OMSB Exam OMSB_OEN Topic 4 Question 6 Discussion

Actual exam question for OMSB's OMSB_OEN exam

Question #: 6
Topic #: 4

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?

APerform chest physiotherapy every 4-6 hours

BIncrease oral fluid intake to loosen the secretions

CChange Fluticasone to intravenous hydrocortisone

DAdd Salmeterol metered-dose inhaler to the treatment regimen

Show Suggested 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

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Laquita

5 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?

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Kasandra

5 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.

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Murray

4 months ago

Increasing fluid intake is important, but adding Salmeterol would definitely help with symptom management.

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Zita

4 months ago

I agree, adding Salmeterol to the treatment regimen would be beneficial for better asthma control.

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Shoshana

5 months ago

I believe adding Salmeterol is a safer choice as it is a long-acting beta agonist that can help with symptom control.

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Felix

6 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.

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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.

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Blair

5 months ago

B) Increase oral fluid intake to loosen the secretions

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Noelia

5 months ago

A) Perform chest physiotherapy every 4-6 hours

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Kanisha

6 months ago

But wouldn't changing Fluticasone to intravenous hydrocortisone be a better option?

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Jerilyn

6 months ago

I agree, adding Salmeterol can help improve the symptoms.

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Elin

6 months ago

I think we should add Salmeterol metered-dose inhaler to the treatment regimen.

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Luz

6 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.

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Frederica

5 months ago

Performing chest physiotherapy every 4-6 hours could be beneficial for the child's asthma management.

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Chi

5 months ago

I think increasing oral fluid intake might also help in loosening the secretions.

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Agustin

6 months ago

I agree, adding Salmeterol can provide better control over asthma symptoms.

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OMSB Exam OMSB_OEN Topic 4 Question 6 Discussion

Contribute your Thoughts:

Laquita

Kasandra

Murray

Zita

Shoshana

Felix

Jolanda

Blair

Noelia

Kanisha

Jerilyn

Elin

Luz

Frederica

Chi

Agustin