Asthma Outline Team Questions
What percentage of individuals who had persistent asthma as a child continued to have asthma at the age of 50? A. 50% B. 90% C. 25% D. 60%
50%
Asthma related costs are at a incline where they are classified into direct, indirect, and intangible costs. What percentages of the costs generally account for what percentage. A. 90-95 % B. 50-80 % C. 20-44 % D. 17-28 % E. 40-50 % F. 100%
50-80%
3. In socio-economic cost of childhood asthma, indirect costs DO NOT include: a. Productivity loss b. Working day loss c. Emergency visits d. School days loss
Emergency visits
2. Which of the following has the highest prevalence of current wheezing in adolescents? A. Asia B. English language centers C. Africa D. North America
English language centers
What is the most dangerous environmental exposure in children derived from? a) Outdoor pollutant b) Nitric dioxide (NO2) c) Indoor pollutant d) Environmental Tobacco Smoke
Environmental Tobacco Smoke
5. What is the most dangerous environmental exposure in children? A. PM2.5 B. Black Carbon C. Environmental Tobacco Smoke (ETS) D. Third-Hand Smoke
Environmental Tobacco Smoke (ETS)
The most dangerous environmental exposure in children is derived from a. Mycoplasma pneumoniae b. Eating too much fish c. Rain d. Environmental Tobacco Smoke (ETS)
Environmental Tobacco Smoke (ETS)
2. The most dangerous environmental exposure in children derives from what? a. Pollen b. Nitric dioxide c. Environmental Tobacco Smoke d. Microbial Exposure
Environmental tobacco smoke
Which continent has the highest prevalence of asthma in children? A. North America B. Europe C. Asia D. Australia
Europe
Q.2) What is the most dangerous environmental risk factor for asthma in children? A) Exposure to Nitric Oxide B) Exposure to Black Carbon C) Exposure to Environmental Tobacco Smoke D) Exposure to indoor pollutants
Exposure to Environmental Tobacco Smoke
What factors that increase risk of asthma development? a. Low Air pollution b. Exposure to smoke c. No family history d. None of the above
Exposure to smoke
Q: Which one of the following factor is a most common prevalence in childhood asthma? A) Allergy B) Lifestyle C) Chronic coughing D) Family history of asthma or genetic
Family history of asthma or genetic
3. What is the most relevant risk factor for developing asthma? A. Family history of atopy B. Family history of diabetes C. Smoking D. COPD
Family history of atopy
Which of the following is true of the atopy of asthma? a) Family history of atopy is considered one of the most relevant risk factors for developing asthma b) There is no clear genetic predisposition to the development of asthma. c) The relationship between allergic sensitization and asthma onset is not well-documented d) Exposure and the development of symptoms has been clearly delineated
Family history of atopy is considered one of the most relevant risk factors for developing asthma
Q.4) What is considered the most relevant risk factor for developing asthma? A) Allergic sensitization B) Allergen exposure C) Family history of atrophy D) Increase inflammation airway and bronchial hyper-responsiveness
Family history of atrophy
What are the biggest factors that contribute to child asthma? a. Genes and environment b. Age and gender c. Social lifestyle d. Technology
Genes and environment
Which of these factors will show prevalence of asthma in low middle income countries? A) Host (genetic) B) viral disease C) exposure to chemicals D) excessive exercising
Host (genetic)
1. Prevalence in asthma was more common among: a. In females after puberty. b. In females before puberty. c. In males after puberty. d. In males and females before puberty.
In females after puberty
6. THS or Third Hand Smoke a. Poses absolutely no risk for asthma b. Is the combination of tobacco smoke and pollutants that remain in the environment c. Poses a much greater risk than first or second hand smoke d. Affects only adults
Is the combination of tobacco smoke and pollutants that remain in the environment
5. These all are global burden of disease except: a. lifelong outcomes b. Morbidity c. Mortality d. Microbial exposure
Microbial Exposure
What is the "Hygiene Hypothesis"? A. Reduced exposure to microbes in childhood is linked to increased risk of asthma B. Increased exposure to microbes in childhood is linked to increased risk of asthma C. Increased exposure to microbes in childhood is linked to decreased risk of asthma D. Reduced exposure to microbes in childhood is linked to decreased risk of asthma
Reduced exposure to microbes in childhood is linked to increased risk of asthma
Global asthma-related costs significantly vary across countries depending on a) Type of health system b) Hospital admission c) Disease management d) Emergency visits
Type of health system
Where is childhood asthma most prevalent? a. United States and English-speaking countries b. South America c. Non-English speaking countries d. Asia
United States and English-speaking countries
5) Asthma prevalence observed in vary ethnic groups all over the world may be explained by A. genetic susceptibility B. polymorphisms C. environment D. location
genetic susceptibility
Which countries have more severe Asthma symptoms? A. low income countries B. high income countries C. low and middle income countries D. middle east countries
low and middle income countries
1. What are the indirect socio-economic cost of childhood asthma? A. Hospitalization B. Physiological effects C. School day loss D. Impairment of quality of life
school day loss
A mutation on which gene locus is commonly associated with asthma? a) 17q21 b) CRISPR c) SNP-2 d) QTP13
17q21
Q.1) What is considered one of the strongest loci for asthma? A) 16q12 B) 17q21 C) 14q17 D) 18q16
17q21
What relationship best describes asthma and genetics? a. A multifactorial model characterized by complex relationships between the environment and genes b. Chromosome X dysfunction causes asthma c. Genetics does not play a role in asthma d. Asthma only occurs in males
A multifactorial model characterized by complex relationships between the environment and genes
4. In Europe, Asthme is responsible for --- percent of all deaths equaling 43,000 persons and has --- over the years. A. 1 % and decreased B. 0.4 % and decreased C. 20 % and increased D. 15 % and increased
0.4 % and decreased
Asthma can be exacerbated by which of the following atypical bacteria? a. Staphylococcus aureus b. Mycoplasma pneumoniae c. Chlamydia pneumonia d. Both b and c
Both b and c
Q.6) Years of life lost plus years lived with disability (YLD) is a globally measure of morbidity. Asthma was ranked as____ highest cause of global YLD. A) 2nd B) 14th C) 10th D) 1st
14th
1) Prevalence of "asthma ever" tended toward to children, ranging from A. 9.1 to 10.4% B. 11.1 to 11.6% C. 13.2 to 13.7% D. 9.1 to 9.5%
9.1 to 9.5%
2. What is the hygiene hypothesis? a. A reduced microbial exposure since early life leads to increased rates of immunization linked to increased prevalence of asthma observed. b. Vaccinated kids are less likely to get sick c. If you do not shower, you will smell d. A reduced microbial exposure since early life leads to decreased the rates of immunization linked to decreased prevalence of asthma observed.
A reduced microbial exposure since early life leads to increased rates of immunization linked to increased prevalence of asthma observed
4. What is NOT considered a risk factor for asthma? A. Genetics B. Microbial exposure C. Atopy D. Age
Age
6. Asthma disease develops in a. Adults b. Infants c. Elders d. All ages
All ages
4. Outdoor and indoor pollutants can lead to which of the following? a. Increased asthma b. Hospitalization rates c. Reduced lung function d. All of the above
All of the above
6) What types of allergens are responsible for the increased asthma exacerbation in 60% school children? A. Eggs B. Animal dander C. Smoke D. Seasonal
Animal dander
Asthma disease can develop in which of the following ages? a. Children only b. Adults only c. People of 50 years and older d. At any stage throughout the life but generally in children
At any stage throughout the life but generally in children
5. Morbidity Asthma represents the second most important respiratory disease after A. Pneumonia B. Bronchitis C. Chronic Obstructive Pulmonary Disease (COPD) D. Respiratory tract infection
Chronic Obstructive Pulmonary Disease (COPD)
At what stages of life does asthma appear a. Childhood b. Adulthood c. Any stage d. Puberty
Any stage
1. What is the second most important respiratory disease when considering the burden among adolescents? a. COPD b. Asthma c. Bronchitis d. Cystic Fibrosis
Asthma
2. What is the main causes of hospitalization which are particularly common in children aged < 5 years a. Anemia b. Cardiovascular disease c. Asthma d. Type 1 diabetes
Asthma
What is the most prevalent chronic respiratory disease world wide? a. Asthma b. Pneumonia c. Bronchitis d. Obstructive lung disease
Asthma
7. There is a direct relationship between asthma and: a. Morbidity b. Atopy c. Mortality d. Genetics
Atopy
Atopy refers to developing allergies based on genetic disposition. What are some things that are involved with atopy that can cause asthma in children? A. One or more parent may have asthma B. Molds C. Both a and b D. Neither a or b
Both a and b
3) Exposure to some microbes A. Can protect from atopy B. Promote allergic diseases C. Obstruct allergic diseases D. Both A & B E. Both B & C
Both A & B
7. Exposure to what has been associated with increase asthma exacerbation? A. Indoor pollution B. Outdoor pollution C. Unhealthy diet D. Both a and b are correct
Both a and b are correct
What is true about the global burden of asthma? (Select all that apply) A. Asthma can develop at any age, but usually develops in adulthood B. Asthma is the 5th highest ranked cause of global YLDs at all ages C. Children with severe asthma are at an increased risk of COPD D. Mortality is high at all ages E. 75% of children with severe asthma at 6 years still had asthma at 50 years old
C and E: Children with severe asthma are at an increased risk of COPD AND 75% of children with severe asthma at 6 years still had asthma at 50 years old
Asthma can appear at any age throughout life, but it generally develops in what stage in life? A. After 50 B. Birth C. Teens D. Childhood E. It varies between people and develops differently for every individual
Childhood
At what stage of life does asthma generally develop? a. Childhood b. Elderly c. Adulthood d. Gestational
Childhood
3. Asthma is the most common chronic disease in ___? a. 18+64-year old b. Seniors c. Infants d. Children
Children
Prevalence of "current wheeze" or asthma disease resulted to be increased in the following: a. Young adults b. Adolescents c. Elders d. Children
Children
Which of the following correctly described "hygiene hypothesis"? a) Children raised in modern environment may be more prone to develop allergic diseases due to under stimulation of the immune system. b) Children raised in modern environment are less prone to develop allergic diseases due to under stimulation of the immune system. c) Children raised in unsanitary environment are more prone to asthma compared to other children. d) Children raised in unsanitary environment are less prone to asthma compared to other children.
Children raised in modern environment may be more prone to develop allergic diseases due to under stimulation of the immune system.
6. Severe asthma in children increases the risk of _________ a. Bacterial infection b. Chronic Obstructive Pulmonary Disease c. End Stage Kidney disease d. Alzheimer's disease
Chronic Obstructive Pulmonary Disease
6. Socio-Economic Costs of Childhood Asthma: What type of Costs do 'disease management and complementary investigations' constitute? A. Intangible Costs B. Direct Costs C. Indirect Costs D. Variable Costs
Direct Costs
What are the socio-economic costs of childhood asthma? a. Direct costs, indirect costs, intangible costs b. Main costs, living costs, income-based c. Drug costs, housing costs, other costs d. Major cost, dependent costs, secondary costs
Direct costs, indirect costs, intangible costs
What is a direct cost? A. Unquantifiable, since they are related to impairment of quality of life, limitation of physical activities, and study performance B. Disease management, outpatient visits, visits to emergency services, hospital admission, medications, complementary investigations or treatment C. Work-related losses D. Early mortality
Disease management, outpatient visits, visits to emergency services, hospital admission, medications, complementary investigations or treatment
Which of the following is an indirect cost of asthma? a. Hospital admission b. Early mortality c. Disease management d. Limitation of physical activities
Early mortality
7. Children in the following area has a greater burden in terms of morbidity and mortality than others: A. From LMICs low-middle-income countries B. From IMLC C. From GAN D. From ISAAC
From LMICs low-middle-income countries
What is Atopy? a. Genetic tendency to develop allergic diseases b. The physiology of allergies c. Signs and symptoms of a disease d. The family history of a disease
Genetic tendency to develop allergic diseases
5. All of the following are symptoms of asthma except? A. Coughing B. Rapid breathing C. Heart palpitations D. Chest tightness
Heart palpitations
4) The greatest decrease in age-standardized death rates was observed in which group? A) Low income countries B) Middle income countries C) High income countries D) None of the above
High income countries
Q: Between 1990 and 2015, there were great decreases in mortality rates. The greatest decrease was seen in which area? A) Low income Countries B) Medium Income Countries C) United Kingdom D) High Income Countries
High income countries
Q.5) Reduced microbial exposure as an explanation for the increase in childhood asthma is known as: A) Microbial Exposure Theory B) Epigenetics C) Hygiene Hypothesis D) Inhalation Theory
Hygiene Hypothesis
4. What is the name of the hypothesis which indicates childhood exposure to microorganisms is beneficial in preventing allergies, atopy, as well as asthma? a. Microbial hypothesis b. Hygiene hypothesis c. Allergy hypothesis d. Bacterial hypothesis
Hygiene hypotheis
As a chronic condition that usually starts in early childhood asthma: a. Imposes a high lifetime burden on individuals b. Affects only newborns c. Stops at puberty d. Affects more male than female
Imposes a high lifetime burden on individuals
3. A reduced microbial exposure since early life through improved sanitation and increased rates of immunization have been linked to: A. Increase prevalence of asthma observed in childhood B. Decrease Prevalence of asthma observed in childhood C. Unrelated D. It could increase or decrease depends on other factors
Increase prevalence of asthma observed in childhood
4. What correlation is present with microbial exposure in childhood and the immune system? A. Decreased immunity B. No correlation observed C. Increased Immunity D. None of the above
Increased Immunity
3. Which of the following is an example of intangible asthma related cost? A. Hospitalization cost B. Limitation of physical activity C. Missing school D. Disease management
Limitation of physical activity
5. What countries have high rate of asthma, and is it more common in children or older people? a. High income countries, and more common in older b. Low income countries, and more common in older c. High income countries, and more common in children d. Low income countries, and more common in children
Low income countries, and more common in children
Q: Indirect costs of childhood asthma include all of the following EXCEPT: A) Productivity loss B) Medications C) Working day loss D) School days loss
Medications
A European population-based birth cohort study on more than 14,000 children found that increasing exposure to _____ at the birth increased asthma incidence at age 14-16 years. A) Air pollution B) NO2 C) CO2 D) ETS (Environmental Tobacco Smoke)
NO2
1. Which one of these is NOT an indirect socio-economic cost of childhood asthma? a. Outpatient visits b. Productivity loss c. Working day loss d. School days loss
Outpatient visits
Q.3) In the socioeconomic cost of childhood asthma figure/model which answer applies to direct costs? A.) Outpatient visits B.) Productivity Loss C.) Impairment quality of life D.) Working day loss
Outpatient visits
Which of these is NOT a toxic air pollutant? a. Oxygen b. Nitric Dioxide c. Black Carbon d. Environmental Tobacco Smoke
Oxygen
2. What is the main genetic susceptibility associated with asthma? a. Polymorphisms in 17q21 locus b. Mutation c. Polymorphism in 16q23 locus d. Demethylation
Polymorphisms in 17q21 locus
Which of the listed environmental factors are not associated with increased asthma exacerbations? A) Tobacco smoke B) Nitric dioxide C) Air pollution D) Quality of water
Quality of water
2) Which of the following are indirect costs of childhood asthma? A. School days lost due to exacerbation B. Depression and anxiety C. medication costs D. limitation of physical activities E. hospital costs
School days lost due to exacerbation
2. All of the following are classifications of asthma-related costs except: a. Direct costs b. Sunk cost c. Intangible costs d. Indirect costs
Sunk cost
What is the most important symptom in identifying asthma? A) Coughing B) Chest pressure C) Throat irritation D) Wheezing
Wheezing
1. What is a clear sign of pediatric asthma? a. Wheezing (whistling sound) b. Alopecia c. Lightheadedness d. Discoloration of skin
Wheezing (whistling sound)
Which of the following is not a direct cost related to Asthma? A. Emergency room Bill B. Medication Costs C. Work Related Losses D. Outpatient Visits
Work related losses
How does microbial exposure affect children with asthma? a. The timing of exposure does not affect children b. Does not affect any individual with asthma c. Yes, it is based on the so called "hygiene hypothesis" d. None of the above
Yes, it is based on the so called "hygiene hypothesis"
What is the most common chronic disease in children? a. Diabetes b. Asthma c. Cardiovascular Disease d. Pulmonary Disease
asthma