Intramuscular Corticosteroids for Asthma Control

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30 Questions

Which of the following is NOT a common symptom of asthma?

Mucus production

How can a presumptive diagnosis of asthma be made?

Based on a compatible history of recurrent wheezing

What should be done to confirm the diagnosis of asthma in all but the mildest cases?

Perform pulmonary function testing

What percentage of patients with a physician diagnosis of asthma do not meet the criteria for the diagnosis?

More than one-third

Which of the following is a common symptom in patients with asthma?

Frequent coughing

What is one key difference between exercise-induced symptoms and cardiac sources of dyspnea in patients with asthma?

Exercise symptoms tend to resolve more slowly

What is one factor that may trigger symptoms in allergen-sensitized patients with asthma?

Exposure to cold air

What is one possible indicator of reversible airways disease in patients with asthma?

Decreased peak expiratory flow rate

Which class of medications is known as long-acting muscarinic antagonists (LAMAs)?

Anticholinergics

What is the safety concern associated with higher doses of anticholinergic medications?

Urinary retention

Why is theophylline rarely used for asthma treatment?

All of the above

What is the recommended use of corticosteroids in asthma treatment?

As first-line therapy for all forms of persistent asthma

Which of the following is an approximate indicator of eosinophilic inflammation in the airways?

Exhaled Nitric Oxide Fraction (FeNO)

Which of the following levels of FeNO in untreated patients are indicative of eosinophilic inflammation?

35-40 ppb

Which of the following is true about the use of sputum analysis in severe asthma?

It helps characterize type 2 and non-type 2 inflammation

Which of the following is a goal of asthma therapy in terms of achieving control of symptoms and reducing risk?

Reducing triggers

Which of the following is true about intramuscular corticosteroids for asthma control?

They are associated with reduced side effects compared to intermittent bursts of systemic corticosteroids.

What are some side effects associated with chronic administration of systemic corticosteroids?

Diabetes, osteoporosis, cataracts, and glaucoma

What are some local effects of inhaled corticosteroids (ICS)?

Thrush and hoarseness

Which of the following is true about leukotriene modifiers for asthma?

They are moderately effective in asthma and can be used in patients with concomitant allergic rhinitis.

Which of the following is true about the dosing of Anti-IgE?

It is dosed based on body weight and circulating IgE

What is the maximum dose of Anti-IgE in the United States?

300 mg every 2 weeks

Which patients have the greatest response to Anti-IgE?

Patients with a body weight ≤150 kg

What is the incidence of anaphylaxis in patients receiving Anti-IgE?

0.2%

Which IL-5 active drug binds to the IL-5 receptor?

Benralizumab

What is the effect of IL-5 active drugs on circulating eosinophils?

They rapidly reduce circulating eosinophils

Which of the following is true about the use of long-acting beta-agonists (LABAs) in the treatment of asthma?

LABAs are usually used in combination with inhaled corticosteroids (ICS).

Which of the following is a safety concern associated with higher doses of beta-agonists?

Type B (nonhypoxic) lactic acidosis

Which of the following is a goal of asthma therapy in terms of achieving control of symptoms and reducing risk?

All of the above

Which of the following is true about the use of bronchodilators in the treatment of asthma?

Bronchodilators can be used to provide relief of bronchospasm or reduce bronchospasm anticipated in response to exercise or other stimuli.

Test your knowledge on the safety and efficacy of intramuscular corticosteroids for asthma control. Learn about the potential side effects and risks associated with chronic administration.

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