Exam 3 Posible questions.txt

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Exam 3 Posible questions.txt
2011-11-13 01:04:01
RESP 132

Exam 3 Possible Questions RESP 132
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  1. medical problem that is evaluated with CT angiography?
    Pulmonary embolism
  2. Its primary contribution to evaluation of the chest is in evaluating the hilar areas and mediastinum for lymph node and vascular enlargement.
    MRI in lung disease
  3. It can be used to detect abnormalities in ventilation compared to perfusion.It uses radioactive tracers.It can be used to detect pulmonary thromboembolism.
    lung scanning
  4. best method to evaluate for the presence of pulmonary thromboembolism
    Standard angiography
  5. It helps determine the location of a pulmonary opacity.
    silhouette sign
  6. following would suggest that a patient has CHF
    Increased cardiothoracic ratio
  7. clinical or CXR findings might be found in a patient with consolidation caused by pneumonia
    Lobar radiopaque pattern of the infiltrate
  8. ECGs are useful to evaluate all but which of the following
    Pumping ability of the heart
  9. What clinical findings are suggestive of the need for an ECG?
    Orthopnea and syncope
  10. For an adult, what is the normal intrinsic rate of the heart's primary pacemaker?
    60 to 100 beats/min
  11. What is the normal intrinsic rate of the heart's secondary pacemaker?
    40 to 60 beats/min
  12. What does the P wave on the ECG recording represent?
    Atrial depolarization
  13. What does the QRS wave on the ECG recording represent?
    Ventricular depolarization
  14. What does the T wave on the ECG recording represent?
    Atrial depolarization
  15. What is a normal PR interval?
    0.20 second
  16. What is the width of the normal QRS complex?
    0.12 second
  17. The QRS complexes are equally spaced with three large boxes between each complex. What is the heart rate?
    100 beats/min
  18. A prolonged PR interval is indicative of which of the following?
    AV block
  19. An early, widened QRS complex with an inverted T wave and no associated P wave is consistent with which of the following?
  20. What ECG finding is suggestive of an acute myocardial infarction?
    Elevated ST segments
  21. Which of the following statements is/are true regarding sinus tachycardia?
    It is caused by sympathetic stimulation.It may be caused by a fever.It may be caused by fear or pain.
  22. What range of gestational weeks is considered term?
    37 to 42
  23. You are looking at the chart of your patient and in the maternal history you see the following: G3, P2, Ab0. Which of the following statements is true?
    The mother is in her third pregnancy.
  24. What Apgar parameter usually deteriorates first in the hypoxic infant?
    Skin color
  25. Infants needing extensive medical resuscitation at birth will have Apgar scores in the range of which of the following?
    0 to 3
  26. Which of the following is a common cause of hypothermia in the infant?
  27. What is the upper limit of normal range for heart rate in the newborn?
    160 beats/min
  28. Which of the following is not a typical cause of tachypnea in the newborn?
  29. Which of the following can account for the presence of chest retractions in a newborn?
    Airway obstruction,Decreased lung compliance,Increased work of breathing
  30. What is indicated by a capillary refill greater than 3 seconds in the infant?
    Low cardiac output
  31. What effect does abdominal distention have on respiration?
    Impedes diaphragm movement,Increases the chance of ventilatory failure,Increases work of breathing
  32. What is the normal range for Pao2 at birth?
    50 to 70 mm Hg
  33. What parameter demonstrates the largest difference when comparing capillary blood with arterial blood?
  34. Which of the following conditions is least likely to cause a falsely low tcPo2 reading?
  35. What lung volume is not easily measured in the newborn?
    Residual volume
  36. Which of the following clinical findings suggest the need for a chest radiograph in an infant?
    Cyanosis,Unexplained tachypnea,Abnormal breath sound
  37. What lung disease of newborns is caused by inadequate surfactant production and leads to a decrease in compliance, as well as a diffuse, ground-glass appearance on the chest radiograph?
  38. Which factors may make it difficult to identify a right mainstem bronchus intubation in a newly intubated infant?
    Short tracheal lengths,Increased chest wall compliance,Subtle difference in bilateral breath sounds
  39. For older infants and children, chronic pulmonary diseases that can cause developmental delays include all except which of the following?
  40. Which of the following is not a recommended method for gaining the trust of a young child about to have a physical examination?
    Ensure they are sedated
  41. Which of the following is an acute viral disease affecting the trachea and small airways of young children, which often causes a fever, as well as a barking cough, grunting, and wheezing?
  42. An acute bacterial infection causing significant edema and inflammation to the tissue around a child's glottis, often leading to dysphasia and severe respiratory distress is known as which of the following?
  43. Which of the following is a chronic disease caused by airway inflammation and resulting in intermittent wheezing and dry cough, as well as the possible complaint of chest pain or shortness of breath by an affected child?
  44. Communicating with older adults is which of the following?
    A time-consuming task if done appropriately
  45. Which of the following statements might reflect an ageist attitude?
    Most older adults are sick and frail
  46. Normal age-related restructuring of the heart results in an enlarged ____ wall.
    Left ventricular
  47. Typical symptoms of right-sided heart failure include all of the following except which one?
    Cheyne-Stokes breathing
  48. Which of the following is not an age-related pulmonary change?
    Increase in total lung compliance
  49. Blunted cell-mediated immunity in older adults is one factor in the increased incidence of which of the following?
  50. A 90-year-old patient is admitted to the hospital with a diagnosis of pneumonia. Based on your knowledge of pneumonia in older adults, you would most likely expect the patient to present with which of the following?
    An increased respiratory rate
  51. Which of the following is an abnormal heart sound in older adults that may be an early sign of CHF?
  52. Based on current data, which of the following is the estimated Pao2 of a healthy 74-year-old person?
    87.2 mm Hg
  53. Which serum value may decrease as a result of the normal aging process?
  54. Ageism is defined as which of the following?
    A discriminatory attitude against older adults
  55. Which of the following patients is least likely to benefit from having their lung volumes monitored?
    A patient with mild to moderate hypoxemia
  56. Which of the following is true regarding the measurement of VT as a means of ventilatory assessment in the intensive care unit?
    It may decrease after abdominal or thoracic surgery.
  57. Which of the following conditions is likely to cause an increase in the size of the patient's VT?
    Metabolic acidosis
  58. What is the primary concern with ventilating patients using larger VT?
  59. What diagnosis is most likely to lead to dynamic hyperinflation during mechanical ventilation?
  60. Which of the following would reduce air trapping or auto�PEEP during mechanical ventilation?
    Increasing inspiratory flow
  61. An increased V?E with a normal Paco2 indicates which of the following?
    Increased dead space
  62. Which of the following is true regarding the measurement of VC in the ICU?
    The measured value depends on patient position and effort,It reflects the ventilatory reserve of the patient.,A value of less than 10 ml/kg suggests pending respiratory failure.
  63. What is the normal range for VD/VT?
    25% to 40%