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

Jake Anderson 18 questions Updated 26 Apr 2023

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Questions in this quiz (18)

  1. 1A patient with a suspected stroke in the brainstem region may display what type of changes to the pulmonary​ system?
    1. ABreathing may become dependent on carbon dioxide levels rather than oxygen levels.
    2. BSpontaneous breathing stops with any type of brainstem damage.
    3. CBreathing may become deep and rapid.
    4. DThere is no change to the breathing with brain injuries. Breathing depends on carbon dioxide levels in the bloodstream.
  2. 2Which of the following findings for a patient complaining of dyspnea is of greatest​ concern?
    1. AAbsent breath sounds to right apical lung
    2. BETCO2 of 45 mmHg
    3. CInability to speak in full sentences
    4. DPulse ox of 94 percent
  3. 3A​ 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?
    1. ASpontaneous pneumothorax
    2. BExacerbation of his emphysema
    3. CUpper airway obstruction
    4. DCentral nervous dysfunction
  4. 4How does chronic bronchitis cause the development of pulmonary​ hypertension?
    1. ABronchoconstriction activated by some type of trigger compromises the​ patient's ability to​ ventilate, thus becoming hypercarbic​ = vasoconstriction.
    2. BThe number of pulmonary capillaries in the lung tissue decreases over the​ time, which increases resistance to pulmonary blood flow.
    3. CGas exchange is increased because of higher alveolar​ ventilation, resulting in​ hypocarbia, which causes pulmonary vasoconstriction.
    4. DGas exchange is decreased because of lowered alveolar​ ventilation, resulting in​ hypercarbia, which causes pulmonary vasoconstriction.
  5. 5While gathering the medications a patient with respiratory distress is​ prescribed, which of the following indicates that he likely has a​ short-term pulmonary​ problem?
    1. ABronchodilators
    2. BAntibiotics
    3. COxygen therapy
    4. DCorticosteroids
  6. 6How does a simple pneumothorax interfere with the​ body's ability to oxygenate peripheral lung​ tissues?
    1. AIntrapulmonary pressure exceeds intrapleural​ pressure, resulting in the inability of the alveoli to expand
    2. BThe right side of the heart becomes incapable to perfuse blood through the alveolar capillary beds
    3. CA loss of negative pleural space pressure inhibits the lung from expanding properly
    4. DThere is compression of the vena cava with kinking of the​ aorta, resulting in poor peripheral perfusion
  7. 7The​ _____ pleura covers the lungs while the​ _____ pleura lines the thoracic cavity.
    1. AVisceral, parietal
    2. BMucosal, visceral
    3. CMucosal, alveolar
    4. DParietal, mucosal
  8. 8You 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:
    1. Apulmonary edema
    2. Bpneumonia
    3. Casthma
    4. Dspontaneous pneumothorax.
  9. 9You 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?
    1. AProvide abdominal thrusts in a​ rapid, upward fashion
    2. BManually open his airway and visualize for the object
    3. CProvide chest thrusts until the object is relieved
    4. DLay him down on the floor and immediately begin CPR
  10. 10You 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:
    1. Abronchiolitis
    2. BSIDS
    3. Cchoking
    4. Dchild abuse.

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Description
Pulmonary (Paramedic care and Principles: 5th Edition chapter Post-test)
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English
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Created on 26 Apr 2023 · updated on 26 Apr 2023
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