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You are evaluating an adult female patient who presents concerned about possible asthma diagnosis. PMH does include seasonal allergies as well as 1 PPD smoker for 10 years but quit 1 year ago.  She reports a history of coughing and wheezing during the spring and fall but believed this was related to smoking history. Over the last several months, has noticed continued coughing and wheezing which is interfering with sleep at least 3-4 nights per week. Also has difficulty exercising due to increased shortness of breath. She also notes coughing and wheezing daily upon waking.  The spirometry results are pending.  Based upon what you know about this patient, how would you classify her asthma?  

For the scenario in the previous question, what is the diagnostic test of choice?  

A 5-month-old infant has a 3-day history of cough and rhinorrhea and now has developed audible wheezing. Immunizations are up to date and there is no history of reactive airway disease.  Physical exam reveals coarse expiratory wheezing along with profuse clear nasal discharge. Oxygen saturation on room air is 96%. What is the recommended treatment for this child?    

In a child with Croup, which symptoms increase the likelihood of admission to the hospital? (Select all that apply)    

The FNP evaluates a 10-month-old infant who has had three viral respiratory illnesses causing bronchiolitis. The child’s parents ask whether the infant may have asthma. What will you tell the parents?  

The nurse practitioner suspects small cell lung cancer (SCLC) in a 56-year-old female patient with a one-month history of severe shortness of breath at rest and a cough. The chest radiograph report shows a suspicious nodule in the right hilar region. Which statement is true about SCLC?  

 Jack is an 8-week-old male who presents to the clinic with a 12-day history of cough, choking spells and gasping for air. Jack had post-tussive emesis for 2 days and a temperature of 100 degrees F. His mother is concerned and states “when he is coughing and choking, he appears to stop breathing and looks slightly blue in the face”.   The following 3 questions will pertain to this scenario.

Which criteria are included in the working definition of asthma?  (Select all that apply)    

An adult patient presents to the clinic with a 2-day history of a cough, clear rhinorrhea, and low-grade fever. The family nurse practitioner diagnoses acute bronchitis. Which statement about managing acute bronchitis is true?  

Find the linearization L(x) of f(x) at x = a.f(x) = tan x, a = π