Question 1
Question
A patient with a suspected stroke in the brainstem region may display what type of changes to the pulmonary system?
Answer
-
Breathing may become dependent on carbon dioxide levels rather than oxygen levels.
-
Spontaneous breathing stops with any type of brainstem damage.
-
Breathing may become deep and rapid.
-
There is no change to the breathing with brain injuries. Breathing depends on carbon dioxide levels in the bloodstream.
Question 2
Question
Which of the following findings for a patient complaining of dyspnea is of greatest concern?
Question 3
Question
A 62-year-old male with a history of emphysema states an acute onset of pleuritic chest pain after a bout of coughing. He appears mildly dyspneic with ventilations of 26/min. When you auscultate the lungs, you note that breath sounds are diminished somewhat in the right thorax. You strongly suspect the patient has which of the following?
Question 4
Question
How does chronic bronchitis cause the development of pulmonary hypertension?
Answer
-
Bronchoconstriction activated by some type of trigger compromises the patient's ability to ventilate, thus becoming hypercarbic = vasoconstriction.
-
The number of pulmonary capillaries in the lung tissue decreases over the time, which increases resistance to pulmonary blood flow.
-
Gas exchange is increased because of higher alveolar ventilation, resulting in hypocarbia, which causes pulmonary vasoconstriction.
-
Gas exchange is decreased because of lowered alveolar ventilation, resulting in hypercarbia, which causes pulmonary vasoconstriction.
Question 5
Question
While gathering the medications a patient with respiratory distress is prescribed, which of the following indicates that he likely has a short-term pulmonary problem?
Answer
-
Bronchodilators
-
Antibiotics
-
Oxygen therapy
-
Corticosteroids
Question 6
Question
How does a simple pneumothorax interfere with the body's ability to oxygenate peripheral lung tissues?
Answer
-
Intrapulmonary pressure exceeds intrapleural pressure, resulting in the inability of the alveoli to expand
-
The right side of the heart becomes incapable to perfuse blood through the alveolar capillary beds
-
A loss of negative pleural space pressure inhibits the lung from expanding properly
-
There is compression of the vena cava with kinking of the aorta, resulting in poor peripheral perfusion
Question 7
Question
The _____ pleura covers the lungs while the _____ pleura lines the thoracic cavity.
Answer
-
Visceral, parietal
-
Mucosal, visceral
-
Mucosal, alveolar
-
Parietal, mucosal
Question 8
Question
You are called to a local high school for a 64-year-old spectator at a sporting event. The patient complains of shortness of breath. The patient identifies a history of COPD and you note absent breath sounds on the patient's left side. Onset of complaint was sudden while the patient was sitting in the stands and no blunt or penetrating trauma occurred. Your immediate concern would be:
Question 9
Question
You are dining at a restaurant, off-duty, when you notice a slender man at another table who appears to be in severe distress and clutching his throat. He pushes himself away from the table; you ask him what is wrong, but he cannot speak. What is your first action?
Answer
-
Provide abdominal thrusts in a rapid, upward fashion
-
Manually open his airway and visualize for the object
-
Provide chest thrusts until the object is relieved
-
Lay him down on the floor and immediately begin CPR
Question 10
Question
You are assessing a small child who was found unresponsive and apneic. The patient is surrounded by lego toys. Considering your scene size-up, your primary differential diagnosis would be:
Answer
-
bronchiolitis
-
SIDS
-
choking
-
child abuse.
Question 11
Question
The most important intrinsic risk factor leading to respiratory disease development is:
Question 12
Question
In which of the following patients who require positive pressure ventilation to maintain oxygenation status would it be most important to ensure you do not deliver high airway pressures?
Question 13
Question
Which of the following can be caused by pulmonary hypertension?
Answer
-
Polycythemia
-
Orthopnea
-
Cor pulmonale
-
Free radicals
Question 14
Question
You are managing a patient experiencing exacerbation of emphysema with CPAP. To avoid barotrauma, what is the recommended airway pressure?
Answer
-
5 cm/H2O
-
20 cm/H2O
-
15 cm/H2O
-
10 cm/H2O
Question 15
Question
You are assessing an emphysema patient with respiratory distress and sharp localized chest pain to the left hemithorax. The patient states that he normally has trouble breathing, but it suddenly became much worse after a "coughing spell." You note absent breath sounds to the left apical and mid lung fields, and diminished sounds on the right side. Given these findings, what would you anticipate finding when you percuss the thorax?
Answer
-
Hyperresonance
-
"A to E" changes
-
"E to A" changes
-
Hyporesonance
Question 16
Question
A condition that exists when the pulmonary capillaries have a greater permeability due to a non-cardiogenic cause is called:
Question 17
Question
How does the respiratory membrane change in patients with emphysema?
Answer
-
Results in a productive cough
-
Increases the tidal volume during exertional episodes
-
Narrow the passages for air to flow
-
Reduction of the total surface area available for gas exchange
Question 18
Question
You arrive on scene for an unresponsive male patient with a suspected airway obstruction. Without performing any other assessment on this patient other than knowing he is an adult male, what is the most common reason for an upper airway obstruction?