Quiz 2.4 Respiratory

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Ritameeker
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246500
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Quiz 2.4 Respiratory
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2013-11-12 09:52:53
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Respiratory
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Quiz 2.4
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  1. The second phase of an asthma attack would be most responsive to treatment with:

    A. diphendydramine
    B. Beta2 agonists
    C. Anticholinergics
    D. mehtylprednisolone
    D. mehtylprednisolone
    (this multiple choice question has been scrambled)
  2. When using CPAP in patients with COPD, in general, PEEP should be:

    A. <10 mmHg
    B. >10 mmHg
    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. respirations
    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 patient 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. ETC02 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 patient is a 44 yof, alert and oriented, in moderate distress, and complaining of difficulty breathing.  She gives a one-week history of fever and malaise, with SOB developing three days ago.  She also has left-sided chest pain 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 is 134, BP is 88/64, RR is 4, Sa02 is 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% 02, IV of NS KVO
    B. 02 via NRB, IV of NS KVO, furosemide 40 mg IV
    C. Endotracheal intubation, ventilation with supplemental 02, IV os NS KVO, nebulized albuterol and Atrovent, corticosteroids IV
    D. 02 via NRB, IV of NS with fluid challenge
    D. 02 via NRB, IV of NS with fluid challenge
    (this multiple choice question has been scrambled)
  7. Your patient is a 70 yom with a hx of emphysema and pulmonary hypertension.  His wife called for EMS because the patient has become progressively more dyspneic over the course of the day.  Which of the following aspects of the history should concern you the most?

    A. the patient still smokes half a pack of cigarettes a day
    B. the patient is using 2 lpm of oxygen at home
    C. the patient has a fever and productive cough
    D. the patient was admitted to the ICU last year and required mechanical ventilation
    D. the patient 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 patient complaining of difficulty breathing.  Which of the findings should concern you the most?

    A. the patient can speak only 1 to 2 words between breaths
    B. the patient has a HR of 126
    C. the patient is confused, agitated, and angry that you are trying to help him
    D. the patient is sitting in the "tripod" position
    C. the patient 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 p02
    B. Arterial pC02
    C. Alveolar p02
    D. Alveolar pC02
    B. Arterial pC02
    (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 C02.

    A. capnography
    B. End-tidal carbon dioxide (ETCO2)
    C. capnometry
    D. PaC02
    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 b and c
    B. in the carotid artery
    C. in the aorta
    D. in the medulla oblongata
    A. both b 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 of 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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