Mr. Garner has a normal sleep schedule of 11 P.M. to 7 A.M. However, he frequently wakes up, gasping for breath. He has recently put on a lot of weight, and his snoring has worsened. Which condition is a medical diagnosis likely to reveal? A. asthma B. sleep apnea syndrome C. bronchitis D. emphysema E. hypoxia

Doctors suspect that Derek has a sleep disorder. Which diagnostic procedure will be useful to identify the problem? A. bronchoscopy B. polysomnography C. arterial blood gases D. lung sound test E. lung function test

A patient with orthopnea:Question 32Answera.awakens at night with dyspnea.b.is breathing through pursed lips.c.has blood-tinged sputum.d.has dyspnea while lying flat.

________Blank refers to uncontrollable sleeping that occurs for short periods while a person is awake.Multiple ChoiceBruxismNarcolepsyNight terrorSleep apnea

Which one is not the type of sleep disorder?

> Jack is 62 years old; he works in sales for a multinational company and leads a busy and stressful life. Jack has had asthma since childhood. He has been prescribed Flixotide (fluticasone) metered dose inhaler (MDI) 125mcg/actuation 2 inhalations twice daily and salbutamol MDI 100mcg 2 puffs prn. > > > Jack has been extremely busy lately with some overseas trips and has missed the evening dose of his medications on some days. He was taken to the emergency department today by his partner with a chief complaint of shortness of breath. He claims that he has been struggling to breathe and tried his salbutamol inhaler three times at the prescribed dose before going into the emergency department. Jack claims he suffers from breathlessness and has episodes of wheezing at least 3-4 times a week during the day and uses his salbutamol inhaler when needed. > > The diagnosis has been acute exacerbation of asthma and was promptly managed in the emergency department with additional doses of salbutamol via spacer. > 1. *Which of the following might have worsened Jack’s asthma control?* **I. Advancing age** II. Male gender **III. Stress at work** **IV. Medication nonadherence** 1. I, III 2. **I, III, IV** 3. II, IV 4. III,IV *2. What recommendations would you make in terms of managing Jack’s asthma upon discharge from the emergency department?* I. Substitute Flixotide (fluticasone 125mcg/actuation) MDI with Seretide MDI (fluticasone 125 microgram /actuation + salmeterol 25 microgram /actuation) 2 puffs twice daily **II. Reinforce the importance of good adherence and spacer use** **III. Increase the dose of fluticasone MDI to 250 mcg/actuation, 2 inhalations twice daily** **IV. Address and/or remove trigger factors** 1. II,IV 2. I,II,IV 3. II,III,IV 4. I