Quiz 2.4 Pulmonology

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Ritameeker
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224789
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Quiz 2.4 Pulmonology
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2013-06-23 21:42:39
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Pulmonology Quiz
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Pulmonology
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  1. The second phase of an asthma attach would be most responsive to treatment with:

    A. Diphenhydramine
    B. Beta2 agonists
    C. Anticholinergics
    D. Methylprednisolone
    D. Methylprednisolone
    (this multiple choice question has been scrambled)
  2. When using CPAP in patients with COPD in general, PEEP should be:
    A. <10 mmHg
    B. >10mmHg
    C. <10 cm H20
    D. >10 cm H20
    C. <10 cm H20
    (this multiple choice question has been scrambled)
  3. Air entering and leaving the lungs via inspiration and expiration is known as:

    A. Oxygenation
    B. Perfusion
    C. Ventilation
    D. Respiration
    C. Ventilation
    (this multiple choice question has been scrambled)
  4. Your patient is a 60 yom with an acute exacerbation of COPD.  You may consider giving the Pt  ipratropium because, in addition to reversing bronchospasm, it is helpful in:

    A. Reducing inflammation
    B. Drying bronchial secretions
    C. Expectoration of mucus
    D. Stimulating the respiratory center in the medulla
    B. Drying bronchial secretions
    (this multiple choice question has been scrambled)
  5. ETCO2 is recorded during phase _____ of the capnogram.

    A. III
    B. I
    C. II
    D. IV
    A. III
    (this multiple choice question has been scrambled)
  6. Your Pt is a 44 yof, alert & oriented, in moderate distress, and c/o difficulty breathing.  She gives a one-week hx of fever and malaise, with SOB developing 3 days ago.  She also has left-sided CP with deep inspiration and a "phlegmy" cough.  Physical examination reveals hot, pale, dry skin, and rhonchi and rales throughout the left lung.  The right lung sounds are clear.  HR=134, BP=88/64, RR=24, SaO2=92%.  She has a hx of two previous MIs and takes Nitroglycerin as needed.  Which of the following is the best course of prehospital management?

    A. Albuterol via nebulizer with 100% oxygen, IV of NS KVO
    B. Oxygen by NRB, IV of NS KVO, furosemide, 40 mg IV
    C. Endotracheal intubation, ventilation with supplemental oxygen, IV of NS KVO, nebulized albuterol and Atrovent, corticosteroids IV
    D. Oxygen via NRB, IV or NS with fluid challenge
    D. Oxygen via NRB, IV or NS with fluid challenge
    (this multiple choice question has been scrambled)
  7. Your Pt is a 70 yom with a hx of emphysema and pulmonary HTN.  His wife called EMS because the Pt has become progressively more dyspneic over the course of the day.  Which of the following aspects of the hx should concern you the most?

    A. The Pt still smokes half a pack of cigarettes a day
    B. The Pt is using 2 lpm of oxygen at home
    C. The Pt has a fever and productive cough
    D. The Pt was admitted to the ICU last year and required mechanical ventilation
    D. The Pt was admitted to the ICU last year and required mechanical ventilation
    (this multiple choice question has been scrambled)
  8. You have been called to treat a Pt complaining of difficulty breathing.  Which of the findings should concern you the most?

    A. The Pt can speak only one to two words between breaths
    B. The Pt has a HR of 126
    C. The Pt is confused, agitated, and angry that you are trying to help him
    D. The Pt is sitting in the "tripod" position
    C. The Pt is confused, agitated, and angry that you are trying to help him
    (this multiple choice question has been scrambled)
  9. The most important factor in determining the respiratory rate is:

    A. Arterial pO2
    B. Arterial pCO2
    C. Alveolar pO2
    D. Alveolar pCO2
    D. Alveolar pCO2
    (this multiple choice question has been scrambled)
  10. Pulmonary embolism is a problem of:

    A. Interstitial edema
    B. Thickness of the respiratory membrane
    C. Ventilation of lungs
    D. Perfusion of the lungs
    D. Perfusion of the lungs
    (this multiple choice question has been scrambled)
  11. Stretch receptors in the lungs send a signal to the inspiratory center of the medulla, inhibiting its stimulation of the phrenic and intercostal nerves.  This is called the _____ reflex.

    A. Cheyne-Stokes
    B. Hering-Breuer
    C. Cushing's
    D. Moro
    B. Hering-Breuer
    (this multiple choice question has been scrambled)
  12. An example of diffusion in the respiratory system is movement of:

    A. Air from the outside environment into the lungs
    B. Oxygen from the alveoli into the pulmonary capillaries
    C. Oxygen from the tissues into the systemic capillaries
    D. Carbon dioxide from the alveoli into the pulmonary capillaries
    B. Oxygen from the alveoli into the pulmonary capillaries
    (this multiple choice question has been scrambled)
  13. _____ is a graphic recording or display of the expired CO2.

    A. Capnography
    B. End-Tidal Carbon Dioxide (ETCO2)
    C. Capnometry
    D. PaCO2
    A. Capnography
    (this multiple choice question has been scrambled)
  14. A relatively common complication of ventilator therapy is:

    A. Hypertension
    B. Decreased tidal volume
    C. Barotrauma
    D. Respiratory stress
    C. Barotrauma
    (this multiple choice question has been scrambled)
  15. Chemoreceptors that help regulate breathing can be found:

    A. both a and c
    B. in the carotid artery
    C. in the aorta
    D. in the medulla oblongata
    A. both a and c
    (this multiple choice question has been scrambled)
  16. _____ is the pressure within the airway at the end of expiration.  When increased, it improves oxygenation by keeping the alveoli open during expiration.

    A. Positive end-expiratory pressure (PEEP)
    B. Respiratory pressure
    C. Tidal volume
    D. Controlled mechanical ventilation (CMV)
    A. Positive end-expiratory pressure (PEEP)
    (this multiple choice question has been scrambled)
  17. An emergency procedure that allows for reexpansion of the lung is called:

    A. Resuscitation
    B. Reperfusion
    C. Decompression
    D. Compression
    C. Decompression
    (this multiple choice question has been scrambled)
  18. The _____ nerve carries impulses to the diaphragm.

    A. Diaphragmatic
    B. Thoracic
    C. Vagus
    D. Phrenic
    D. Phrenic
    (this multiple choice question has been scrambled)
  19. The amount fo air that can be forcibly taken in after normally inhaling is called:

    A. Residual volume
    B. Expiratory reserve volume
    C. Tidal volume
    D. Inspiratory reserve volume
    D. Inspiratory reserve volume
    (this multiple choice question has been scrambled)
  20. Pleural effusion with pus is a(n):

    A. Emphysema
    B. Hydrothorax
    C. Eczema
    D. Empyema
    D. Empyema
    (this multiple choice question has been scrambled)
  21. When the diaphragm contracts, lung volume:

    A. stays the same
    B. increases
    C. changes depending on circumstances
    D. decreases
    B. increases
    (this multiple choice question has been scrambled)
  22. _____ is the amount of gas moved during normal ventilation.

    A. Inspiratory reserve volume
    B. Expiratory reserve volume
    C. Tidal volume
    D. Vital capacity
    C. Tidal volume
    (this multiple choice question has been scrambled)
  23. The respiratory system terminates at the:

    A. Lungs
    B. Bronchioles
    C. Alveoli
    D. Bronchus
    C. Alveoli
    (this multiple choice question has been scrambled)
  24. Type II cells that line the alveoli are responsible for the production of:

    A. Carbon dioxide
    B. Surfactant
    C. Carina
    D. Nitrogen
    B. Surfactant
    (this multiple choice question has been scrambled)
  25. _____ is a destructive disease of the alveoli and the adjacent capillary walls resulting in chronic dyspnea, cough, and the characteristic barrel chest.

    A. Bronchiectasis
    B. Pneumothorax
    C. Emphysema
    D. Pneumoconiosis
    C. Emphysema
    (this multiple choice question has been scrambled)

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