The appropriate therapy of severe obstructive slee

The appropriate therapy of severe obstructive sleep apnea syndrome is

A. adenotonsillectomy B. tracheostomy C. parapharyngeal muscle surgery D. theophylline

Correct Answer: A

Rationale: Adenotonsillectomy is the first-line treatment for severe obstructive sleep apnea in children with enlarged tonsils and adenoids.

Wide fixed splitting of the second heart sound is an auscultatory finding in:

A. Pulmonary stenosis (PS) B. Atrial septal defect (ASD) C. Aortic stenosis (AS) D. Ventricular septal defect (VSD)

Correct Answer: B

Rationale: ASD causes increased right heart volume, leading to fixed splitting of the second heart sound irrespective of respiration.

Which score range is regarded as serious according to the assessment of seriousness of adolescent drug abuse score?

A. 0-3 B. 8-Mar C. 13-Aug D. 13-18

Correct Answer: D

Rationale: Scores between 13-18 indicate a serious level of drug abuse requiring intervention.

One of the following monitors asthma and airway inflammation directly

A. spirometry B. exhaled nitric oxide analysis C. radioallergosorbent test (RAST) D. fluorescent enzyme immunoassay (FEIA)

Correct Answer: B

Rationale: Exhaled nitric oxide analysis directly measures airway inflammation, making it a useful tool in asthma management.

Heimlich maneuver is:

A. Back blows B. Chest compression C. Epigastric compression D. Finger sweep

Correct Answer: C

Rationale: The Heimlich maneuver involves epigastric compression to expel airway obstructions.

The appropriate therapy of severe obstructive sleep apnea syndrome is