Quiz
Pulmonary (Paramedic care and Principles: 5th Edition chapter Post Test)
Perguntas do quiz (18)
1A patient with a suspected stroke in the brainstem region may display what type of changes to the pulmonary system?
- ABreathing may become dependent on carbon dioxide levels rather than oxygen levels.
- BSpontaneous breathing stops with any type of brainstem damage.
- CBreathing may become deep and rapid.
- DThere is no change to the breathing with brain injuries. Breathing depends on carbon dioxide levels in the bloodstream.
2Which of the following findings for a patient complaining of dyspnea is of greatest concern?
- AAbsent breath sounds to right apical lung
- BETCO2 of 45 mmHg
- CInability to speak in full sentences
- DPulse ox of 94 percent
3A 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?
- ASpontaneous pneumothorax
- BExacerbation of his emphysema
- CUpper airway obstruction
- DCentral nervous dysfunction
4How does chronic bronchitis cause the development of pulmonary hypertension?
- ABronchoconstriction activated by some type of trigger compromises the patient's ability to ventilate, thus becoming hypercarbic = vasoconstriction.
- BThe number of pulmonary capillaries in the lung tissue decreases over the time, which increases resistance to pulmonary blood flow.
- CGas exchange is increased because of higher alveolar ventilation, resulting in hypocarbia, which causes pulmonary vasoconstriction.
- DGas exchange is decreased because of lowered alveolar ventilation, resulting in hypercarbia, which causes pulmonary vasoconstriction.
5While gathering the medications a patient with respiratory distress is prescribed, which of the following indicates that he likely has a short-term pulmonary problem?
- ABronchodilators
- BAntibiotics
- COxygen therapy
- DCorticosteroids
6How does a simple pneumothorax interfere with the body's ability to oxygenate peripheral lung tissues?
- AIntrapulmonary pressure exceeds intrapleural pressure, resulting in the inability of the alveoli to expand
- BThe right side of the heart becomes incapable to perfuse blood through the alveolar capillary beds
- CA loss of negative pleural space pressure inhibits the lung from expanding properly
- DThere is compression of the vena cava with kinking of the aorta, resulting in poor peripheral perfusion
7The _____ pleura covers the lungs while the _____ pleura lines the thoracic cavity.
- AVisceral, parietal
- BMucosal, visceral
- CMucosal, alveolar
- DParietal, mucosal
8You 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:
- Apulmonary edema
- Bpneumonia
- Casthma
- Dspontaneous pneumothorax.
9You 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?
- AProvide abdominal thrusts in a rapid, upward fashion
- BManually open his airway and visualize for the object
- CProvide chest thrusts until the object is relieved
- DLay him down on the floor and immediately begin CPR
10You 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:
- Abronchiolitis
- BSIDS
- Cchoking
- Dchild abuse.
11The most important intrinsic risk factor leading to respiratory disease development is:
- AGenetic predisposition
- BCigarette smoking
- CDiabetes
- DExposure to noxious environmental stimuli
12In 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?
- ALung cancer patient
- BChronic bronchitis patient
- CUpper respiratory infection patient
- DEmphysema patient
13Which of the following can be caused by pulmonary hypertension?
- APolycythemia
- BOrthopnea
- CCor pulmonale
- DFree radicals
14You are managing a patient experiencing exacerbation of emphysema with CPAP. To avoid barotrauma, what is the recommended airway pressure?
- A5 cm/H2O
- B20 cm/H2O
- C15 cm/H2O
- D10 cm/H2O
15You 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?
- AHyperresonance
- B"A to E" changes
- C"E to A" changes
- DHyporesonance
16A condition that exists when the pulmonary capillaries have a greater permeability due to a non-cardiogenic cause is called:
- ASARS
- BMODS
- CCOPD
- DARDS
17How does the respiratory membrane change in patients with emphysema?
- AResults in a productive cough
- BIncreases the tidal volume during exertional episodes
- CNarrow the passages for air to flow
- DReduction of the total surface area available for gas exchange
18You 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?
- AAspirated fluid
- BTonsillar hematoma or mass
- CPartially chewed food
- DRelaxed tongue
Informações
- Descrição
- Pulmonary (Paramedic care and Principles: 5th Edition chapter Post-test)
- Autor
- Jake Anderson
- Idioma
- English
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- 40
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- Criado em 26 abr 2023 · atualizado em 26 abr 2023
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