Respiratory Disorders Flashcards

1
Q

The main functions of the ______________ are to warm, filter, and humidify air as it enters the body through the nose and mouth

A

Upper airway

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2
Q

Hypertension can bring on a nosebleed by rupturing small vessels of the _____________.

A

lamina propria

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3
Q

The function of the ________________ is to exchange oxygen and carbon dioxide.

A

lower airway

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4
Q

The trachea divides into the right and left mainstream bronchi at the level of the ___________.

A

carina

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5
Q

The _________ mainstream bronchus is straighter and larger in diameter than the left, making it more susceptible to aspiration and inadvertent unilateral intubation.

A

right

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6
Q

The ____ lung shares its side of the intrathoracic space with the heart and only has two lobes.

A

left

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7
Q

_________________ takes place across the few layers of cells separating the alveoli from the pulmonary capillaries.

A

Gas exchange

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8
Q

The reciprocal passage of oxygen and carbon dioxide into the alveoli is called ______________.

A

respiration

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9
Q

The main muscle of ventilation is the ______________.

A

diaphragm

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10
Q

The diaphragm is innervated by the _________ nerve.

A

phrenic

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11
Q

Deoxygenated blood returns to the heart via the _____________ .

A

superior and inferior vena cavae

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12
Q

The __________________ located in the left upper thorax is the largest lymph vessel in the body.

A

thoracic duct

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13
Q

The level of _______ in the body is the primary modulator of respiration.

A

CO2

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14
Q

_______ is the chief waste product of metabolism.

A

CO2

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15
Q

________________, in which glucose is converted into energy in the presence of oxygen is the basic process of life.

A

Aerobic metabolism

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16
Q

________________ allows the cells to generate small amounts of energy but releases excessive acids as by-products, especially lactic and carbonic acids.

A

anaerobic

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17
Q

__________ is a passive process in which molecules move from an area with a higher concentration to an area of lower concentration.

A

Diffusion

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18
Q

Breathing occurs as the result of a buildup of CO2, which causes the pH to decrease in _________________.

A

cerebrospinal fluid

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19
Q

________________ sense changes in the composition of blood and body fluids.

A

chemoreceptors

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20
Q

A ________ is a substance that absorbs or donates Hydrogen.

A

buffer

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21
Q

The fastest way the body can get rid of excess acid is through the ___________________.

A

respiratory system

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22
Q

Sensors in the renal artery note hypoxia and then release __________________, a hormone hat stimulates the creation of red blood cells.

A

erythropoeiten

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23
Q

___________ is a condition of an elevated number of red blood cells.

A

polycythemia

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24
Q

An adult male has a total lung capacity of __________ mL.

A

6000

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25
Q

The amount of air that is moved into or out of the lungs during a single breath is called _____________.

A

tidal volume

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26
Q

A typical BVM holds approximately _______________ of air.

A

1000 - 2000

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27
Q

The _________________ is perhaps the most important element of patient assessment.

A

History of Present Illness

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28
Q

Hepatojugular reflex is specific to _____________-sided heart failure.

A

right

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29
Q

The normal partial pressure of oxygen dissolved in arterial blood is ____________ mm Hg.

A

80 - 100

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30
Q

___________________ is most likely one of the most important assessment tools available to the EMS provider.

A

Waveform Capnography

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31
Q

________________ is a lung injury or alveolar rupture from over distention of the alveoli.

A

Volutrauma

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32
Q

The use of BiPap in Patients with COPD has been shown to reduce the need for intubation by ________%.

A

59

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33
Q

If a patient allows intubation, it was probably _______________.

A

neccessary

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34
Q

______________ is difficulty swallowing.

A

dysphagia

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35
Q

The most common sound associated with upper airway obstruction is ____________.

A

stridor

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36
Q

The inhalation of anything other than breathable gases is called _______________.

A

aspiration

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37
Q

The most common cause of upper airway obstruction in conscious and unconscious patients is the _____________.

A

tongue

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38
Q

_______________ is an extreme systemic form of an allergic reaction involving two or more body systems.

A

Anaphylaxis

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39
Q

_______________, one of the primary chemical weapons, causes the blood vessels in the local area to dilate and the capillaries to leak.

A

Histamine

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40
Q

______________ is a common disease, prompting million of ED visits a year, for 20-30% of hospital admissions.

A

Asthma

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41
Q

________________ is the collapse of the alveolar air spaces of the lungs.

A

Atelecstasis

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42
Q

Lung infection causing fluid to collect in the alveoli is referred to as ________________.

A

pneumonia

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43
Q

The upper airway comprises all structures above the ____________.

A

vocal cords

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44
Q

_________________ is accomplished as the air picks up moisture from the soft tissues of the airway.

A

Humidification

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45
Q

The extensive vascularization of the nasal cavity and the vulnerable position of the nose make a nosebleed, or _____________ a fairly common occurrence.

A

epistaxis

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46
Q

The ____________, or windpipe is the conduit for air entry into the lungs.

A

trachea

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47
Q

Microscopic hairs called ________ help move the mucus and trapped particles up the respiratory tract to be eventually expelled by coughing or expectoration.

A

cilia

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48
Q

A chemical called ________________ coats the inner walls of the alveoli, helping keeping them open.

A

surfactant

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49
Q

________________ is a major risk factor for pneumonia.

A

Atelecstasis

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50
Q

The epithelium is made up of mucus secreting _________________ cells.

A

goblet

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51
Q

Mucus also contains an immune antibody called _______________.

A

Immunoglobulin A

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52
Q

In the lower respiratory tract, ________ can physically enter the alveoli and bronchioles by squeezing between the cell borders.

A

white cells

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53
Q

Oxygen and carbon Dioxide pass rapidly across the alveolar membrane by _______________.

A

diffusion

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54
Q

Normal respiration is controlled by the __________ drive, whereby respiration increases when CO2 becomes even slightly elevated.

A

hypercarbic drive

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55
Q

The _________ system regulates pH by filtering out more hydrogen and retaining bicarbonate in an acidotic state and doing the reverse in alkalotic states.

A

renal

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56
Q

The ___________________ in the medulla is the main pacemaker for breathing and is responsible for initiating inspiration.

A

dorsal respiratory group

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57
Q

The amount of air movement during rest is approximately ________ mL.

A

500

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58
Q

_____________ is the total amount of air moved in and out of the lungs with maximum inspiration and expiration.

A

vital capacity

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59
Q

________________ is the portion of the respiratory system having no alveoli and, therefore, where little or no exchange of gas between air and blood occurs.

A

dead space

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60
Q

Dead Space in the air in the upper airways and parts of the lower airway is normally accepted to be about ________ mL.

A

150

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61
Q

As a general rule, any respiratory noises that are ___________ without a stethoscope are abnormal.

A

audible

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62
Q

______________ is a good rough indication or adequate perfusion and oxygenation of the CNS.

A

Mental status

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63
Q

________________________ occurs when mild pressure on the Patient’s liver causes the jugular veins to engorge further.

A

Hepatojugular Reflex

64
Q

_________________ may be seen or felt as the suprasternal notch and is a classic late sign of tension pneumothorax.

A

tracheal deviation

65
Q

Wheezing is usually heard on __________.

A

expiration

66
Q

Auscultation of diminished breath sounds is a classic sign of _________________.

A

emphysema

67
Q

Oxygen is usually delivered by Nasal cannula, which can effectively provide _______________ oxygen.

A

24 - 40 %

68
Q

Use of a face mask can increase the concentration of oxygen administered up to _____% when 15 LPM of oxygen is given.

A

60

69
Q

_____________ should be considered the last option for patients who have severe asthma.

A

Intubation

70
Q

Chronic aspiration of food is also a common cause of _________________ in older patients.

A

pneumonia

71
Q

When an invading substance enters the body, the ______ cells recognize it as potentially harmful and begin releasing chemical mediators.

A

mast

72
Q

In the process of fighting off a streptococcal infection, the body can inadvertently attack the heart and valves, causing ________________.

A

Rheumatic Fever

73
Q

___________ is a life-threatening infection causing inflammation of the epiglottis and often supraglottic region.

A

Epiglottitis

74
Q

________________ is a sudden swelling, usually of a head or neck structure, such as the lips.

A

Angiodema

75
Q

_________ is a disease arising from the merger of two viruses, one from mammals and one from birds.

A

SARS

Severe Acute Respiratory Syndrome

76
Q

________ is a major cause of illness in young children, creating an infection in the lungs and breathing passages.

A

RSV

77
Q

When you are assessing a child, look for signs of dehydration; infants with RSV often refuse ___________.

A

liquids

78
Q

The presence of breath sounds on the affected lung cannot rule out pneumothorax because an estimated ______% of the lung would need to be collapsed to hear diminished breath sounds.

A

25

79
Q

______________ is the collection of fluid outside the lung on one or both sides of the chest.

A

Pleural Effusion

80
Q

______________ is the sudden blockage of an artery in the lung with a blood clot, an air bubble, a fatty plaque, or even a group of tumor cells.

A

Pulmonary Embolus

81
Q

The _______________ serves several important purposes. It humidifies and warms inhaled air, protecting the lower mucosa.

A

nasal cavity

82
Q

While not dedicated to ventilation, the structures of the mouth - lips, teeth, gums, tongue and salivary glands - function in _________________ and _____________________.

A

mastication

speech creation

83
Q

The trachea is a membraneous tube supported by a series of C-Shaped _______________ rings.

A

cartilagenous

84
Q

The trachea and mainstream bronchi are lined with ______________________, providing humidification and secreting mucous to protect the lower airway against harmful particulates.

A

columnar epithelium

85
Q

The lung lobes are covered with a thin, slippery outer membrane called the _________________.

A

visceral pleura

86
Q

The ________________ lines the insides of the thoracic cavity.

A

parietal pleura

87
Q

The ___________ nerve originates in the brainstem and exits from the cervical spine at levels C3, C4 and C5

A

phrenic

88
Q

Million of alveoli exist in a healthy lung, forming _________________ clusters.

A

grapelike

89
Q

Each bronchus divides into increasingly smaller bronchi, which in turn subdivide into primary, secondary, and tertiary _________________.

A

bronchioles

90
Q

When the ________________ intercostal muscles contract, they move the ribs up and out.

A

external

91
Q

If you note a patient is using _____________________ to breathe, respiratory compromise or impending respiratory failure should be included in your differential diagnosis.

A

accessory muscles

92
Q

Oxygenated blood returns to the heart and left atrium through the ___________________.

A

pulmonary veins

93
Q

_________________ is the process of breaking down sugars and other nutrients into energy for use by the cells of the body.

A

Metabolism

94
Q

The respiratory system has several strategies for preventing disease-causing organisms (____________________) from entering from the upper respiratory tract and reaching the alveoli.

A

pathogens

95
Q

_____________________ is secreted into bodily fluids and binds to pathogenic organisms, allowing white blood cells to recognize and destroy them.

A

Immunoglobulin A

96
Q

The nerves in the brainstem act as sensors for the level of carbon dioxide in the blood and subsequently the _____________.

A

spinal fluid

97
Q

The ___________________, which is sensitive to pH changes stimulates the phrenic nerve, sending a signal to the diaphragm to initiate a breath.

A

medulla oblongata

98
Q

The chemoreceptors sense an increase in the _______________ level in the fluid surrounding the cells of the medulla, which stimulates an increase in the rate of ventilation.

A

Hydrogen

99
Q

pH is inversely proportional to_____.

A

H+

100
Q

The CO2 level in the blood will rise if respiration is too slow or shallow, causing ________________ or CO2 retention, or if the blood becomes too acidic.

A

hypercapnia

101
Q

The body has a back up system, called the ______________, to control respiration

A

hypoxic drive

102
Q

________________ absorb hydrogen ions when they are in excess and donate hydrogen ions when they are depleted.

A

Buffers

103
Q

The kidneys have sensors that register chronic low levels of oxygen, and more ___________________ are created.

A

red blood cells

104
Q

Polycythemia increases the risk of forming ______________.

A

blood clots

105
Q

The __________________ center, located in the superior portion of the pons, helps shut off the dorsal respiratory group, resulting in shorter, faster respirations

A

pneumotaxic

106
Q

The _____________ center, located in the inferior portion of the pons, stimulates the dorsal respiratory group, resulting oil longer, slower respirations.

A

apneustic

107
Q

______________ volume is the amount of air that remains in the lungs after maximum expiration.

A

Residual

108
Q

Although usual tidal volume is around ______ mL, some additional volume is required to compensate for dead space int he respiratory circuit.

A

500

109
Q

The mouth, trachea, bronchi and bronchioles are all considered _________________.

A

dead space

110
Q

The amount of dead space can increase when a disease like _______________ occurs.

A

atelectstasis

111
Q

______________ is both a sign and a symptom.

A

Dyspnea

112
Q

The __________ may be heard in an area adjacent to the site of pain.

A

friction rub

113
Q

Whereas diminished breath sounds are associated with emphysema and other disorders, __________ breath sounds is an ominous finding.

A

absent

114
Q

________________ likes carbon monoxide more than oxygen - it is said to have a much higher affinity for carbon monoxide than for oxygen when both are available for attachment.

A

Hemoglobin

115
Q

The degree of color change approximates the amount of CO2 present, so this type of capnometry is referred to as ________________ CO2 detection.

A

colorimetric

116
Q

Another valuable means of evaluating the patient’s CO2 level at the end of exhalation occurs in the nonintubated patient through __________________ capnography.

A

sidestream

117
Q

Acidosis of a ____________ nature - that is, respiratory failure - can evolve rapidly.

A

respiratory

118
Q

__________ is the most common cause of metabolic acidosis.

A

Shock

119
Q

The ____________ level reflects the body’s acid-base status from a metabolic perspective.

A

Bicarbonate (HCO3)

120
Q

A low bicarbonate indicated _________________.

A

metabolic acidosis

121
Q

A High bicarbonate level indicates ________________.

A

metabolic alkalosis

122
Q

The ________________ normally ranges from -3 to +3.

A

base deficit (base excess)

123
Q

A negative base deficit indicates ___________________.

A

metabolic acidosis

124
Q

positive base deficit indicates ___________________.

A

metabolic alkalosis

125
Q

The Base Deficit and bicarbonate levels generally move in the same direction as the pH when a __________ reason exists for the abnormality or body adjustment.

A

metabolic

126
Q

_______________ are a group of tests often ordered by pulmonologists for a patient with breathing difficulties in order to better characterize the nature and severity of the illness.

A

Pulmonary Function Tests

127
Q

_____________ is a ventilatory technique used to apply a modest amount of continuous pressure in the airway to an alert patient to keep smaller airways open.

A

CPAP

128
Q

In ____________, one pressure can be delivered during inspiration and a different pressure can be delivered during exhalation.

A

BiPap

129
Q

The continuous positive pressure can impede ___________ return and thus reduce blood pressure.

A

venous

130
Q

_________ can help patients who have alveolar collapse, as is seen in pneumonia and pulmonary edema.

A

PEEP

131
Q

________________ is a phenomenon that can compromise gas exchange and allow intrathoracic pressure to become so high that hemodynamic compromise occurs as a result of decreased cardiac output.

A

Auto-PEEP

132
Q

During _________________, the immune system becomes hypersensitive to one or more substances.

A

anaphylactic reactions

133
Q

Most bacterial infections are caused by _______________________.

A

group A streptococcus

134
Q

In __________________________, a superficial soft-tissue infection progresses to create pockets of purulence in the submucosal space adjacent to the tonsils.

A

peritonsillar abscess

135
Q

___________________ disease occurs when the positive pressure in exhalation causes the small airways to pinch shut, trapping gas in the alveoli.

A

Obstructive

136
Q

_________________ is a chronic inflammation of the bronchi with contraction of the bronchial smooth muscle, resulting in narrowed bronchi and associated wheezing.

A

Asthma

137
Q

_________ is an airflow obstruction caused by chronic bronchitis or loss of alveolar surface area associated with emphysema.

A

COPD

138
Q

The primary cause of COPD is ___________________.

A

cigarette smoking

139
Q

To compensate for the CO2 retention, the body must maintain a slightly ________________ state.

A

alkalotic

140
Q

Studies have shown that administration of antibiotics within ________ of arriving in the ED decreases morbidity and mortality in patients with pneumonia.

A

6 hours

141
Q

__________ is characterized by diffuse damage to the alveoli, perhaps as a result of shock, aspiration of gastric contents, pulmonary edema, or a hypoxic event.

A

ARDS

142
Q

Patients with ARDS typically have ________ lungs (that is, low compliance)

A

stiff

143
Q

The incubation period of SARS is about ________ from the date of exposure.

A

10 days

144
Q

More than _________ of persons who experience primary spontaneous pneumothorax are smokers.

A

90%

145
Q

The cardinal signs of primary and secondary spontaneous pneumothorax are ___________ and _________________.

A

chest pain

dyspnea

146
Q

When fluid collects between the visceral and parietal pleura, it produces a ____________________.

A

pleural effusion

147
Q

Patients with effusions frequently feel better if they are sitting ____________.

A

upright

148
Q

Fluid from significant effusions can be extracted by needle ___________________ for both diagnostic purposes and symptomatic relief.

A

thoracentesis

149
Q

___________ is one of the most common causes of pulmonary embolism.

A

DVT

150
Q

Classic triad of pulmonary embolism:

A

Chest Pain

Hemoptysis

Dyspnea

151
Q

________________ syndrome is an ascending paralysis believed to represent an overzealous immune system response to a viral infection.

A

Guillian-Barre

152
Q

se depolarizing neuromuscular blocking agents for medication assisted intubations for patients with chronic ______________________________.

A

neuromuscular diseases

153
Q

The _______ is also a common site for metastasis of cancer from other body tissues.

A

Lung

154
Q

High water-soluble gases like ____________ will react with the moist mucous membranes of the upper airway and cause swelling and irritation.

A

ammonia

155
Q

Less water-soluble gases may get deep into the ____________, where they may do damage over time/

A

lower airway

156
Q

______________________ is the leading cause of accidental poisoning deaths in the US.

A

Carbon Monoxide