Quiz 2.4 Respiratory

  1. The second phase of an asthma attack would be most responsive to treatment with:




    C. mehtylprednisolone
  2. When using CPAP in patients with COPD, in general, PEEP should be:




    C. <10 cm H20
  3. Air entering and leaving the lungs via inspiration and expiration is known as:




    D. ventilation
  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:




    D. drying bronchial secretions
  5. ETC02 is recorded during phase _____ of the capnogram.




    B. III
  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?




    B. 02 via NRB, IV of NS with fluid challenge
  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 was admitted to the ICU last year and required mechanical ventilation
  8. You have been called to treat a patient complaining of difficulty breathing.  Which of the findings should concern you the most?




    B. the patient is confused, agitated, and angry that you are trying to help him
  9. The most important factor in determining the respiratory rate is:




    C. Arterial pC02
  10. Pulmonary embolism is a problem of:




    A. perfusion of the lungs
  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.




    B. Hering-Breuer
  12. An example of diffusion in the respiratory system is movement of:




    D. oxygen from the alveoli into the pulmonary capillaries
  13. _____ is a graphic recording or display of the expired C02.




    D. capnography
  14. A relatively common complication of ventilator therapy is _____.




    A. barotrauma
  15. Chemoreceptors that help regulate breathing can be found _____.




    D. both b and c
  16. _____ is the pressure within the airway at the end of expiration.  When increased, it improves oxygenation by keeping the alveoli open during expiration.




    B. positive end-expiratory pressure (PEEP)
  17. An emergency procedure that allows for reexpansion of the lung is called _____.




    B. decompression
  18. The _____ nerve carries impulses to the diaphragm.




    B. phrenic
  19. The amount of air that can be forcibly taken in after normally inhaling is called _____.




    A. inspiratory reserve volume
  20. Pleural effusion with pus is a(n) _____.




    C. empyema
  21. When the diaphragm contracts, lung volume _____.




    D. increases
  22. _____ is the amount of gas moved during normal ventilation.




    C. tidal volume
  23. The respiratory system terminates at the _____.




    D. alveoli
  24. Type II cells that line the alveoli are responsible for the production of _____.




    A. surfactant
  25. _____ is a destructive disease of the alveoli and the adjacent capillary walls resulting in chronic dyspnea, cough, and the characteristic barrel chest.




    D. Emphysema
Author
Ritameeker
ID
246500
Card Set
Quiz 2.4 Respiratory
Description
Quiz 2.4
Updated