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

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Pulmonary Pretest (Paramedic care and Principles: 5th Edition chapter Pretest)
Jake Anderson
Quiz por Jake Anderson, atualizado more than 1 year ago
Jake Anderson
Criado por Jake Anderson mais de 1 ano atrás
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Resumo de Recurso

Questão 1

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

Questão 2

Questão
The initial phase of an asthma reaction​ includes:
Responda
  • 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.

Questão 3

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

Questão 4

Questão
Why is the use of Lasix or nitroglycerin often of no benefit to the patient suffering from noncardiogenic pulmonary edema​ (ARDS)?
Responda
  • 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

Questão 5

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

Questão 6

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

Questão 7

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

Questão 8

Questão
What is the underlying pathophysiological change to the lungs that causes the patient to develop adult respiratory distress syndrome​ (ARDS)?
Responda
  • 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

Questão 9

Questão
Which of the following patients display findings of respiratory​ failure?
Responda
  • 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

Questão 10

Questão
What is the underlying pathology of a patient with an upper respiratory​ infection?
Responda
  • 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

Questão 11

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

Questão 12

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

Questão 13

Questão
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?
Responda
  • Emphysema
  • Lower airway obstruction
  • Acute respiratory distress syndrome
  • Pneumonia

Questão 14

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

Questão 15

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

Questão 16

Questão
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?
Responda
  • 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.

Questão 17

Questão
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?
Responda
  • 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

Questão 18

Questão
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?
Responda
  • Chronic bronchitis
  • Emphysema
  • ARDS
  • Pneumonia

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