Ch. 33 Alterations in Pulmonary Function Flashcards

1
Q
Which of the following is the appropriate term for inadequate alveolar ventilation in relation to metabolic demands?
  Hyperpnea
  Hypoventilation
  Orthopnea
  Dyspnea
A

Hypoventilation

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2
Q
A person has respirations that are characterized by alternating periods of deep and shallow breathing and apnea. What is the appropriate name for this breathing?
  Cheyne-Stokes
  Hypoventilation
  Kussmaul
  Hyperpnea
A

Cheyne-Stokes

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3
Q
A woman has bulbous enlargement of the distal segments of her fingers. Which disease is associated with this condition?
  Acute pneumonia
  Acute myocardial infarction
  Sickle cell disease
  Cystic fibrosis
A

Cystic fibrosis

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4
Q

Which of the following is NOT a cause of hypercapnia?
Depression of the respiratory center by drugs
Disease of the medulla
Large airway obstruction
Increased respiratory drive

A

Increased respiratory drive

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5
Q
A woman develops excess water in her lungs. What is the most common cause of this condition?
  Inhalation of toxic gases
  Heart disease
  Pulmonary hypertension
  ARDS
A

Heart disease

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6
Q

Which of the following is NOT true concerning pneumonia?
Viral pneumonia is usually mild and self-limiting.
The most common community-acquired pneumonia is caused by Streptococcus pneumoniae.
Most cases are preceded by an upper respiratory infection.
Mortality from pneumonia is higher in children and young adults.

A

Mortality from pneumonia is higher in children and young adults

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7
Q
A person has symmetrically dilated airways. Which type of bronchial dilation is this?
  Saccular
  Varicose
  Cylindrical
  Bronchiectasis
A

Cylindrical

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8
Q

Which of the following is TRUE regarding bronchiolitis?
In adults, it is usually caused by a virus.
It is most common in adults.
It is an inflammatory obstruction of the small airways or bronchioles
It is associated with bacterial infection.

A

It is an inflammatory obstruction of the small airways or bronchioles

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9
Q
A 19-year-old man experiences a gunshot wound to the chest. He has an increase in pressure in his chest cavity. Which of the following is NOT an appropriate description for this condition?
  Tension pneumothorax
  Spontaneous pneumothorax
  Secondary pneumothorax
  Open pneumothorax
A

Spontaneous pneumothorax

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10
Q
A woman has pus in the pleural space. She had a previous respiratory infection. What is the name for this condition?
  Abscess
  Consolidation
  Empyema 
  Transudate
A

Empyema

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11
Q
Which of the following is NOT a cause of pulmonary fibrosis?
  ARDS
  Tuberculosis
  Inhalation of harmful substances
  Upper respiratory infection
A

Upper respiratory infection

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12
Q
A 63-year-old man presents with a cough and dyspnea. He has been around asbestos. Which chronic condition has been associated with this?
  Pulmonary edema
  Pulmonary fibrosis 
  Pneumothorax
  Pneumonia
A

Pulmonary fibrosis

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13
Q
Which of the following is TRUE regarding ARDS?
  Most commonly caused by infection
  Caused by injury to bronchioles
  Can cause severe pulmonary edema 
  Macrophages not involved in response
A

Can cause severe pulmonary edema

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14
Q
Which of the following is TRUE regarding asthma?
  90% of cases occur during childhood.
  10% of cases occur before age 40.
  The incidence has increased. 
  There is no hereditary pattern.
A

The incidence has increased

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15
Q

Which of the following is TRUE regarding the pathophysiology of asthma?
Inflammation results in airway hyperresponsiveness.
IgA is the major factor.
The inflammatory process is due to loss of bronchial smooth muscle spasm.
There is decreased vascular permeability.

A

Inflammation results in airway hyper responsiveness

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16
Q

Which of the following is TRUE regarding chronic bronchitis?
Hypersecretion of mucus
Chronic productive cough that occurs for at least 6 months
Occurs at least for 5 consecutive years
Decreased in smokers

A

Hypersecretion of mucus

17
Q
A person is born with an α-antitrypsin deficiency. Which of the following conditions will most likely manifest?
  Asthma
  Emphysema 
  Pulmonary fibrosis
  ARDS
A

Emphysema

18
Q
Which of the following pathogens is consistent with nosocomial pneumonia?
  Streptococcus pneumoniae
  Mycoplasma pneumoniae
  Haemophilus influenzae
  Pseudomonas aeruginosa
A

Pseudomonas aeruginosa

19
Q
A person has been exposed to a contaminated cooling system. A large number of people in the same building have developed pneumonia. The most likely pathogen is which of the following?
  Legionella pneumophila 
  Streptococcus pneumoniae
  Mycoplasma pneumoniae
  Klebsiella pneumoniae
A

Legionella pneumophila

20
Q
How is tuberculosis spread from person to person?
  Sexual contact
  Air droplet 
  Direct contact
  It is not transmitted person to person
A

Air droplet