Asthma

Question 1

1. When to suspect asthma (10 points)

Answer 1

SOB 
Wheeze
Chest tightness
Cough
Symptoms worsen at night
symptoms triggered by exercise
Symptoms relieved by SABA 

History of allergy
Family history of asthma /allergy

Eosinophilia / Raised IgE level

Question 2

2. control of asthma

Answer 2

A. good control

1. day time symptoms < 2 days/week
2. use of SABA < 2 days/week
3. night symptoms: no
4. limitation of activity: no

B. Partial control: 1-2 of the above symptoms
C. poor control: >3 of the above symptoms

Question 3

management to improve asthma (7)

Answer 3

1. assure proper inhaler technique
2. asthma action plan
3. avoid exposure to triggers
4. smoking cessation
5. annual influenza vaccine
6. maintain an ideal weight
7. regular daily exercise 30 min per day

Question 4

Asthma in children - step approach

Answer 4

1. Ventolin puffer 100mg 2-4 puffs PRN
2. Flixotide (fluticasone) 50 mcg, 1-2 puffs BD
3. a. < 5 years: Flixotide 125 mcg, 1-2 puffs BD
   b. > 5 years: seretide inhaler 50/25, 1-2 puffs BD

Question 5

Asthma in adult - step approach

Answer 5

1. Ventolin puffer 100mg 2-4 puffs PRN
2. Flixotide (fluticasone) 125 mcg, 1-2 puffs BD
3. Symbicort 50/3, 2 puffs BD
4. Symbicort 200/6, 2 puffs BD

Question 6

common inhalors

name Flixotide, Qvar/Pulmicort/Seretide/Symbicort & Breo ellipta with the doses.

Answer 6

1. Flixotide = fluticasone 50mcg - 125 mcg
2. Qvar = Beclometasone 50mcg, 100mcg
3. Pulmicort = budesonide 100mcg, 200mcg
4. Seretide = fluticasone / Salmetrol 50/25 , 125,25
5. Symbicort = Budesonide / formoterol 50/3, 100/3, 200/6, 400/12
6. Breo ellipta = Budesonide /vilanterol 100/25, 200, 25