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

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Pulmonary Pretest (Paramedic care and Principles: 5th Edition chapter Pretest)
Jake Anderson
Quiz by Jake Anderson, updated more than 1 year ago
Jake Anderson
Created by Jake Anderson about 1 year ago
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Resource summary

Question 1

Question
Which of the following findings for a patient complaining of dyspnea is of greatest​ concern?
Answer
  • Stridor on inspiration
  • Pulse ox of 95 percent
  • Normoresonance on the left side
  • ETCO Subscript 2 of 37 mmHg

Question 2

Question
The initial phase of an asthma reaction​ includes:
Answer
  • an increase in vital capacity and hypercarbia.
  • pharynx edema and hypotension.
  • contraction of the bronchial smooth muscle and leakage of fluid from peribronchial capillaries.
  • increased mucus production and tachycardia.

Question 3

Question
What is the sensation felt by placing a hand on the chest that vibrates during​ speech?
Answer
  • Percussion
  • Crepitus
  • Tactile fremitus
  • Bruit

Question 4

Question
Why is the use of Lasix or nitroglycerin often of no benefit to the patient suffering from noncardiogenic pulmonary edema​ (ARDS)?
Answer
  • Because the reason for the pulmonary edema is not related to the cardiac pump​ (left ventricle)
  • Because ARDS depresses the blood pressure and makes either drug contraindicated
  • Because the patient with ARDS often has renal and cardiac complications that render both drugs ineffective
  • Because ARDS is often​ fatal, and no intervention has been shown to be beneficial

Question 5

Question
The primary​ muscles, along with the abdominal​ muscles, used in periods of heavy respiratory demand are the
Answer
  • sternocleidomastoid and scalene muscles.
  • pectoral major and masseter muscles.
  • anconeus and trapezius muscles.
  • latissimus dorsi and soleus muscles.

Question 6

Question
Found where the trachea divides into the left and right mainstem​ bronchi, stimulation of the​ _____ can result in violent coughing
Answer
  • Diaphragm
  • Turbinates
  • Carina
  • ​Kiesselbach's plexus

Question 7

Question
Risk factors for pneumonia​ include:
Answer
  • Age and​ immuno-compromising diseases
  • Cardiac output and environmental exposure
  • Exposure to hot temperatures and drug abuse
  • Altered mental status and poor vital signs

Question 8

Question
What is the underlying pathophysiological change to the lungs that causes the patient to develop adult respiratory distress syndrome​ (ARDS)?
Answer
  • Increased fluid accumulation in the perialveolar interstitial spaces
  • Increased surfactant production that thickens the alveolar wall
  • Increased lung resistance due to overwhelming bronchoconstriction
  • Increased pulmonary vein pressure from a failing left ventricle

Question 9

Question
Which of the following patients display findings of respiratory​ failure?
Answer
  • Respiratory rate of​ 32/min, ETCO Subscript 2 of 50​ mmHg, intercostal retractions are​ noted, and tachycardia
  • Peripheral​ cyanosis, expiratory​ wheezing, respiratory rate of​ 26/min
  • Central​ cyanosis, 1-2 word​ dyspnea, pulse ox of 84 percent
  • Absent alveolar breath sounds to left apical​ zone, pulse ox of 93​ percent, minor confusion

Question 10

Question
What is the underlying pathology of a patient with an upper respiratory​ infection?
Answer
  • Inflammation of upper airway structures from a virus or bacteria
  • Swelling to the bronchioles with diminished alveolar sounds
  • Infections to the upper airway structures from chronic bronchitis
  • Exposure to toxic fumes causing irritation to the​ mouth, nose, and trachea

Question 11

Question
A patient in your care is coughing up blood. This is documented as which of the​ following?
Answer
  • Hyperoxia
  • Hemopoiesis
  • Hyperpnea
  • Hemoptysis

Question 12

Question
When the walls of the alveoli and small bronchioles are​ destroyed, as occurs in​ emphysema, vital capacity remains relatively the same while what​ increases?
Answer
  • Forced expiratory volume
  • Anatomical dead space
  • Residual volume
  • Inspiratory reserve volume

Question 13

Question
What is the type of respiratory problem that occurs when the patient develops an infectious process in one part of a lung that continues to spread throughout adjacent​ alveoli, which ultimately decreases ventilation and​ oxygenation?
Answer
  • Emphysema
  • Lower airway obstruction
  • Acute respiratory distress syndrome
  • Pneumonia

Question 14

Question
A patient with an airway obstruction between which two anatomical points will be unable to ventilate at​ all?
Answer
  • Right mainstem and alveoli
  • Glottis opening and carina
  • Nasopharynx and oropharynx
  • None of the above

Question 15

Question
Along with cigarette​ smoking, exposure to​ asbestos, hydrocarbons,​ radiation, and fumes from metal production have been associated risk factors for what lung​ disease?
Answer
  • Tension pneumothorax
  • Hyperventilation
  • Congestive heart failure
  • Cancer

Question 16

Question
A​ 20-year-old male runner comes up to you at the finish line of a cross country meet and says he​ "can't breathe." Physical exam reveals a​ 6'5", very thin male with​ acute, sharp pleuritic chest​ pain, and pale and diminished lung sounds are auscultated in the apex area of the right lung. What has likely happened to​ him?
Answer
  • The hilum of the right lung has ruptured.
  • The patient has had an acute loss of surfactant production.
  • Air has entered in between the visceral and parietal pleura. Your answer is correct.D.
  • Blood has entered in between the visceral and parietal pleura.

Question 17

Question
You are called to the home of a patient with a neuromuscular disease that has left him dependent on mechanical ventilation through a stoma for survival. The family summoned EMS due to the ventilator alarming​ "low minute​ ventilation." What should the paramedic do regarding management of this​ patient?
Answer
  • Suction out the stoma and reattach the ventilator
  • Assure the stoma is patent and begin ventilations with a​ bag-valve-mask (BVM)
  • Perform an RSI procedure and intubate the patient around the stoma tube
  • Remove the ventilator and allow the patient to breathe on his own

Question 18

Question
Your patient is a thin​ 59-year-old male in respiratory distress. He presents in a tripod position and appears to be working to​ breathe, pursing his lips. He is on home oxygen at 2 Lpm via nasal cannula and takes Atrovent and Proventil as his medications. You immediately notice his​ barrel-chested appearance, increased​ anterior/posterior chest diameter and pink complexion. Most​ likely, this patient suffers from which of the​ following?
Answer
  • Chronic bronchitis
  • Emphysema
  • ARDS
  • Pneumonia
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