Quiz
Clinical Medicine - Approach to the Patient
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Fragen in diesem Quiz (41)
1Which of the following is characteristic of OBSTRUCTIVE pulmonary diseases (select all that apply)
- AReduction in airflow due to increased resistance in airways (e.g. narrowing of airway lumen)
- BDyspnea resulting from net reduction in lung volume
- CDecreased elastic recoil of pulmonary parenchyma surrounding the airways, effectively reducing lumen caliber
- DReduction in lung compliance, requiring greater pressure to inflate lungs
2Which of the following are considered OBSTRUCTIVE pulmonary diseases? (select all that apply)
- Achest wall tumors
- Bcystic fibrosis
- CARDS
- Dbronchiolitis
- Easthma
3Which of the following may be related to RESTRICTIVE pulmonary diseases? (select all that apply)
- AAsthma
- BSilicosis
- CCystic fibrosis
- DSevere Scoliosis
- EARDS
4Restrictive lung diseases are often complicated with pulmonary hypertension and cor pulmonale (i.e. right ventricular dilation to lung disease)
- ARichtig
- BFalsch
5Which of the following are characteristic of bronchiectasis? (select all that apply)
- APx: wheezing, crackles, clubbing, hypoxemia
- BPx: productive cough, hemoptysis, chest pain
- Cacquired or congenital disorder of large bronchi, causing abnormal dilation and loss of bronchiole wall tone
- Dusually the result of a disorder such as cystic fibrosis
- Ereversible with treatment
6A purulent pleural effusion caused by the spread on infection to the pleural space is termed:
- AHemothorax
- BChylothorax
- CPneumothorax
- DHyrdothorax
- EEmpyema
7Which of the following may be the cause of a pleural effusion?
- ACollagen vascular disorder
- BMetastatic cancer
- CSystemic infection
- DA & B Only
- EAll of the above
8Lymph fluid in the pleural space (due to thoracic duct trauma or obstruction) is termed:
- APneumothorax
- BEmpyema
- CHydrothorax
- DChylothorax
- ELymphothorax
9Which of the following is most typically found in the setting of congestive heart failure?
- AHydrothorax
- BPneumothorax
- CEmpyema
- DHemothorax
- EChylothorax
10A tension pneumothorax refers to a pneumothorax in which the defect acts as a valve, causing air to enter the pleural space on inspiration but preventing air from leaving on expiration.
- ARichtig
- BFalsch
11A pneumothorax (air in the pleural space) can be secondary to:
- ACOPD
- Basthma
- Clung abscess (communicating w/ pleural space)
- DA & C only
- EAll of the above
12Which of the following may be classified as a pulmonary hemorrhage syndrome?
- AGoodpasture's syndrome
- BWegener's granulomatosis
- CChurg-Strauss syndrome
- DBoth A & B
- EAll of the above
13Which of the following are items used on the COPD population screener (COPD-PS) questionnaire? (check all that apply)
- ADuring the past 4 weeks, how much of the time did you feel short of breath?
- BDo you ever cough up any "stuff", such as mucus or phlegm?
- CIn the past 12 months, I do less than I used to because of my breathing problems.
- DHave you smoked at least 100 cigarettes in your entire life?
- EHow old are you?
14Hypoxia refers to decreased levels of oxygen in the arterial blood.
- ARichtig
- BFalsch
15Which of the following terms/definitions are NOT correctly paired? (select all that apply)
- AOrthopnea - SOB that begins or increases when lying down
- BParoxysmal nocturnal dyspnea - sudden onset of SOB after a period of sleep
- CPlatypnea - dyspnea that decreases when in upright position
- DHypercapnea - dyspnea related to increased CO2 in blood
- ETachypnea - rapid rate of breathing
16Increased tactile fremitus on physical exam may indicate the presence of consolidation of pneumonia.
- ARichtig
- BFalsch
17Decreased tactile fremitus on physical exam may indicate (check all that apply)
- Aipsilateral pneumothorax
- Bpleural effusion
- Cpneumonia
- Dpleural scarring
- Ehyperinflation of lungs
18Chest X-Ray Findings
[blank_start]Air-space diseases[blank_end] may show poorly defined opacities that obliterate normal shadows.
[blank_start]Interstitial diseases[blank_end] may show linear, reticular, septal lines, bronchovascular thickening, multiple small opacities.
[blank_start]Lymphasdenopathy[blank_end] may show an abnormal mediastinal contour- AAir-space diseases
- BInterstitial diseases
- CLymphadenopathy
- DAir space diseases
- EInterstitial diseases
- FLymphadenopathy
- GInterstitial diseases
- HLymphasdenopathy
- IAir-space diseases
19What clinical finding is apparent on this x-ray?
- APneumonia
- BPneumothorax
- CInterstitial lung disease
- DMultiple nodules/masses
- EPleural effusion
20Clinical finding on this chest x-ray
- Apneumonia
- Bpneumothorax
- Cinterstitial lung disease
- Dlung mass/nodule
- Epleural effusion
21Clinical finding on this chest x-ray
- Apneumonia
- Bpneumothorax
- Cpleural effusion
- Dmass/nodule
- Einterstitial lung disease
22Clinical finding on this chest x-ray
- Apneumonia
- Bpleural effusion
- Cinterstitial lung disease
- Dmass/nodule
- Epneumothorax
23Clinical finding on chest x-ray
- Apneumonia
- Bpneumothorax
- Cinterstitial lung disease
- Dpleural effusion
- Elung mass/nodule
24Which of the following is the primary imaging method used for detecting a pulmonary embolism?
- AAP & Lateral Chest x-ray
- BCT angiography
- CPET scan
- DMRI
- EUltrasound
25A chest CT increases contrast by a factor of 200 but also increases radiation exposure by nearly 60x.
- ARichtig
- BFalsch
26This imaging method may be preferred when evaluating mediastinal masses (w/ vascular involvement) and pulmonary hypertension.
- AChest x-ray
- BUltrasound
- CCT
- DMRI
- EPET scan
27Which of the following statements are accurate regarding pulmonary function testing (PFT)
(check all that apply)- Ameasures external lung function
- Buseful for evaluation of pts w/ dyspnea and wheezing
- Cquantifies the degree and reversibility of a disease
- Dused to measure disease progression
- Emay assess thoracic structural abnormalities
28Forced Vital Capacity (FVC) is the volume of air expired after a full inspiration and may be...
(check all that apply)- Anormal in obstructive lung disease
- Bslightly decreased in obstructive lung disease
- Cslightly increased in restrictive lung disease
- Dnormal in restrictive lung disease
- Edecreased in restrictive lung disease
29Forced Expiratory Volume in 1 second (FEV1) is reduced in both obstructive and restrictive lung diseases.
- ARichtig
- BFalsch
30FEV1/FVC in normal patients is usually around 70-80% (0.7 - 0.8)
- ARichtig
- BFalsch
31Check all of the following statements which are true regarding expected FEV1/FVC percents.
- AFEV1/FVC is expected to be decreased in patients with obstructive lung diseases
- BFEV1/FVC is expected to be increased in patients with obstructive lung diseases
- CFEV1/FVC may be normal in patients with restrictive lung diseases
- DFEV1/FVC may be increased in patients with restrictive lung diseases
32Forced mid-expiratory flow (FEF, 25-75%) is expected to be decreased in both obstructive and restrictive lung diseases.
- ARichtig
- BFalsch
33Diffusing capacity of the lung for carbon monoxide (DLCO) is decreased in parenchymal lung disease and COPD (especially emphysema) but is expected to be normal in asthmatic patients.
- ARichtig
- BFalsch
34When would a peak flow meter be used?
- Aevaluating the effectiveness (pre & post) treatment
- Bat home by an asthmatic pt. to track lung function
- Cmeasuring FEV1 or FVC when other PFTs are unavailable
- DBoth A & B
- EAll of the above
35Capnography is a noninvasive measurement of exhaled CO2 and cardiopulmonary function.
- ARichtig
- BFalsch
36Acute bronchitis is more often associated with respiratory viruses than a bacterial infections.
- ARichtig
- BFalsch
37Signs & Sxs associated with Acute Bronchitis (check all that apply)
- ACough (initially nonproductive but later mucoid sputum may be present)
- BTracheitis (burning substernal pain associated w/ respiration)
- CSigns of consolidation and/or opacity on chest x-ray (after 7-10 days)
- DRhonchi and coarse crackles
- EHemoptysis
38Which of the following medications is NOT generally recommended in the treatment of bronchitis:
(check all that apply)- AAnalgesics
- BAntihistamines
- CBeta-2 Agonists
- DAnti-tussives
- EExpectorants
- FMucolytics
- GAntibiotics
39Influenza vaccines vary in effectiveness from 20% - 90%
- ARichtig
- BFalsch
40Complications of influenza may include which of the following (check all that apply)
- Apneumonia
- Bmyocarditis or pericarditis
- CToxic shock syndrome
- Dtransverse myelitis
- EGuillian-Barre
41Which of the following are used in the treatment of influenza?
- ANeurominidase inhibitors (e.g. zanamivir, oseltamivir)
- BAdamantane agents (e.g. amantadine, rimantadine)
- CSupportive care/treatments
- DBroad-Spectrum Antibiotics
- ELeukotriene Receptor Antagonist
Informationen
- Beschreibung
- Approach to the Patient with Pulmonary Disease Lecture 11/17/15
- Autor
- campbellpa2017
- Sprache
- English
- Aufrufe
- 63
- Schlagwörter
- Bewertung
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