Enduring Material: January 14, 2021 Grand Rounds- Pediatric Urgent Care Weekly Webinar

Acute Asthma Exacerbations in Children

Speaker:

Mary Crocker, MD MPH
Acting Assistant Professor
Division of Pulmonary & Sleep Medicine

Objectives:

1. Identify clinical features consistent with an asthma exacerbation.
2. List 3 conditions in the differential diagnosis of an asthma attack.
3. Identify 3 risk factors for ICU admission or death from asthma.
4. Describe how recent changes to NHLBI and GINA asthma guidelines impact treatment of asthma exacerbations.

Question Title

* 1. Did the presentation meet your expectations of the following (select all that apply):

Content

Relevance to Urgent Care

Timeliness

Q&A session

Technical and connection issues

Question Title

* 2. After viewing this webinar, how likely are you to recommend this to a friend or colleague?

Extremely likely

Very likely

Somewhat likely

Not so likely

Not at all

Question Title

* 3. Was the webinar free from commercial bias?

Yes

Question Title

* 4. Please state what topics you would like to see discussed.

Question Title

* 5. Please share any comments about the webinar.

Question Title

* 6. The following 4 questions are scored for your CME credit:
Which of the following physical exam features is NOT consistent with an asthma exacerbation?

A. Retractions and high-pitched expiratory noises

B. Grunting and frequent cough

C. Prolonged inspiratory phase and stridor

D. Quiet breath sounds

Question Title

* 7. Which of the following scenarios is MOST consistent with an asthma exacerbation?

A. 3 month old who attends daycare presenting with cough, profuse rhinorrhea, and crackles and wheezes bilaterally

B. 10 month old presenting with single right-sided high-pitched wheeze, history of choking event earlier today

C. 6 year old with history of recurrent ear infection and daily wet cough since three months of age, presenting with wheezing and worsening cough

D. 5 year old with history of eczema presenting with tachypnea and bilateral polyphonic wheezing

Question Title

* 8. For a patient with a severe asthma exacerbation, which of the following is a risk factor for ICU admission or death from asthma?

A. Use of albuterol less than 1 inhaler per month

B. Current or recent use of oral corticosteroids

C. Caucasian race

D. Daily use of inhaled corticosteroids

E. Intermittent use of long-acting beta-agonist (LABA) + inhaled corticosteroid combo

Question Title

* 9. Which of the following is FALSE regarding the changes to GINA asthma guidelines recommended in 2019?

A. Treatment of mild intermittent asthma with albuterol alone (without inhaled corticosteroid) is strongly recommended.

B. ICS-formoterol is a preferred controller medication for children 12 years and older.

C. ICS-formoterol is a preferred quick-relief medication for children 12 years and older.

D. The use of ICS-formoterol as quick-relief in children under 12 years is not currently recommended.

Enduring Material: January 14, 2021 Grand Rounds- Pediatric Urgent Care Weekly Webinar

Acute Asthma Exacerbations in Children

Question Title

* 1. Did the presentation meet your expectations of the following (select all that apply):

Question Title

* 2. After viewing this webinar, how likely are you to recommend this to a friend or colleague?

Question Title

* 3. Was the webinar free from commercial bias?

Question Title

* 4. Please state what topics you would like to see discussed.

Question Title

* 5. Please share any comments about the webinar.

Question Title

* 6. The following 4 questions are scored for your CME credit:
Which of the following physical exam features is NOT consistent with an asthma exacerbation?

Question Title

* 7. Which of the following scenarios is MOST consistent with an asthma exacerbation?

Question Title

* 8. For a patient with a severe asthma exacerbation, which of the following is a risk factor for ICU admission or death from asthma?

Question Title

* 9. Which of the following is FALSE regarding the changes to GINA asthma guidelines recommended in 2019?

Question Title

* 10. Name

Question Title

* 11. Email Address

Question Title

* 12. For CME recording please enter your NPI number below:

Question Title

* 13. For ABP MOC 2 credit, please enter your ABP ID here:

Question Title

* 1. Did the presentation meet your expectations of the following (select all that apply):

Question Title

* 2. After viewing this webinar, how likely are you to recommend this to a friend or colleague?

Question Title

* 3. Was the webinar free from commercial bias?

Question Title

* 4. Please state what topics you would like to see discussed.

Question Title

* 5. Please share any comments about the webinar.

Question Title

* 6. The following 4 questions are scored for your CME credit: Which of the following physical exam features is NOT consistent with an asthma exacerbation?

Question Title

* 7. Which of the following scenarios is MOST consistent with an asthma exacerbation?

Question Title

* 8. For a patient with a severe asthma exacerbation, which of the following is a risk factor for ICU admission or death from asthma?

Question Title

* 9. Which of the following is FALSE regarding the changes to GINA asthma guidelines recommended in 2019?

Question Title

* 10. Name

Question Title

* 11. Email Address

Question Title

* 12. For CME recording please enter your NPI number below:

Question Title

* 13. For ABP MOC 2 credit, please enter your ABP ID here:

* 6. The following 4 questions are scored for your CME credit:
Which of the following physical exam features is NOT consistent with an asthma exacerbation?