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2012-03-17 18:51:24
Self Assessment Lung

Self Assessment 5 Lung
Show Answers:

    • A) obstructive airway defect
    • B) restrictive interstitial lung disease
    • C) normal lung

  1. Which is true concerning the pathophysiology of hyperventilation?
    • A) Blood pH decreases
    • B) Ca++ increases
    • C) Cerebrovascular vasoconstriction
    • D) Decrease in coronary artery resistance
  2. C
  3. Where is the obstructive defect in emphysema?
    • A) Bronchi
    • B) Bronchioles
    • C) Alveolar tissue
    • D) Chest wall
  4. C
  5. Which of the following is an essential emergency drug?
    • A) CO
    • B) He
    • C) O2
    • D) NO
    • E) N2O
  6. C
  7. Hypoventilation may lead to:
    • A) Hypocapnia
    • B) Hypercapnia
    • C) Hypoxemia
    • D) B and C
  8. D
  9. Which of the following would be a sign of partial airway obstruction with poor airflow?
    • A) ability to talk
    • B) forceful cough
    • C) paradoxical breathing
    • D) wheezing
  10. C
  11. Which of the following may precipitate an asthma attack?
    • A) Exercise
    • B) Non-steroidal anti-inflammatory analgesics (e.g. ibuprofen)
    • C) A stressful dental procedure
    • D) All of the above
    • E) None of the above
  12. D
  13. Pulmonary effusion may occur as a result of all of the following EXCEPT:
    • A) Pneumonia
    • B) Mesothelioma
    • C) Cystic fibrosis
    • D) Pulmonary embolism
  14. C
  15. Which of the following is NOT a likely cause for asthma development:
    • A) Aeroallergens
    • B) Common cold
    • C) Deconditioning
    • D) Aspirin

  16. Pulmonary fibrosis may be seen in:
    • A) Systemic scleroderma
    • B) Rheumatoid arthritis
    • C) Kyphoscoliosis
    • D) Sleep apnea syndrome
  17. A
  18. Which of the following is FALSE about emphysema?
    • A) The disease involves distention of small air spaces
    • B) Patients w/ emphysema have reduced exercise tolerance
    • C) Hypoxemia and hypercapnia occur early in the disease
    • D) It may lead to pneumothorax
  19. C
  20. You notice that your patient with a history of asthma has developed wheezing and dyspnea. What should your first response be?
    • A) Administer subcutaneous epinephrine
    • B) Call her physician and ask how to proceed
    • C) Have her take 2 puffs of inhaled albuterol
    • D) Place her in the supine position
  21. C
  22. Which of the following drugs have little benefit in treatment of an acute bronchospasm?
    • A) Cromolyn (non-steroidal inhibitor of inflammatory mediator release)
    • B) Omalizumab (monoclonal antibody against IgE)
    • C) Albuterol (beta-2 adrenoceptor agonist)
    • D) A and B
    • E) B and C
  23. D
  24. Which alveolar cell produces surfactant and was is the role of surfactant?
    • A) type 1 pneumocyte, antimicrobial agent
    • B) type 2 pneumocyte, lubricant to reduce surface tension
    • C) Mucus cell, mucoid material to catch particular matter in airways
    • D) Kulchitzky cell, peptide that regulates vascular and airway tone
  25. B
  26. Chronic Obstructive Pulmonary Disease (COPD) may ultimately lead to:
    • A) Severe hypoxia
    • B) Cardiac ischemia
    • C) Heart failure
    • D) All of the above
  27. D