Pulmonary (Paramedic care and Principles: 5th Edition chapter Post Test)

Question 1 of 18

1

A patient with a suspected stroke in the brainstem region may display what type of changes to the pulmonary system?

Select one of the following:

Breathing may become dependent on carbon dioxide levels rather than oxygen levels.
Spontaneous breathing stops with any type of brainstem damage.
Breathing may become deep and rapid.
There is no change to the breathing with brain injuries. Breathing depends on carbon dioxide levels in the bloodstream.

Explanation

Question 2 of 18

1

Which of the following findings for a patient complaining of dyspnea is of greatest concern?

Select one of the following:

Absent breath sounds to right apical lung
ETCO2 of 45 mmHg
Inability to speak in full sentences
Pulse ox of 94 percent

Explanation

Question 3 of 18

1

A 62-year-old male with a history of emphysema states an acute onset of pleuritic chest pain after a bout of coughing. He appears mildly dyspneic with ventilations of 26/min. When you auscultate the lungs, you note that breath sounds are diminished somewhat in the right thorax. You strongly suspect the patient has which of the following?

Select one of the following:

Spontaneous pneumothorax
Exacerbation of his emphysema
Upper airway obstruction
Central nervous dysfunction

Explanation

Question 4 of 18

1

How does chronic bronchitis cause the development of pulmonary hypertension?

Select one of the following:

Bronchoconstriction activated by some type of trigger compromises the patient's ability to ventilate, thus becoming hypercarbic = vasoconstriction.
The number of pulmonary capillaries in the lung tissue decreases over the time, which increases resistance to pulmonary blood flow.
Gas exchange is increased because of higher alveolar ventilation, resulting in hypocarbia, which causes pulmonary vasoconstriction.
Gas exchange is decreased because of lowered alveolar ventilation, resulting in hypercarbia, which causes pulmonary vasoconstriction.

Explanation

Question 5 of 18

1

While gathering the medications a patient with respiratory distress is prescribed, which of the following indicates that he likely has a short-term pulmonary problem?

Select one of the following:

Bronchodilators
Antibiotics
Oxygen therapy
Corticosteroids

Explanation

Question 6 of 18

1

How does a simple pneumothorax interfere with the body's ability to oxygenate peripheral lung tissues?

Select one of the following:

Intrapulmonary pressure exceeds intrapleural pressure, resulting in the inability of the alveoli to expand
The right side of the heart becomes incapable to perfuse blood through the alveolar capillary beds
A loss of negative pleural space pressure inhibits the lung from expanding properly
There is compression of the vena cava with kinking of the aorta, resulting in poor peripheral perfusion

Explanation

Question 7 of 18

1

The _ pleura covers the lungs while the _ pleura lines the thoracic cavity.

Select one of the following:

Visceral, parietal
Mucosal, visceral
Mucosal, alveolar
Parietal, mucosal

Explanation

Question 8 of 18

1

You are called to a local high school for a 64-year-old spectator at a sporting event. The patient complains of shortness of breath. The patient identifies a history of COPD and you note absent breath sounds on the patient's left side. Onset of complaint was sudden while the patient was sitting in the stands and no blunt or penetrating trauma occurred. Your immediate concern would be:

Select one of the following:

pulmonary edema
pneumonia
asthma
spontaneous pneumothorax.

Explanation

Question 9 of 18

1

You are dining at a restaurant, off-duty, when you notice a slender man at another table who appears to be in severe distress and clutching his throat. He pushes himself away from the table; you ask him what is wrong, but he cannot speak. What is your first action?

Select one of the following:

Provide abdominal thrusts in a rapid, upward fashion
Manually open his airway and visualize for the object
Provide chest thrusts until the object is relieved
Lay him down on the floor and immediately begin CPR

Explanation

Question 10 of 18

1

You are assessing a small child who was found unresponsive and apneic. The patient is surrounded by lego toys. Considering your scene size-up, your primary differential diagnosis would be:

Select one of the following:

bronchiolitis
SIDS
choking
child abuse.

Explanation

Question 11 of 18

1

The most important intrinsic risk factor leading to respiratory disease development is:

Select one of the following:

Genetic predisposition
Cigarette smoking
Diabetes
Exposure to noxious environmental stimuli

Explanation

Question 12 of 18

1

In which of the following patients who require positive pressure ventilation to maintain oxygenation status would it be most important to ensure you do not deliver high airway pressures?

Select one of the following:

Lung cancer patient
Chronic bronchitis patient
Upper respiratory infection patient
Emphysema patient

Explanation

Question 13 of 18

1

Which of the following can be caused by pulmonary hypertension?

Select one of the following:

Polycythemia
Orthopnea
Cor pulmonale
Free radicals

Explanation

Question 14 of 18

1

You are managing a patient experiencing exacerbation of emphysema with CPAP. To avoid barotrauma, what is the recommended airway pressure?

Select one of the following:

5 cm/H2O
20 cm/H2O
15 cm/H2O
10 cm/H2O

Explanation

Question 15 of 18

1

You are assessing an emphysema patient with respiratory distress and sharp localized chest pain to the left hemithorax. The patient states that he normally has trouble breathing, but it suddenly became much worse after a "coughing spell." You note absent breath sounds to the left apical and mid lung fields, and diminished sounds on the right side. Given these findings, what would you anticipate finding when you percuss the thorax?

Select one of the following:

Hyperresonance
"A to E" changes
"E to A" changes
Hyporesonance

Explanation

Question 16 of 18

1

A condition that exists when the pulmonary capillaries have a greater permeability due to a non-cardiogenic cause is called:

Select one of the following:

SARS
MODS
COPD
ARDS

Explanation

Question 17 of 18

1

How does the respiratory membrane change in patients with emphysema?

Select one of the following:

Results in a productive cough
Increases the tidal volume during exertional episodes
Narrow the passages for air to flow
Reduction of the total surface area available for gas exchange

Explanation

Question 18 of 18

1

You arrive on scene for an unresponsive male patient with a suspected airway obstruction. Without performing any other assessment on this patient other than knowing he is an adult male, what is the most common reason for an upper airway obstruction?

Select one of the following:

Aspirated fluid
Tonsillar hematoma or mass
Partially chewed food
Relaxed tongue

	Created by Jake Anderson about 1 year ago

Pulmonary (Paramedic care and Principles: 5th Edition chapter Post-test)

Pulmonary (Paramedic care and Principles: 5th Edition chapter Post Test)

Question 1 of 18

A patient with a suspected stroke in the brainstem region may display what type of changes to the pulmonary​ system?

Select one of the following:

Explanation

Question 2 of 18

Which of the following findings for a patient complaining of dyspnea is of greatest​ concern?

Select one of the following:

Explanation

Question 3 of 18

Select one of the following:

Explanation

Question 4 of 18

How does chronic bronchitis cause the development of pulmonary​ hypertension?

Select one of the following:

Explanation

Question 5 of 18

While gathering the medications a patient with respiratory distress is​ prescribed, which of the following indicates that he likely has a​ short-term pulmonary​ problem?

Select one of the following:

Explanation

Question 6 of 18

How does a simple pneumothorax interfere with the​ body's ability to oxygenate peripheral lung​ tissues?

Select one of the following:

Explanation

Question 7 of 18

The​ _____ pleura covers the lungs while the​ _____ pleura lines the thoracic cavity.

Select one of the following:

Explanation

Question 8 of 18

Select one of the following:

Explanation

Question 9 of 18

You are dining at a​ restaurant, off-duty, when you notice a slender man at another table who appears to be in severe distress and clutching his throat. He pushes himself away from the​ table; you ask him what is​ wrong, but he cannot speak. What is your first​ action?

Select one of the following:

Explanation

Question 10 of 18

You are assessing a small child who was found unresponsive and apneic. The patient is surrounded by lego toys. Considering your scene​ size-up, your primary differential diagnosis would​ be:

Select one of the following:

Explanation

Question 11 of 18

The most important intrinsic risk factor leading to respiratory disease development​ is:

Select one of the following:

Explanation

Question 12 of 18

In which of the following patients who require positive pressure ventilation to maintain oxygenation status would it be most important to ensure you do not deliver high airway​ pressures?

Select one of the following:

Explanation

Question 13 of 18

Which of the following can be caused by pulmonary​ hypertension?

Select one of the following:

Explanation

Question 14 of 18

You are managing a patient experiencing exacerbation of emphysema with CPAP. To avoid​ barotrauma, what is the recommended airway​ pressure?

Select one of the following:

Explanation

Question 15 of 18

Select one of the following:

Explanation

Question 16 of 18

A condition that exists when the pulmonary capillaries have a greater permeability due to a​ non-cardiogenic cause is​ called:

Select one of the following:

Explanation

Question 17 of 18

How does the respiratory membrane change in patients with​ emphysema?

Select one of the following:

Explanation

Question 18 of 18

You arrive on scene for an unresponsive male patient with a suspected airway obstruction. Without performing any other assessment on this patient other than knowing he is an adult​ male, what is the most common reason for an upper airway​ obstruction?

Select one of the following:

Explanation

A patient with a suspected stroke in the brainstem region may display what type of changes to the pulmonary system?

Which of the following findings for a patient complaining of dyspnea is of greatest concern?

How does chronic bronchitis cause the development of pulmonary hypertension?

While gathering the medications a patient with respiratory distress is prescribed, which of the following indicates that he likely has a short-term pulmonary problem?

How does a simple pneumothorax interfere with the body's ability to oxygenate peripheral lung tissues?

The _ pleura covers the lungs while the _ pleura lines the thoracic cavity.

You are dining at a restaurant, off-duty, when you notice a slender man at another table who appears to be in severe distress and clutching his throat. He pushes himself away from the table; you ask him what is wrong, but he cannot speak. What is your first action?

You are assessing a small child who was found unresponsive and apneic. The patient is surrounded by lego toys. Considering your scene size-up, your primary differential diagnosis would be:

The most important intrinsic risk factor leading to respiratory disease development is:

In which of the following patients who require positive pressure ventilation to maintain oxygenation status would it be most important to ensure you do not deliver high airway pressures?

Which of the following can be caused by pulmonary hypertension?

You are managing a patient experiencing exacerbation of emphysema with CPAP. To avoid barotrauma, what is the recommended airway pressure?

A condition that exists when the pulmonary capillaries have a greater permeability due to a non-cardiogenic cause is called:

How does the respiratory membrane change in patients with emphysema?

You arrive on scene for an unresponsive male patient with a suspected airway obstruction. Without performing any other assessment on this patient other than knowing he is an adult male, what is the most common reason for an upper airway obstruction?