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Flashcards in Cough Deck (28)
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1

____ and _____ are highly sensitive to mechanical stimuli (bronchial obstruction, lung inflation).

Rapidly adapting receptors (RARs) and slowly adapting stretch receptors (SARs)

1

What is cough variant asthma?

asthma in which cough is the only symptom

2

Rapidly adapting receptors (RARs) and slowly adapting stretch receptors (SARs) are highly sensitive to ____, such as _____.

mechanical stimuli; bronchial obstruction, lung inflation

2

Upper airway cough syndrome (UACS) is also known as ____.

postnasal drip syndrome

3

This is a cough that is triggered by low level stimuli such as:

  • changes in ambient temperature
  • taking a deep breath
  • laughing
  • talking on the phone for more than a few minutes
  • cigarette smoke
  • aerosol sprays
  • perfumes
  • eating crumbly dry food

Neuropathic Cough (Chronic Cough Hypersensitivity Syndrome)

5

The _____ nerve is the major afferent pathway in the cough reflex arc.

vagus

6

The efferent pathway of the cough reflex consists of 4 phases:

  1. Inspiratory Phase
  2. Compressive Phase
  3. Expiratory Phase
  4. Relaxation Phase

7

What are the three main subtypes of afferent nerves that regulate cough?

  • rapidly adapting receptors (RARs)
  • slowly adapting stretch receptors (SARs)
  • C-fibers

7

_____ cough is defined as cough lasting more than 8 weeks in duration.

Chronic

7

What is the tx for Upper airway cough syndrome (UACS)?

first generation anti-histamine/decongestant combination medication for ≥ 2 weeks

9

Where is a voluntary cough initiated?

the cerebral cortex

10

This is cough with eos in the airway inflammation without variable airflow limitation or hyperresponsiveness.

non-asthma eosinophilic bronchitis (NAEB)

11

C-fibers are highly sensitive to ______.

noxious chemical stimuli

11

What is the tx for Neuropathic Cough (Chronic Cough Hypersensitivity Syndrome?

neuropathic medications, such as amitryptyline and gabapentin

13

Subacute cough is defined as cough lasting _____ in duration.

3-8 weeks

15

Where can cough anatomically be initiated?

  • ear
  • pharynx
  • lungs
  • trachea
  • heart
  • esophagus

17

What are the s/s of Neuropathic Cough (Chronic Cough Hypersensitivity Syndrome)?

  • repeated throat clearing
  • chest tightness
  • hoarse voice
  • dysphonia
  • a globus sensation
  • dysphagia

17

The most common cause of cough in children and adults is ______.

an acute viral URI

19

What are the s/s of Upper airway cough syndrome (UACS)?

  • sensation of “tickle” or something in throat
  • throat clearing
  • hoarseness
  • nasal congestion and drainage
  • cobblestone appearance of oropharyngeal mucosa
  • mucus in nasal passages or oropharynx

20

What is Neuropathic Cough (Chronic Cough Hypersensitivity Syndrome)?

Cough that is triggered by low level stimuli such as:

  • changes in ambient temperature
  • taking a deep breath
  • laughing
  • talking on the phone for more than a few minutes
  • cigarette smoke
  • aerosol sprays
  • perfumes
  • eating crumbly dry food

21

_____ is also known as postnasal drip syndrome.

Upper airway cough syndrome (UACS)

22

Acute cough is defined as cough lasting less than ____ in duration.

3 weeks

22

____ cough is defined as cough lasting 3-8 weeks in duration.

subacute

24

What is the tx for non-asthma eosinophilic bronchitis (NAEB)?

inhaled corticosteroid for at least 4 weeks

25

The three most common causes of chronic cough in immunocompetent adults with normal chest x-rays are ____, ____, and ____.

  • upper airway cough syndrome (UACS)
  • asthma
  • GERD

26

What is non-asthma eosinophilic bronchitis (NAEB)?

eos in the airway inflammation without variable airflow limitation or hyperresponsiveness

27

Chronic cough is defined as cough lasting more than _____ in duration.

8 weeks

28

_____ are highly sensitive to noxious chemical stimuli.

C-fibers