Deal of The Day! Hurry Up, Grab the Special Discount - Save 25% - Ends In 00:00:00 Coupon code: SAVE25
Welcome to Pass4Success

- Free Preparation Discussions
Mail Us support@pass4success.com
Location US
Mob_nav_barsMENU

OMSB Exam OMSB_OEN Topic 4 Question 6 Discussion

Actual exam question for OMSB's OMSB_OEN exam
Question #: 6
Topic #: 4
[All OMSB_OEN Questions]

A 10-year-old child with asthma has been on Fluticasone metered-dose inhaler for six months with no improvement seen in the pulmonary function tests.

Which of the following strategies would help the child have better control over the symptoms?

Show Suggested Answer Hide Answer
Suggested Answer: D

Asthma Management:

When a patient does not respond to a single controller medication like Fluticasone (a corticosteroid), a step-up in therapy is often required.

Treatment Strategies:

Chest Physiotherapy and Increased Oral Fluid: Helpful but not primary interventions for improving pulmonary function in asthma.

Intravenous Hydrocortisone: Typically for acute severe exacerbations, not chronic management.

Adding Salmeterol (Long-acting Beta Agonist): Combined with an inhaled corticosteroid (ICS), it can improve asthma control by reducing symptoms and preventing exacerbations.


Global Initiative for Asthma (GINA) guidelines

National Heart, Lung, and Blood Institute (NHLBI)

by Cory at Jun 24, 2024, 01:35 AM

Limited Time Offer

25%

Off

Get Premium OMSB_OEN Questions as Interactive Web-Based Practice Test or PDF

Contribute your Thoughts:

Submit Cancel
Laquita
11 months ago
Hmm, I wonder if we could just teach the kid to breathe fire instead? That would really open up those airways, don't you think?
upvoted 0 times
...
Kasandra
11 months ago
Increasing fluid intake to loosen secretions? That's a good idea, but I don't think it's enough on its own. Definitely need to add the Salmeterol for better asthma control.
upvoted 0 times
Murray
10 months ago
Increasing fluid intake is important, but adding Salmeterol would definitely help with symptom management.
upvoted 0 times
...
Zita
10 months ago
I agree, adding Salmeterol to the treatment regimen would be beneficial for better asthma control.
upvoted 0 times
...
...
Shoshana
11 months ago
I believe adding Salmeterol is a safer choice as it is a long-acting beta agonist that can help with symptom control.
upvoted 0 times
...
Felix
11 months ago
Chest physiotherapy every 4-6 hours? That sounds like a lot of work for a 10-year-old. I'd go with the Salmeterol option too, it's a more straightforward solution.
upvoted 0 times
...
Jolanda
11 months ago
I'm not so sure about that. Changing to intravenous hydrocortisone seems like a drastic step if the child hasn't responded to the inhaler. Maybe try increasing the Fluticasone dose first before resorting to injections.
upvoted 0 times
Blair
11 months ago
B) Increase oral fluid intake to loosen the secretions
upvoted 0 times
...
Noelia
11 months ago
A) Perform chest physiotherapy every 4-6 hours
upvoted 0 times
...
...
Kanisha
12 months ago
But wouldn't changing Fluticasone to intravenous hydrocortisone be a better option?
upvoted 0 times
...
Jerilyn
12 months ago
I agree, adding Salmeterol can help improve the symptoms.
upvoted 0 times
...
Elin
12 months ago
I think we should add Salmeterol metered-dose inhaler to the treatment regimen.
upvoted 0 times
...
Luz
12 months ago
Hmm, I think option D makes the most sense. Adding a long-acting bronchodilator like Salmeterol to the Fluticasone inhaler should help improve symptom control.
upvoted 0 times
Frederica
11 months ago
Performing chest physiotherapy every 4-6 hours could be beneficial for the child's asthma management.
upvoted 0 times
...
Chi
11 months ago
I think increasing oral fluid intake might also help in loosening the secretions.
upvoted 0 times
...
Agustin
11 months ago
I agree, adding Salmeterol can provide better control over asthma symptoms.
upvoted 0 times
...
...

Save Cancel