COPD (12)

Question 1

In Chronic Bronchitis:

1. The bronchial walls are narrowed because of vasoconstriction
2. Bronchial glands are enlarged
3. the number of goblet cells is decreased
4. the number of cilia lining the tracheobronchial tree is increased

Answer 1

2. The Bronchial glands are enlarged

Question 2

which of the following bacteria are commonly found in the tracheobronchial tree of patients with chronic Bronchitis?  
1. staphylococcus 
2. Haemophilus influenza 
3. Klebsiella
4. Streptococcus pneumonia 
       A. 1 only
       B. 2 only 
       C. 3 and 4
       D. 2 and 4

Answer 2

D. 2 and 4

Question 3

In Chronic Bronchitis, the patient commonly demonstrates which of the following?

1. increased FVC
2. Decreased FEV1/FVC ratio
3. increased VC
4. Decreased FEV1
   a. 2 only
   b. 1 and 3
   c. 2 and 4
   d. 3 and 4

Answer 3

D. 3 and 4

Question 4

the patient with severe chronic bronchitis (late stage) commonly has which of the following arterial blood gas values?

1. normal pH
2. decreased HCO3
3. increased PaCO2
4. normal PaO2
   a. 1 only
   b. 1 and 3
   c. 2 and 3
   d. 3 and 4

Answer 4

B. 1 and 3

Question 5

patient with severe chronic bronchitis may demonstrate which of the following?

1. peripheral edema
2. distend neck veins
3. an elevated hemoglobin concentration
4. enlarged liver
   a. 3 only
   b. 2 and 4
   c. 2,3, and 4
   d. 1, 2, 3, and 4

Answer 5

d. 1, 2, 3, and 4

Question 6

what type of emphysema creates an abnormal enlargement of all structures distal to the terminal bronchioles?

A. Centrilobular emphysema
B. Alpha1- protease inhibitor deficiency emphysema
C. ZZ phenotype Emphysema
D. Panlobular Emphysema

Answer 6

D. Panlobular

Question 7

What is the normal range for alppha1-antitrypsin?

A. 0-150mg/dl
B. 150-350 mg/dl
C. 350-500mg/dl
D. 500-750mg/dl

Answer 7

B. 150-350mg/dl

Question 8

The DLCO of patients with severe emphysema is:
A. increased
B. Decreased
C. normal
D. not used to assess emphysema patients

Answer 8

B. Decreased

Question 9

Patients with severe Emphysema commonly demonstrates which of the following?
1. decreased SvO2
2. Increased O2ER
3. Decreased DO2
4. increased C(a-v)O2
     A. 1 only
     B. 3 only
     C. 4 only
     D. 1, 2, and 3

Answer 9

D. 1, 2, and 3

Question 10

which phenotype is associated with the lowest serum concentration of alpha1-antitrypsin?

A. MM Phenotype
B. MZ Phenotype
C. ZZ Phenotype
D. M phenotype

Answer 10

C. ZZ phenotype

Question 11

which of the following pulmonary function study findings are associated with severe emphysema? 
1. increased FRC
2. decreased PEFR
3. increased RV
4. decreased FVC
       A. 3 and 4
       B. 2 and 3
       C. 2,3, and 4
       D. 1,2,3, and 4

Answer 11

D. 1,2,3, and 4

Question 12

the patient with severe COPD commonly demonstrates which of the following hemodynamic indices?

1. decreased CVP
2. increased PA
3. decreased RVSWI
4. increased PVR
   a. 1 only
   b. 3 only
   c. 2 and 4
   d. 1 and 2

Answer 12

c. 2 and 4

Question 13

because acute ventilatory changes are often seen in patients with chronic ventilatory failure (compensated respiratory acidosis), the RT must be alert for this problem in patients with severe COPD, which of the following arterial blood gas values represents acute alveolar hyperventilation superimposed on chronic ventilatory failure?

1. increased pH
2. increased PaCO2
3. increased HCO3
4. increased PaO2

Answer 13

1. increased pH
2. increased PaCO2
3. increased HCO3

Question 14

the lung parenchyma in the chest radiograph of a patient with emphysema appears:

1. Opaque
2. white
3. more translucent than normal
4. dark

Answer 14

3. more translucent than normal

4. dark

Question 15

what is the single most common etiology factor in emphysema?

a. alpha1- antitrypsin deficiency
b. cigarette smoking
c. infection
d. sulfur dioxide

Answer 15

B. smoking