Clinical Medicine: Pulmonary Pathophysiology II

Descripción

Pulmonary Pathophysiology II
cskrewson0519
Test por cskrewson0519, actualizado hace más de 1 año
cskrewson0519
Creado por cskrewson0519 hace alrededor de 9 años
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Resumen del Recurso

Pregunta 1

Pregunta
If ventilation is reduced by obstruction, the arterial blood will be the same as venous.
Respuesta
  • True
  • False

Pregunta 2

Pregunta
Which of the following is true regarding right-to-left shunts?
Respuesta
  • Cannot be corrected by supplemental O2
  • Will not have any noticeable effect on blood
  • Can be corrected by high supplemental O2
  • Will result in over-oxygenation and possibly death

Pregunta 3

Pregunta
Which of the following is true regarding the transport of O2 & CO2 in the body?
Respuesta
  • Most O2 is reversibly bound to hemoglobin
  • Most CO2 is reversibly bound to hemoglobin
  • Most CO2 diffuses into red blood cells
  • The binding/release of oxygen to hemoglobin depends on PO2, PCO2, temperature, and plasma pH
  • Most O2 is dissolved into the plasma

Pregunta 4

Pregunta
ABG measures which of the following: (Select all that apply)
Respuesta
  • Serum pH
  • HCO3
  • O2
  • CO2
  • RBC

Pregunta 5

Pregunta
Which of the following are components of the breathing control system: (select all that apply)
Respuesta
  • Central chemoreceptors for H+
  • Peripheral chemoreceptors for O2, CO2, and H+
  • mechanoreceptors in the lungs and joints
  • control centers for breathing in the brain stem (medulla and pons)
  • respiratory muscles, regulated by the brain stem center

Pregunta 6

Pregunta
Which of the following is/are true of hypercapnia, under normal conditions: (select all that apply)
Respuesta
  • Excess CO2 will easily diffuse into CSF and lower pH
  • Respiratory acidosis will cause excitation of nervous system
  • Will cause hyperventilation
  • Will cause hypoventilation
  • Respiratory acidosis will cause nervous system depression

Pregunta 7

Pregunta
Which of the following are accurate: (select all that apply)
Respuesta
  • Yellowish-green, cloudy, thick mucus is often an indication of a bacterial infection
  • Rusty or dark-colored sputum is usually a sign of pneumococcal pneumonia
  • Very large amounts of purulent sputum with foul odor may be associated with bronchiectasis
  • Blood-tinged sputum may result from chronic cough or may also be a sign of TB or a tumor
  • Blood-tinged (bright red) frothy sputum is usually associated with pulmonary edema

Pregunta 8

Pregunta
Which of the following are accurate associations between breath sounds and disease states: (select all that apply)
Respuesta
  • Rhonchi: acute bronchitis
  • Stridor: cold/flu
  • Vesicular: asthma
  • Rales: pneumonia
  • Wheezing: upper airway obstruction

Pregunta 9

Pregunta
Dyspnea may be due to decreased O2 or increased CO2.
Respuesta
  • True
  • False

Pregunta 10

Pregunta
Orthopnea, in which dyspnea occurs upon lying down, is usually due to pulmonary congestion.
Respuesta
  • True
  • False

Pregunta 11

Pregunta
Paroxysmal nocturnal dyspnea is commonly associated with:
Respuesta
  • left-sided congestive heart failure
  • hypersensitivity pneumonitis
  • obstructive sleep apnea
  • cystic fibrosis

Pregunta 12

Pregunta
A lobar pneumonia may spread to the pleural cavity and become an empyema.
Respuesta
  • True
  • False

Pregunta 13

Pregunta
Atypical pneumonia, often associated with Mycoplasma pneumoniae, is a type of interstitial pneumonia affecting the areas between the alveoli.
Respuesta
  • True
  • False

Pregunta 14

Pregunta
Which of the following are true regarding cystic fibrosis? (select all that apply)
Respuesta
  • it is an inherited (genetic) disorder
  • primarily affects lungs and pancreas
  • common infections in these pts include P. aeruginosa and S. aureus
  • it may obstruct bile ducts
  • may obstruct vas deferens (in males) and cervix (in females)
  • sweat may contain high salt content

Pregunta 15

Pregunta
Malabsorption, steatorrhea, abdominal distention, and frequent respiratory infections are all indicative of what disease?
Respuesta
  • Goodpasture's syndrome
  • COPD
  • Cystic fibrosis
  • TB
  • Wegener's granulomatous

Pregunta 16

Pregunta
The exocrine gland dysfunction associated with cystic fibrosis may result in what sequelae? (select all that apply)
Respuesta
  • Diabetes mellitus
  • Biliary cirrhosis
  • Electrolyte imbalance and dehydration
  • Infertility
  • Cor pulmonale

Pregunta 17

Pregunta
Adenocarcinomas and bronchoalveolar cell carcinomas are usually found on periphery of lungs.
Respuesta
  • True
  • False

Pregunta 18

Pregunta
Aspiration may result in:
Respuesta
  • pneumonia
  • respiratory distress syndrome
  • pulmonary abscess
  • A & C only
  • All of the above

Pregunta 19

Pregunta
Which of the following are contributing factor to emphysema? (select all that apply)
Respuesta
  • Genetic deficiency
  • Genetic tendency
  • Cigarette smoking
  • Pathogenic bacteria
  • Viral infection

Pregunta 20

Pregunta
Advanced emphysema may cause: (select all that apply)
Respuesta
  • Pneumothorax
  • Pulmonary HTN
  • Cor pulmonale
  • Atelectasis

Pregunta 21

Pregunta
Adjacent damaged alveoli may coalesce to form large air spaces and large blebs may rupture causing pneumothorax in this disorder:
Respuesta
  • emphysema
  • chronic bronchitis
  • cystic fibrosis
  • wegener's granulomatous

Pregunta 22

Pregunta
Fixation of ribs in an respiratory position, increased anterior-posterior diameter of thorax (barrel chest), and a flattened diaphragm (on radiographs) are all signs of:
Respuesta
  • emphysema
  • TB
  • cystic fibrosis
  • hypersensitivity pneumonitis

Pregunta 23

Pregunta
Chronic ___________ lung disorders may result from long-term exposure to irritating particles, resulting in inflammation and gradual destruction of connective tissue.
Respuesta
  • obstructive
  • restrictive
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