KAHOOT/Self Test Exam 1

Question 1

If an asthma patient is not treat what can happen

Answer 1

irreversible airway remodeling

Question 2

A pt. with severe asthma and very thick secretion with mucous plugging can have what pathology

Answer 2

atelectasis

Question 3

Name some things that can be associated with extrinsic asthma

Answer 3

animal dander mold

Question 4

When an asthmatic patient has an early response followed by a late response to an allergen, this is known as:

Answer 4

Biphasic response

Question 5

If an asthmatic patient is given a sympathomimetic and parasympatholytic medication, what can be expected to happen?

Answer 5

Bronchial smooth muscle relaxation

Question 6

Pulsus paradoxus is present when:

Answer 6

Inspiratory systolic blood pressure >10 mm Hg less than during exhalation

Question 7

You are assessing a patient in an acute asthma exacerbation. What would you expect to find? i. Inverse I:E ratio ii. ↓ vocal fremitus iii. ↑ vesicular breath sounds iv. Hyperresonance to percussion

Answer 7

ii, iv

Question 8

You are performing pulmonary function testing on a patient with asthma complaining of increasing shortness of breath. Which of the following PFT findings might confirm what the patient is stating? i. ↓ tidal volume ii. ↓ FRC iii. ↑ RV iv. ↓ VC

Answer 8

iii, iv

Question 9

A sputum sample from a suspected asthmatic patient has been sent to the laboratory for analysis. Which of the following findings would confirm the diagnosis?

Answer 9

↑ IgE level

Question 10

Short-acting ß2 agonists are indicated for:

Answer 10

Relief of acute reversible airflow obstruction

Question 11

Your patient is diagnosed with persistent asthma. Which type of drug would you recommend for maintenance bronchodilation and control of bronchospasm?

Answer 11

Long-acting adrenergic agent

Question 12

Salmeterol is:

Answer 12

A long-acting ß-adrenergic agent

Question 13

Long-acting ß2 agonists are indicated for:

Answer 13

Maintenance therapy for asthmatics

Question 14

The bronchodilating action of adrenergic drugs is due to stimulation of:

Answer 14

ß2 receptors

Question 15

ß1-receptor stimulation:

Answer 15

Increases heart rate and contractile force

Question 16

You are reading a chest X-ray of a patient in the emergency department with an acute asthma exacerbation. What radiographic findings would you expect to observe? i. Depressed hemi-diaphragms ii. ↑ anterior-posterior diameter iii. Asymmetrical lung inflation iv. Translucent lung fields

Answer 16

i, ii, iv

Question 17

Which of the following describes emphysema?

i. Is pathologically similar to chronic bronchitis
ii. Is pathologically similar to cystic fibrosis
iii. Promotes destruction of alveolar walls
iv. Promotes mucus plugging

Answer 17

i, iii

Question 18

A genetically linked cause of pan lobular emphysema is:

Answer 18

Alpha1-antitrypsin deficiency

Question 19

Which of the following pathological causes will not lead to emphysema?

Answer 19

Exposure to asbestos fibers

Question 20

Chronic bronchitis is characterized by: i. ↑ size of submucosal bronchial glands ii. Destruction of pulmonary capillaries iii. Chronic bronchial wall inflammation iv. Bronchospasm

Answer 20

i, iii, iv

Question 21

Which of the following are anatomic alterations found with emphysema? i. Hyperinflation ii. Mucus plugs iii. ↓ surface area for gas exchange iv. Weakened distal airways

Answer 21

i, iii, iv

Question 22

Most patients will begin to be affected by their symptoms and seek medical help at which COPD stage?

Answer 22

Stage II

Question 23

A patient with emphysema will demonstrate which result for the diffusing capacity test (DLCO)?

Answer 23

↓

Question 24

Which of the following symptoms may manifest in chronic bronchitis? i. Cyanosis ii. Green sputum iii. Cor pulmonale iv. Hypercarbia

Answer 24

i, ii, iii, iv

Question 25

A Type A COPD patient would generally demonstrate which of the following? a) Pulmonary hypertension b) Cor pulmonale c) Cyanosis d) All of the above

Answer 25

All of the Above

Question 26

Relaxation of smooth airway muscle in the presence of reversible airflow obstruction is a general indication for the use of:

Answer 26

Adrenergic bronchodilators

Question 27

Disease states that could benefit from the use of adrenergic bronchodilators include which of the following? i. Asthma ii. Bronchitis iii. Emphysema iv. Bronchiectasis v. Pleural effusion

Answer 27

i, ii, iii, and iv only

Question 28

Short-acting beta2 agonists are indicated for:

Answer 28

Relief of acute reversible airflow obstruction

Question 29

Long-acting beta2 agonists are indicated for:

Answer 29

Maintenance therapy for asthmatics

Question 30

An anticholinergic that can be administered by aerosolization is:

Answer 30

Ipratropium bromide

Question 31

Atrovent is approved for:

Answer 31

Maintenance treatment of airflow obstruction in COPD

Question 32

Combivent is a combination drug including which agents?

Answer 32

Albuterol and ipratropium

Question 33

Which of the following physiologic effects is not produced by xanthines?

Answer 33

Cerebral vasodilation

Question 34

True or False: COPD is more common in men than in women?

Answer 34

False

Question 35

What is the term for respiratory failure due to inadequate ventilation?

Answer 35

Hypercapneic

Question 36

Hypoxemia can be caused by: a) Diffusion defects b) Shunting c) Alveolar hypoventilation

Answer 36

All of the Above

Question 37

What happens to the P(A-a)O2 with V/Q mismatch and shunt?

Answer 37

Will increase with both

Question 38

Which of the following could differentiate acute from chronic hypercapnic respiratory failure?

Answer 38

Retaining bicarbonate to elevate the blood pH

Question 39

What is the primary problem in obstructive lung disease?

Answer 39

Increased airway resistance

Question 40

Which of the following is typically elevated in restrictive lung disease?

Answer 40

Pressure needed to expand the lung

Question 41

What causes the residual volume (RV) and functional residual capacity (FRC) to increase?

Answer 41

Chronic obstructive lung disease

Question 42

In which of the following conditions is total lung capacity (TLC) always reduced?

Answer 42

Restrictive lung disease

Question 43

Which of the following is NOT a common treatment for someone with mild asthma a) Singular b) Salbutamol c) Methylprednisone d) Tigger Avoidance

Answer 43

Methylprednisone

Question 44

How often is follow up after a patient has a medication change following loss of control

Answer 44

three months

Question 45

During which asthma treatment are sputum IgE levels monitored

Answer 45

Omalizumab

Question 46

Which asthma medication can cause oral thrust

Answer 46

Fluticasone

Question 47

Which FEV1 is associated with moderate persistent asthma severity

Answer 47

FEV1 60-80%

Question 48

Which medications can trigger asthma symptoms a) NSAIDs b) Acetaminophen c) Beta blockers d) Both a and c

Answer 48

Both A and C

Question 49

Which of the follow is characteristic of atopic asthma a) Only type of asthma treated with salbutamol b) Common trigger is animal dander C) Onset occur in later life

Answer 49

common trigger is animal dander

Question 50

which condition does not commonly occur with asthma a)GERD b) Nasal Polys c) Migraines d) Allergic Rhinitits

Answer 50

Migraines

Question 51

Which spirometry parameters is diagnostic of asthma

Answer 51

FEV1/FVC \<70% and improvement in FEV1 230 mL post combivent

Question 52

What is one of the major features that differentiates asthma from COPD

Answer 52

reversibility of obstruction

Question 53

Which of the following is NOT a common manifestation of COPD

Answer 53

Schizophrenia

Question 54

Which of the following is not one of the 5 A to assist in smoking cessation a) Ask b) Advise c) Assist d) Alternate

Answer 54

Alternate

Question 55

What is the Gold Standard for COPD diagnosis

Answer 55

Spirometry

Question 56

Which spirometry characteristic are NOT common in COPD a) "Scooping" of the flow volume loop b) Obstruction is fully reversible with bronchodilator therapy c)FEV1 56% of predicted normal d)FEV1/FVC \<70% of predicted normal

Answer 56

Obstruction is fully reversible with bronchodilator therapy

Question 57

What type emphysema most common in Alpha 1 Antitrypsin deficiency

Answer 57

Panalnar Emphysema

Question 58

Which of the follow is an example of LAMA respiratory medication a) Salbutamol b) Advair c) Tiotropium d) Formoterol

Answer 58

Tiotropium

Question 59

Pt in ER with COPD exacerbation ABD of 7.24 what is next step

Answer 59

intubate

Question 60

Theophylline

Answer 60

Relatively weak bronchodilator

Question 61

Which of the follow drugs cannot be administered by instillation a) Narcan b) Epinephrine c) Lidocane d)Labetalol

Answer 61

Labetalol

Question 62

What is the most common route of administration of ventolin

Answer 62

inhalation

Question 63

Which of the following is not common means of administering Nicotine Replacement Therapy

Answer 63

intramuscular

Question 64

What is Salbutamol's mechanism of action

Answer 64

B2 (Beta 2) Agonists

Question 65

What respiratory medication has a quicker onset of action a) Ventolin b) Pulmicort

Answer 65

Ventolin

Question 66

Which of the following is a cause of extra pulmonary cause of restrictive lung disease

Answer 66

Kyphoscolosis

Question 67

Increased Dead Space Ventilation Occurs a) When a factor increases zone 3 of the lung b) With hypoventilation c) With pulmonary embolism d) With decreased inspired O2

Answer 67

With pulmonary embolism

Question 68

Type II Respiratory Failure also known as

Answer 68

hypercapnia Respiratory Failure Hypercarpic Respiratory Failrue

Question 69

What is true about Hypoxemia

Answer 69

A patient can have hypoxemia but not hypoxic

Question 70

Which of the follow measurement is cyanosis readily detectable

Answer 70

SpO2 75%