing after bronchodilators, as demonstrated by an increase of 12% in the FEV1 with an absolute
minimum improvement of at least 200 mL.
The use of peak flow measurements alone is usually sufficient to diagnose asthma.
Chest radiographs are generally not helpful.
In patients with mild asthma with normal spirometry results, nonspecific provocation testing (e.g., methacholine challenge testing) can be used
to demonstrate the presence of hyperresponsive airways.
Airway obstruction is generally considered present when the FEV1/FVC ratio is < 65% and the FVC as a percent predicted is normal.
Risk factors for the development of asthma include all of the following except
Personal or family history of atopy.
Prenatal smoking by the mother.
Personal or family history of hypertension.
Chronic allergic rhinitis.
Exposure to increased concentrations of dust mite allergens.
For biologic allergens, which of these statements is false?
Biologic allergens are ubiquitous in the environment.
Biologic allergens are increased with the presence of carpets and upholstered furniture.
Biologic allergens are associated with 10% humidity in the case of dust mites.
Biologic allergens are associated with water-damaged areas.
Biologic allergens are associated with residential furry or feathered pets.
Physical examination of a patient with asthma would be least likely to reveal
Allergic conjunctivitis and rhinitis.
Focal persistent wheezing involving the base of one lung.
Normal findings on chest auscultation.
Atopic dermatitis.
Prolonged expiratory phase and diffuse wheezing on chest auscultation.
The treatment for dust mite and cockroach allergens includes all of the following except
Cover mattresses and pillows with allergen impermeable cover.
Use a professional exterminator as initial step.
Wash bed items in hot water (130°f [55°c]).
Limit food consumption to one area of the house.
Remove wall-to-wall carpets, particularly in bedrooms.
Management of cockroach allergen should be accomplished first by hygienic measures, such as
Maintaining clean areas and limiting food consumption to only one area, such as the kitchen.
Caulking holes in walls, cupboards, and cabinets.
Storing food in closed containers.
Using individual bait stations.
All of the above.
Conditions which may be confused with asthma in children include all of the following except
Foreign body aspiration.
Enlarged lymph nodes or tumor.
Hematochezia.
Gastroesophageal reflux.
Conditions which may be confused with asthma in adults include all of the following except
Epistaxis.
COPD.
Pulmonary embolism.
Cough and wheezing secondary to ACE inhibitors.
Risk of asthma may be increased by
Living near a heavily traveled roadway.
Heavy exercise on a day with an AQI of 130.
Spending over 1 hour each day riding a diesel-powered bus.
All of the above.
The leading cause of occupational asthma is exposure to
Latex.
Spider mites.
Diisocyanates.
Epoxy.
Medical history questions about environmental asthma triggers should include
Tobacco smoke.
Pets.
Bedding and laundering practices.
All of the above.
It is possible to make the diagnosis of asthma without detectable wheezing
True.
False.
Your overall treatment, management, and prevention goals might include
Confirmation of asthma diagnosis and gauge of severity.
Optimal pharmacotherapy with minimal or no adverse effects.
Education of the patient and family regarding primary and secondary preventive measures, including smoking cessation.
All of the above.
Goals for the general management of a patient with asthma should include
Normal or near-normal lung function.
Careful monitoring prevention of chronic asthma symptoms and exacerbations day and night.
Normal activity maintained (including exercise and other physical activities).
All of the above.
Important moderating variables affecting how environmental exposures may exacerbate or cause asthma include
Age and timing of exposure relative to disease development.
Dose and frequency of exposure.
Genetic predispositions in response and co exposures.
All of the above.
The hygiene hypothesis of asthma states that naturally occurring infections and allergen exposures might essentially protect against the development
of asthma and allergic and autoimmune diseases