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Problem 8: December has arrived in North Texas and the ashe juniper trees are ma

ID: 3515505 • Letter: P

Question

Problem 8: December has arrived in North Texas and the ashe juniper trees are mating. Margie a 45 year old housewife is having a hard time. Antihistamines have reduced the runny nose and itchy eyes but the wheezing is so bad her ribs hurt. She begins to use her asthmatic mom’s Albuterol inhaler ever couple of hours. This helps initially but by day 3 everything is worse again.

1. Albuterol is functionally related to:

A. Aspirin.

B. Naproxen.

C. Epinephrine.

D. Cortisol.

E. Histamine.

2. Aerosol Albuterol’s primary function is to:

A. Increase lung interstitial glucose.

B. Constrict the pulmonary artery.

C. Dilate bronchioles.

D. Decrease pulmonary mucus secretion.

E. Shunt pulmonary blood flow away from the apex of the lung.

3. Margie tries out her Mom’s hand held spirometer which tells her that her:

A. Vital capacity is enlarged.

B. Airway resistance is low.

C. Residual Capacity is low.

D. Maximal midexpiratory flow rate is high.

E. FEV1 % is low.

4. Why did her symptoms get worse after several days of Albuterol:

A. Depleted pulmonary glycogen stores.

B. Lactic acidosis.

C. Increasing arterial hypoxia.

D. Beta-receptor down regulation.

E. Adrenal medullary fatigue.

Explanation / Answer

1.c. Epinephrine

2.c.dilate bronchioles

3.E.fev1% is low

4.D.beta receptor down regulation

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