Pulmonary Pretest (Paramedic care and Principles: 5th Edition chapter Pretest)

Beschreibung

Pulmonary Pretest (Paramedic care and Principles: 5th Edition chapter Pretest)
Jake Anderson
Quiz von Jake Anderson, aktualisiert more than 1 year ago
Jake Anderson
Erstellt von Jake Anderson vor mehr als ein Jahr
2
0

Zusammenfassung der Ressource

Frage 1

Frage
Which of the following findings for a patient complaining of dyspnea is of greatest​ concern?
Antworten
  • Stridor on inspiration
  • Pulse ox of 95 percent
  • Normoresonance on the left side
  • ETCO Subscript 2 of 37 mmHg

Frage 2

Frage
The initial phase of an asthma reaction​ includes:
Antworten
  • an increase in vital capacity and hypercarbia.
  • pharynx edema and hypotension.
  • contraction of the bronchial smooth muscle and leakage of fluid from peribronchial capillaries.
  • increased mucus production and tachycardia.

Frage 3

Frage
What is the sensation felt by placing a hand on the chest that vibrates during​ speech?
Antworten
  • Percussion
  • Crepitus
  • Tactile fremitus
  • Bruit

Frage 4

Frage
Why is the use of Lasix or nitroglycerin often of no benefit to the patient suffering from noncardiogenic pulmonary edema​ (ARDS)?
Antworten
  • Because the reason for the pulmonary edema is not related to the cardiac pump​ (left ventricle)
  • Because ARDS depresses the blood pressure and makes either drug contraindicated
  • Because the patient with ARDS often has renal and cardiac complications that render both drugs ineffective
  • Because ARDS is often​ fatal, and no intervention has been shown to be beneficial

Frage 5

Frage
The primary​ muscles, along with the abdominal​ muscles, used in periods of heavy respiratory demand are the
Antworten
  • sternocleidomastoid and scalene muscles.
  • pectoral major and masseter muscles.
  • anconeus and trapezius muscles.
  • latissimus dorsi and soleus muscles.

Frage 6

Frage
Found where the trachea divides into the left and right mainstem​ bronchi, stimulation of the​ _____ can result in violent coughing
Antworten
  • Diaphragm
  • Turbinates
  • Carina
  • ​Kiesselbach's plexus

Frage 7

Frage
Risk factors for pneumonia​ include:
Antworten
  • Age and​ immuno-compromising diseases
  • Cardiac output and environmental exposure
  • Exposure to hot temperatures and drug abuse
  • Altered mental status and poor vital signs

Frage 8

Frage
What is the underlying pathophysiological change to the lungs that causes the patient to develop adult respiratory distress syndrome​ (ARDS)?
Antworten
  • Increased fluid accumulation in the perialveolar interstitial spaces
  • Increased surfactant production that thickens the alveolar wall
  • Increased lung resistance due to overwhelming bronchoconstriction
  • Increased pulmonary vein pressure from a failing left ventricle

Frage 9

Frage
Which of the following patients display findings of respiratory​ failure?
Antworten
  • Respiratory rate of​ 32/min, ETCO Subscript 2 of 50​ mmHg, intercostal retractions are​ noted, and tachycardia
  • Peripheral​ cyanosis, expiratory​ wheezing, respiratory rate of​ 26/min
  • Central​ cyanosis, 1-2 word​ dyspnea, pulse ox of 84 percent
  • Absent alveolar breath sounds to left apical​ zone, pulse ox of 93​ percent, minor confusion

Frage 10

Frage
What is the underlying pathology of a patient with an upper respiratory​ infection?
Antworten
  • Inflammation of upper airway structures from a virus or bacteria
  • Swelling to the bronchioles with diminished alveolar sounds
  • Infections to the upper airway structures from chronic bronchitis
  • Exposure to toxic fumes causing irritation to the​ mouth, nose, and trachea

Frage 11

Frage
A patient in your care is coughing up blood. This is documented as which of the​ following?
Antworten
  • Hyperoxia
  • Hemopoiesis
  • Hyperpnea
  • Hemoptysis

Frage 12

Frage
When the walls of the alveoli and small bronchioles are​ destroyed, as occurs in​ emphysema, vital capacity remains relatively the same while what​ increases?
Antworten
  • Forced expiratory volume
  • Anatomical dead space
  • Residual volume
  • Inspiratory reserve volume

Frage 13

Frage
What is the type of respiratory problem that occurs when the patient develops an infectious process in one part of a lung that continues to spread throughout adjacent​ alveoli, which ultimately decreases ventilation and​ oxygenation?
Antworten
  • Emphysema
  • Lower airway obstruction
  • Acute respiratory distress syndrome
  • Pneumonia

Frage 14

Frage
A patient with an airway obstruction between which two anatomical points will be unable to ventilate at​ all?
Antworten
  • Right mainstem and alveoli
  • Glottis opening and carina
  • Nasopharynx and oropharynx
  • None of the above

Frage 15

Frage
Along with cigarette​ smoking, exposure to​ asbestos, hydrocarbons,​ radiation, and fumes from metal production have been associated risk factors for what lung​ disease?
Antworten
  • Tension pneumothorax
  • Hyperventilation
  • Congestive heart failure
  • Cancer

Frage 16

Frage
A​ 20-year-old male runner comes up to you at the finish line of a cross country meet and says he​ "can't breathe." Physical exam reveals a​ 6'5", very thin male with​ acute, sharp pleuritic chest​ pain, and pale and diminished lung sounds are auscultated in the apex area of the right lung. What has likely happened to​ him?
Antworten
  • The hilum of the right lung has ruptured.
  • The patient has had an acute loss of surfactant production.
  • Air has entered in between the visceral and parietal pleura. Your answer is correct.D.
  • Blood has entered in between the visceral and parietal pleura.

Frage 17

Frage
You are called to the home of a patient with a neuromuscular disease that has left him dependent on mechanical ventilation through a stoma for survival. The family summoned EMS due to the ventilator alarming​ "low minute​ ventilation." What should the paramedic do regarding management of this​ patient?
Antworten
  • Suction out the stoma and reattach the ventilator
  • Assure the stoma is patent and begin ventilations with a​ bag-valve-mask (BVM)
  • Perform an RSI procedure and intubate the patient around the stoma tube
  • Remove the ventilator and allow the patient to breathe on his own

Frage 18

Frage
Your patient is a thin​ 59-year-old male in respiratory distress. He presents in a tripod position and appears to be working to​ breathe, pursing his lips. He is on home oxygen at 2 Lpm via nasal cannula and takes Atrovent and Proventil as his medications. You immediately notice his​ barrel-chested appearance, increased​ anterior/posterior chest diameter and pink complexion. Most​ likely, this patient suffers from which of the​ following?
Antworten
  • Chronic bronchitis
  • Emphysema
  • ARDS
  • Pneumonia
Zusammenfassung anzeigen Zusammenfassung ausblenden

ähnlicher Inhalt

How well do you know GoConqr?
Sarah Egan
Pulmonary (Paramedic care and Principles: 5th Edition chapter Post Test)
Jake Anderson
Pediatrics (6th edition)
Jake Anderson
Revision Timetable
katy.lay
OCR Gateway GCSE P3 Revision Quiz
xhallyx
General Knowledge Quiz
Andrea Leyden
Ancient Roman Quiz
Rev32
How to revise
KimberleyC
The Engineered World - Unit 1
Yachtmasterhammond
Religious Studies Key Concepts
Keera
Core Spring 4.2 Certification Mock Exam
antoine.rey