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2012-04-08 07:08:10
Path final review

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  1. An adult normally breaths how many breaths per minute?
  2. Which the following are changes in what system?

    loss of effective cough reflex
    decreased ability of the respiratory system to defend itself
    physiological functions of the lungs in increasingly less efficient
    pulmonary system secondary to aging
  3. This disease is caused by the organism Mycobacterium tuberculosis?
  4. What type of diabetes is this?

    early age onset
    insulin dependent
    type I diabetes
  5. Which below is not related to a chronic obstructive pulmonary disease?

    1. emphysema
    2. bronchitis
    3. CAL
    4. flail chest
    flail chest
  6. Which below is not consistent with pulmonary edema?

    L ventricular failure
    accumulation of fluid in the tissues and air spaces of the lungs
    R ventricular failure
    commonly caused by heart disease
    R ventricular failure
  7. These 3 descriptions describe what respiratory condition?

    many children outgrow it by their teen years
    it is considered a reversible disease
    airways are inflamed
  8. What is your rationale for an upright posture while your patient eats/drinks?
    • pt will be more alert, therefore more self assisting
    • protect against aspiration pneumonia
    • clear food out of her mouth if pt cant swallow
  9. What are some prevenitive measures to avoid pneumonia post operatively?
    • early mobility
    • turning the pt or encouraging the pt to turn themselves to a new position frequently
    • proper positioning to avoid aspiration
  10. These 3 are considered signs or symptons of what disease?

    pulmonary disease
  11. What are some facts of COPD?
    • bronchitis, asthma and emphysema can all coexist
    • smoking is the most common cause
    • there can be a visible chest deformity
  12. What are some facts of COPD?
    • bronchitis, asthma and emphysema can all coexist
    • smoking is the most common cause
    • there can be a visible chest deformity
  13. True of False
    expiration is considered an active event?
  14. decreased oxygen tension in the blood
  15. another word for sleepiness?
  16. def.
    food particles enter into the bronchi
  17. def.
    an abnormal breathing pattern?
  18. def.
    abnormally rapid respirations?
  19. def.
  20. def. the lungs ability to expand and recoil during respirations
    lung compliance
  21. def.
    accumulation of fluid in the tissues and air spaces of the lungs
    pumonary edema
  22. def.
    blood in the pleural cavity
  23. def.
    high blood pressure in the pulmonary arteries
    pulmonary hypertension
  24. def.
    collapse of the normally expanded and aerated lung tissue
  25. def.
    excessive O2 intake and decreased arterial CO2
  26. def.
    a collection of air or gas in the pleural cavity
  27. T/F
    pneumonia can not occur bilaterally?
  28. T/F
    pneumonia is always a bacterial problem?
  29. T/F
    tuberculosis can involve organs other than the lung?
  30. T/F
    cor pulmonale refers to pathological effects to L heart failure?
  31. def.
    lung expansion is limited?
    restrictive lung disease
  32. def.
    survival of the physiologic effects of hypoxemia and acidosis for a minimum of 24 hrs following submersion in fluid.
    near drowning
  33. def.
    a group of symptoms which occur w/in 12-48hrs following a systemic or pulmonary insult. Also called stiff lung as there is a decreased in lung compliance.
    acute respiratory distress syndrome
  34. def.
    obstruction is from changes in lung tissue not from mucus production
  35. def.
    inflammation of the pleura caused by infection, injury or tumor
  36. def.
    a pancreatic disease
    cystic fibrosis
  37. def.
    obstruction of the airways, initially the larger bronchi, eventually all airways. Expiration is most effected. Diagnosed after a productive cough is noted for at least three months per year two yrs in a row.
    chronic bronchitis
  38. def.
    a localized accumulation of purulent exudate from the lung
    lung abscess
  39. def.
    episodes of cessation of breathing during the transition from NREM to REM sleep.
    sleep apnea
  40. def.
    an inflammation affecting the parenchyma of the lungs
  41. def.
    marked loss of lung compliance due to an excessive amount of fibrosis
    pulmonary fibrosis
  42. def.
    a chest wall injury
    flail chest
  43. def.
    inflammatory condition with recurrent attacks of bronchospasm and wheezing
  44. def.
    an extreme form of bronchitis
  45. def.
    granulomatous inflammation spread diffusely throughout the body
  46. Depth, rhythm, and character describe
    patterns of breathing
  47. when is Cystic fibrosis usually diagnosed?
    at a fairly young age
  48. All below are true of cystic fibrosis except:
    1. it is an exocrine gland disease
    2. there is excessive amount of pancreatic enzyme
    3. thick secretions block pancreatic ducts, obstruct breathing & can interfere with the GI system as well
    4. diagnoses can be made with the sweat test
    there is excessive amount of pancreatic enzyme
  49. Pt evidently has had a circulation problem to her L LE since a MVA last yr. She just returned to school today following an extended illness that kept her in bed for the past 2 wks. What might have happened?
    she may have developed a PE
  50. An illness of short duration described as an inflammation of the trachea and bronchi could be:
    acute bronchitis
  51. COPD rarely occurs in?
  52. You noticed a pt resting leaning against the wall of the hospital haooway. He appears a little SOB, & has a noted barrel chest. Pt is demonstrating?
    classic posture of COPD and is recovering from exertion
  53. These 3 would describe what?

    is considered a medical emergency
    there is severe bronchospasm
    the workload of breathing increases greatly
    status asthmaticus
  54. Which is not considered an environmental or occupational disease?
    1. pneumoconiosis
    2. hypersensitivity pneumonitis
    3. cystic fibrosis
    4. inhalation of fumes
    cystic fibrosis
  55. This inflammation can be wet or dry, symptoms develop suddenly with a sharp chest pn worse on inspiration?
    1. near drowning
    2. pleurisy
    3. pneumonia
    4. acute asthma
  56. A person with COPD may present with?
    • accessory ms use
    • barrel chested
    • exertional dyspnea
  57. These are Sign and Symptoms of?
    there is R ventricular enlargement
    there is lung dysfunction that affects the R side of the heart
    can be called pulmonary heart disease
    • cor pulmonale
    • aka--pulmonary heart disease
  58. All below are true signs & symptoms of pulmonary disease?
    1. the coughis always dry
    2. chest pn can radiate
    3. there is thickening of the terminal phalanges
    4. breathing pattern can vary
    the cough is always dry
  59. Which word is best match with Hashimoto's disease?
    1. hyperthyroidism
    2. thyroiditis
    3. hypothyroidism
    4. goiter
  60. Common to muscular dystrophy is?
    1. sensory deficits
    2. charcot joints
    3. symmetrical ms wasting
    4. nonprogressive
    symmetrical ms wasting
  61. Side effects of radiation include dysphagia, which means?
    difficulty swallowing
  62. Anemia occurs due to?
    • decreased production of erythrocytes
    • increased destruction of RBC's
    • excessive bleeding
  63. Your 78 y/o pt has bruising on her arms and legs. She is demonstrating what?
    showing signs of the skins decreased ability to act as a protector
  64. This is a clinical manifestation of what?
    erythema with blanching,
    usually triggered by cold or stress
    raynaud's phenomenon
  65. T/F
    Fibrobasts play a crucial role in producing new granulation tissue?
  66. This is a breathing pattern associated with acute anxiety and emotional stress
  67. A pt with a diagnosis of restrictive lung disease?
    may require assistance for adequate oxygenation
  68. Which lung disease manifest with obstruction of expiration due to mucous production?
    chronic bronchitis
  69. Labie hypertension can be described as?
    elevation of blood pressure on intermittent readings, with normal readings between
  70. Nitroglycerin acts to?
  71. A person who has hypertension may experience?
  72. Dysrhythmia & arrhythmia are?
  73. A pt with Buerger's disease has?
    has a vasculitis of peripheral blood vessels
  74. Pt. experiencing venous insufficiency may want to elevate their legs after being on their feet for a while to?
    use gravity to assist with blood return
  75. The zone of infarction is described as?
    an area of tissue necrosis
  76. The most common site for an arterial aneurysm is?
  77. One distinctive factor of an MI that separates it from an angina attack is?
    prolonged pain
  78. These are all signs of what disease?
    cardiac disease
  79. Ischemic heart disease can be discribed as?
    insufficient blood suply to the heart
  80. All below are risk factor of?
    uncontrolled diabetes
  81. Peripheral edema is the hallmark for?
    R sided CHF
  82. Cardiomyopathy is?
    is a condition of impaired heart ms.
  83. Deoxygenated blood leaves the right ventricle and traves through which vessel to the lungs?
    pulmonary artery
  84. The heart ms gets its blood from?
    coronary arteries
  85. Rheumatic heart disease is caused by?
    strep bacteria
  86. One word to describe Scleroderma is?
  87. One word to describe Lupus Erythematosus is?
  88. Hodgkin's disease is a disease of?
    lymphoid tissue
  89. Sickle cell anemia presents with?
    decreased oxygen delivery to the tissue?
  90. Clinical manifestations of osteoporosis are?
    back pn and fracture
  91. A pt who presents with thrombocytopenia has an increased risk of?
  92. A patient suffered burn in a chemical plant explosion. Both arms and legs were involved plus the upper half of the anterior and posterior thorax and his entire face. The TBSA would be estimated at?
  93. A child of 5 will come to your clinic today for an evaluation. The diagnoses is meningocele. You can presume?
    the child had surgery sooon after birth
  94. Erb-Duchenne palsy is a traction injury of the ________ brachial plexus?
    upper part
  95. Sheuremann's disease is consistent with?
  96. The term functional scoliosis can be determined by?
    the etiology of the scoliosis
  97. The parathyroid glands are necessary for?
    calcification of bone
  98. these 3 describe what disease?
    can be diet controlled
    may require insulin to regulate
    exercise is important
    diabetes mellitus type II