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Pulmonology Exam

Description

This is the initial practice test for Larry's exam
Jeff Carter
Quiz by Jeff Carter, updated more than 1 year ago
Jeff Carter
Created by Jeff Carter over 8 years ago
56
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Resource summary

Question 1

Question
These signs and symptoms are indicative of which of the following? -Inc. CO2 Retention -Inc. Mucus -Orthopneic -Exertional Dyspnea -1-2 Word Dyspnea -Prolonged Expiratory Time -Thin Appearance -No Cyanosis -Ineffective Cough -Barrel Chest -Easily Fatigued -Anxious -Use of Accessory Muscles -Leads to R Sided Heart Failure -Purse Lip Breathing -Bronchi Collapse on Expiration -SOB -Wheezing -Frequent U.R.I.s -Digital Clubbing
Answer
  • Pulmonary emphysema
  • Chronic bronchitis
  • Asthma
  • Right sided failure
  • Left sided failure

Question 2

Question
Define Respiration:
Answer
  • The exchange of air into and out of the lungs.
  • The exchange of oxygen and carbon dioxide between the organism and the environment. A cellular level of exchange.

Question 3

Question
Define Ventilation:
Answer
  • The exchange of air into and out of the lungs.
  • The exchange of oxygen and carbon dioxide between the organism and the environment. A cellular level of exchange.

Question 4

Question
Where should the distal end of an ETT be if it is correctly placed?
Answer
  • The right mainstem bronchi
  • The left mainstem bronchi
  • The larynx
  • Just superior to the carina

Question 5

Question
What is Atelectasis?
Answer
  • The natural balance the body tries to maintain.
  • The collapse or partial collapse of a lung caused by deflation of the alveoli.
  • The counter movement caused by 2 or more breaks in 2 or more consecutive ribs.
  • The inflammation of the abdomen caused by alcoholism or poor liver function.

Question 6

Question
Which of the following is true of the diaphragm? (Choose all that apply)
Answer
  • It is the primary mover of the respiratory system
  • It is the secondary mover of the respiratory system
  • It is controlled by the phrenic nerve
  • It is controlled by the vagus nerve
  • It is involved in inhalation, which is a passive process
  • It is involved in inhalation, which is an active process
  • It is involved in exhalation, which is a passive process
  • It is involved in exhalation, which is an active process

Question 7

Question
What is the term given to the lining of the outside of the lungs?
Answer
  • Parietal Pleura
  • Visceral Pleura
  • Pleurisy
  • Pleuritis

Question 8

Question
What is the rubbing of the visceral and parietal pleura called?
Answer
  • Parietal Pleura
  • Visceral Pleura
  • Pleurisy
  • Pleuritis

Question 9

Question
What is the term given to the inner lining of the chest cavity?
Answer
  • Parietal Pleura
  • Visceral Pleura
  • Pleurisy
  • Pleuritis

Question 10

Question
How are ventilations regulated on a healthy, conscious patient? (Choose all that apply)
Answer
  • By the medulla
  • By the pons
  • By the vagus nerve, via stretch receptors
  • By the phrenic nerve, via chemoreceptors
  • By changes in the partial pressure of O2, detected by chemoreceptors in the carotid arteries, aorta, and the medulla
  • By changes in the partial pressure of CO2, detected by chemoreceptors in the carotid arteries, aorta, and the medulla

Question 11

Question
What is the normal SpO2 range for a patient with COPD?
Answer
  • 95-100%
  • 80-100%
  • 88-92%
  • 85-90%

Question 12

Question
Which of the following can cause interference with diffusion of O2 and CO2 particles accross the alveolar membrane? (Choose all that apply)
Answer
  • Trauma
  • Fluid in interstital spaces
  • Thickening of the endothelial lining
  • Increased intrathoracic pressure due to inhalation
  • A fever

Question 13

Question
What does our body require for good pulmonary perfusion? (Choose all that apply)
Answer
  • Adequate blood volume
  • Intact pulmonary capillaries
  • Efficient pumping action by the heart

Question 14

Question
Obstruction due to trauma, infection, or foreign body in the lower or upper airway can cause disruption in ventilations.
Answer
  • True
  • False

Question 15

Question
Which of the following are signs of a life threatening problem with regards to the assessment of the respiratory system? (Choose all that apply)
Answer
  • Altered Mental Status (AMS)
  • Severe central cyanosis, pallor, or diaphoresis
  • Absent or abnormal breath sounds
  • 1-2 word dyspnea
  • Tachycardia
  • Use of accessory muscles or presence of retractions
  • Doubled over grasping the knees
  • Systolic blood pressure of 115

Question 16

Question
Which of the following are causes for disruption of ventilations? (Choose all that apply)
Answer
  • Obstruction due to trauma, foreign body, or infection
  • Pneumothorax
  • Hemothorax
  • Flail chest
  • Neuromuscular disease/defect
  • Pyrogenic reaction
  • Carpopedal spasms
  • Cirrhosis
  • Hysterosalpingo-oophorectomy

Question 17

Question
Proper ventilation cannot take place without which of the following? (Select one)
Answer
  • Respirasomes
  • An adequate airway
  • Mast cells
  • A nose

Question 18

Question
Which of the following indicate respiratory distress?
Answer
  • Tripod position
  • Sniffer's position
  • Retractions
  • Purse lip breathing
  • Grunting
  • Ability to speak in full sentences
  • 1-2 word dyspnea
  • Blue or pink skin
  • Altered mental status
  • Excessive accessory muscle usage

Question 19

Question
Which of the following is the term for hemoglobin that is saturated with oxygen?
Answer
  • oxyhemoglobin
  • hypoxyhemoglobin
  • hyperoxyhemoglobin
  • carboxyhemoglobin

Question 20

Question
Which of the following can cause a false reading on an SpO2 sensor?
Answer
  • Potassium Chloride
  • Hydrogen Peroxide
  • Sodium Bicarbonate
  • Carbon Monoxide

Question 21

Question
Which of the following can cause disruption in perfusion?
Answer
  • Alteration in blood flow
  • Change in hemoglobin availability
  • Pulmonary shunting
  • Smoking
  • A hard night of drinking
  • Atelectasis
  • Ascites

Question 22

Question
What is the first thing you should check when arriving on scene?
Answer
  • Your zipper
  • A pulse
  • Respirations
  • Scene safety

Question 23

Question
What Is characterized by sudden and severe shortness of breath at night that can wake a person up can cause coughing and wheezing.
Answer
  • Night Terrors
  • Paraoxysmal Nocturnal Dyspnea
  • Myocardial Infarction
  • Ascites

Question 24

Question
Which of the following are important to ask in an OPQRST history?
Answer
  • What makes it better/worse
  • Allergies
  • What made you call us today
  • How bad is it (scale of 1-10)
  • How long has it been going on
  • How do you feel
  • Are you currently taking any medications

Question 25

Question
Which of the following refers to blood produced with coughing?
Answer
  • Hemoptysis
  • Hematuria
  • Hemetheratabar
  • Melena

Question 26

Question
Which of the following does Pneumonia produce?
Answer
  • Brown/Rusty tinged
  • Yellow/White and thick
  • Hemoptysis
  • Boogers

Question 27

Question
Which of the following does Asthma or Bronchitis produce?
Answer
  • Brown/Rusty tinged
  • Yellow/White and thick
  • Hemoptysis
  • Boogers

Question 28

Question
Which of the following does TB produce?
Answer
  • Brown/Rusty tinged
  • Yellow/White and thick
  • Hemoptysis
  • Boogers

Question 29

Question
What is another term for paradoxical movement?
Answer
  • Flail chest
  • Thoracic spasms
  • Intrathoracic impotence
  • Contralateral chest syndrome

Question 30

Question
Crackles in the skin are indicitave of __________.
Answer
  • Acne
  • Pneumonia
  • Air leaking from the respiratory system
  • Flail chest

Question 31

Question
What 3 things should you do for a physical examination of the respiratory system?
Answer
  • Palpate, measure, and inspect
  • Inspect, palpate, and percuss
  • Stop, drop, and roll
  • Look, listen, and learn

Question 32

Question
What is a major difference between asthma and emphysema?
Answer
  • Emphysema patients are barrel chested all the time, Asthma patients are only barrel chested when they are having an exacerbation
  • There is no difference
  • Asthma patients have wheezes, Emphysema patients do not
  • Asthma patients will have anxiety as one of their symptoms, Emphysema patients will not

Question 33

Question
Which of these patients are known as "Pink Puffers?"
Answer
  • Pulmonary Emphysema
  • Pulmonary Embolism
  • Asthma
  • Chronic Bronchitis

Question 34

Question
What kind of sound is snoring?
Answer
  • Upper airway obstruction
  • Lower airway obstruction
  • Fluid in lower airway
  • Atelectasis

Question 35

Question
Which breath sound could be described as ominous, inspiratory, and in the upper airway?
Answer
  • Snoring
  • Stridor
  • Wheezing
  • Rales

Question 36

Question
Which breath sound is associated with being "musical?"
Answer
  • Wheezing
  • Rales
  • Snoring
  • Ronchi

Question 37

Question
Which of the following can be described as coarse and rattling?
Answer
  • Ronchi
  • Rales
  • Stridor
  • Eupnea

Question 38

Question
Which of the following could be described as crackles?
Answer
  • Rales
  • Ronchi
  • Stridor
  • Wheezing

Question 39

Question
What does PEFR stand for?
Answer
  • Peak Expiratory Flow Rate
  • Perfusing Even Flow Rate
  • Pulmonary Edema Friction Rub
  • Pulmonary Education For Rehab

Question 40

Question
Which of the following indicates chronic hypoxia?
Answer
  • Swelling
  • Streaks
  • Finger clubbing
  • Cyanosis

Question 41

Question
Define Pulsus Paradoxus:
Answer
  • When you have paradoxical movement of the chest resultant of multiple fractures of 2 or more consecutive ribs
  • When there is a drop of 10 or more mmHg in systolic blood pressure on inhalation due to increased intrathoracic pressure
  • Inflammation of the abdomen due to increased pulse rate
  • The collapse of the alveoli due to a lack of surfactant

Question 42

Question
Which of the following can provide a false positive when using capnography? (Choose all that apply)
Answer
  • Antacid use
  • Carbonated beverages
  • ACE inhibitors
  • Diuretics

Question 43

Question
What is the normal respiratory rate for an adult?
Answer
  • 12-20 per minute
  • 15-30 per minute
  • 25-50 per minute

Question 44

Question
What is the age at which patients are determined to be adults?
Answer
  • 8
  • 12
  • 16
  • 18

Question 45

Question
What is the normal respiratory rate for a child (1-8 yrs)?
Answer
  • 12-20 per minute
  • 15-30 per minute
  • 25-50 per minute

Question 46

Question
What is the normal respiratory rate for an infant (<1 yr)?
Answer
  • 12-20 per minute
  • 15-30 per minute
  • 25-50 per minute

Question 47

Question
Which of the following are the basic principles of Respiratory Distress management?
Answer
  • Maintain the airway, use an advanced of an airway as you feel comfortable with ASAP. Maintainting airway patency is the priority.
  • Maintain the airway, start with basic airway maintenance and advance from there. Always protect C-Spine if trauma is suspected.
  • Any patient with respiratory distress should receive O2.
  • O2 should never be withheld from a patient with suspected hypoxia.
  • Put an OPA in every patient, regardless of consciousness.
  • Give every patient with respiratory distress an albuterol treatment, it can't hurt them.

Question 48

Question
The number 1 cause of upper airway obstruction is ____________.
Answer
  • blood
  • the tongue
  • bronchoconstriction
  • mucus and surfactant

Question 49

Question
What does ARDS stand for?
Answer
  • Adult Respiratory Distress Syndrome
  • Acute Respiratory Distress Syndrome
  • Acute Repositional Dyspnea Sleep
  • Alive but Ready to Die for Shit

Question 50

Question
COPD can be caused by all of the following: Sepsis, Aspiration, PNA, Pulmonary Injury, Burns/Inhalation Injury, O2 Toxicity, Drugs, High Altitude, Hypothermia, Near Drowning Syndrome, Head Injury, Pulmonary Embolism, Tumor Destruction, Pancreatitis, Invasive Procedures (Bypass, Hemodialysis), Hypoxia, Hypotension, or Cardiac Arrest.
Answer
  • True
  • False

Question 51

Question
What are the 3 -ates of managing an Asthma patient?
Answer
  • Oxygenate, Dilate, Hydrate
  • Oxygenate, Inflate, Hydrate
  • Hydrate, Elevate, Palpate
  • Oxygenate,Elevate, Hydrate

Question 52

Question
Which way will the trachea deviate if the patient has a collapsed left lung?
Answer
  • Right
  • Left
  • It won't

Question 53

Question
Which way will the trachea deviate if the patient has a tension pneumothorax on the right side?
Answer
  • Right
  • Left
  • It doesn't

Question 54

Question
Which of the following are signs and symptoms of left sided failure? (Choose all that apply)
Answer
  • Paroxysmal nocturnal dyspnea
  • Elevated pulmonary capillary wedge pressure
  • Blood tinged sputum
  • Cough
  • Orthopnea
  • Exertional dyspnea
  • Cyanosis
  • Cor pulmonale
  • Pulsus paradoxus
  • Ascites

Question 55

Question
Which of the following are indicative of right sided heart failure?
Answer
  • Fatigue
  • Increased peripheral venous pressure
  • Ascites
  • JVD
  • Anorexia and complaints of GI distress
  • Cyanosis
  • Dependent edema
  • Thin
  • Anxious
  • Onset before age 12 years
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