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1
Q

What is the primary function of the respiratory system?

A

Provides oxygen for cellular metabolism and removes carbon dioxide

Secondary functions include sense of smell and voice production.

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2
Q

What are the important structures of the larynx?

A

Thyroid cartilage, cricoid cartilage, epiglottis, vocal cords

Epiglottitis: DON’T insert anything and DON’T examine.

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3
Q

What is the function of the nose in the respiratory system?

A

Filters, humidifies, and warms the air

Contains olfactory receptors and is divided by a septum.

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4
Q

What are the paranasal sinuses?

A

Frontal sinus, ethmoid sinus, maxillary sinus, sphenoid sinus

Sinusitis can be viral and self-limiting.

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5
Q

What is the function of the trachea?

A

Passageway of air to and from the lungs

Also known as the windpipe, about 10-12 cm long.

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6
Q

What are the types of normal breath sounds?

A

Bronchial, bronchovesicular, vesicular

Each type has different locations and characteristics.

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7
Q

True or False: Fine crackles are high-pitched bubbling sounds.

A

True

They indicate fluid presence in the lungs.

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8
Q

What is the Mantoux test used for?

A

Screening test for TB exposure

Also known as Purified Protein Derivative (PPD).

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9
Q

What is the purpose of a bronchoscopy?

A

Direct visualization of the bronchial tubes

Includes bronchial washing and suctioning.

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10
Q

What is the main cause of bronchial asthma?

A

Chronic inflammatory disorder with airway obstruction

Contributing factors include allergens.

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11
Q

What is the management priority for a patient with asthma?

A

Positioning in Semi-Fowler’s or High Fowler’s position

Oxygen therapy may also be required.

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12
Q

What are the two types of Chronic Obstructive Pulmonary Disease (COPD)?

A

Pulmonary emphysema and chronic bronchitis

Both have distinct signs and symptoms.

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13
Q

Fill in the blank: The removal of pleural fluid is called _______.

A

Thoracentesis

Best position during the procedure is orthopneic.

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14
Q

What is a pneumothorax?

A

Air in the pleural space

Can be spontaneous, open, or tension pneumothorax.

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15
Q

What are the signs of pleural effusion?

A

Low or no breath sounds in the affected area

Diagnostic tests include lung ultrasound.

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16
Q

What is iron deficiency anemia?

A

Decrease in iron storage or production

Common causes include inadequate intake and blood loss.

17
Q

What is the main sign of respiratory acidosis in COPD patients?

A

Increased CO2 levels

This leads to symptoms like chronic non-productive cough.

18
Q

What is the management for chronic bronchitis?

A

Cessation of smoking, low oxygen concentration, pulmonary toileting

Medications include bronchodilators and corticosteroids.

19
Q

What is the priority management for flail chest?

A

Gas exchange

Proper positioning and pain management are crucial.

20
Q

What are the signs of hypoxia?

A

Mental confusion, irritability, restlessness, cyanosis

Late signs include clubbing of fingernails.

21
Q

What is the mechanism that produces voice?

A

Vibration of vocal cords during expiration

The larynx is the terminal part of the upper airway responsible for voice production.

22
Q

What is iron deficiency anemia characterized by?

A

Decrease iron storage or production

Risk factors include pregnancy and childhood.

23
Q

What are the common causes of iron deficiency anemia?

A
  • Inadequate iron intake
  • Malabsorption syndrome
  • Blood loss (trauma, menorrhagia, surgery)
24
Q

What are the signs of iron deficiency anemia?

A
  • PICA symptoms
  • Pallor
  • Poor focus or attention
  • Signs of hypoxia
25
What is the management strategy for anemia?
* Complete bed rest * Increase iron in the diet (GLV, legumes, organ meat, raisins, yolks) * Avoid tea, antacids, and milk * Oral iron supplement (FeSO4) without meals, better absorbed with vitamin C * Parenteral iron supplement (IM, Z tract method) * Blood transfusion as a last option
26
What is pernicious anemia and its primary cause?
One of the deadliest forms of anemia caused by lack of intrinsic factor ## Footnote Intrinsic factor is produced by parietal cells in the stomach.
27
What is the hallmark sign of pernicious anemia?
Red beefy tongue ## Footnote Other signs include mouth sores and paresthesia.
28
What is the confirmatory test for pernicious anemia?
Schilling’s test ## Footnote Requires specific urine collection protocol.
29
What is aplastic anemia also known as?
Pancytopenia ## Footnote Characterized by low levels of all blood elements.
30
What are the symptoms of aplastic anemia?
* Anemia * Infection (low WBC) * Bleeding (low platelet count)
31
What is the management for aplastic anemia?
* Blood transfusion * Fresh whole blood for complete elements * Infection precautions (reverse isolation) * Avoid fresh, raw foods * Non-contact sports and solitary play
32
What characterizes polycythemia vera?
Hyperplasia of bone marrow elements, particularly RBC ## Footnote Leads to increased blood viscosity and hematocrit.
33
What are the signs of polycythemia vera?
* Red/purple-blue discoloration * Painful fingers and toes * Extreme pruritus
34
What is the management for polycythemia vera?
* Therapeutic phlebotomy (250-500ml every 3 months) * Hydroxyurea and Allopurinol as medications * Regular follow-up checks
35
What is hemophilia?
An X-linked recessive disorder ## Footnote Carrier is the mother, and the affected individual is usually male.
36
What are the different types of hemophilia?
* Factor 8 deficiency (classic, Von Willebrand disease) * Factor 9 deficiency (Christmas disease)
37
What is idiopathic thrombocytopenic purpura characterized by?
Platelet count less than 100k ## Footnote Can lead to bleeding and is often associated with autoimmune diseases.
38
What are the signs of idiopathic thrombocytopenic purpura?
* Petechiae * Easy bruising * Ecchymosis * Active bleeding in mucous membranes
39
What is the management for idiopathic thrombocytopenic purpura?
* Steroids to increase platelet count * Intravenous immunoglobulin by weight * Anti-D antibodies (obsolete treatment)