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

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Pulmonary (Paramedic care and Principles: 5th Edition chapter Post-test)
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
A patient with a suspected stroke in the brainstem region may display what type of changes to the pulmonary​ system?
Answer
  • 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.

Question 2

Question
Which of the following findings for a patient complaining of dyspnea is of greatest​ concern?
Answer
  • Absent breath sounds to right apical lung
  • ETCO2 of 45 mmHg
  • Inability to speak in full sentences
  • Pulse ox of 94 percent

Question 3

Question
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?
Answer
  • Spontaneous pneumothorax
  • Exacerbation of his emphysema
  • Upper airway obstruction
  • Central nervous dysfunction

Question 4

Question
How does chronic bronchitis cause the development of pulmonary​ hypertension?
Answer
  • 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.

Question 5

Question
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?
Answer
  • Bronchodilators
  • Antibiotics
  • Oxygen therapy
  • Corticosteroids

Question 6

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

Question 7

Question
The​ _____ pleura covers the lungs while the​ _____ pleura lines the thoracic cavity.
Answer
  • Visceral, parietal
  • Mucosal, visceral
  • Mucosal, alveolar
  • Parietal, mucosal

Question 8

Question
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:
Answer
  • pulmonary edema
  • pneumonia
  • asthma
  • spontaneous pneumothorax.

Question 9

Question
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?
Answer
  • 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

Question 10

Question
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:
Answer
  • bronchiolitis
  • SIDS
  • choking
  • child abuse.

Question 11

Question
The most important intrinsic risk factor leading to respiratory disease development​ is:
Answer
  • Genetic predisposition
  • Cigarette smoking
  • Diabetes
  • Exposure to noxious environmental stimuli

Question 12

Question
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?
Answer
  • Lung cancer patient
  • Chronic bronchitis patient
  • Upper respiratory infection patient
  • Emphysema patient

Question 13

Question
Which of the following can be caused by pulmonary​ hypertension?
Answer
  • Polycythemia
  • Orthopnea
  • Cor pulmonale
  • Free radicals

Question 14

Question
You are managing a patient experiencing exacerbation of emphysema with CPAP. To avoid​ barotrauma, what is the recommended airway​ pressure?
Answer
  • 5 ​cm/H2O
  • 20 ​cm/H2O
  • 15 ​cm/H2O
  • 10 ​cm/H2O

Question 15

Question
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?
Answer
  • Hyperresonance
  • "A to​ E" changes
  • "E to​ A" changes
  • Hyporesonance

Question 16

Question
A condition that exists when the pulmonary capillaries have a greater permeability due to a​ non-cardiogenic cause is​ called:
Answer
  • SARS
  • MODS
  • COPD
  • ARDS

Question 17

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

Question 18

Question
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?
Answer
  • Aspirated fluid
  • Tonsillar hematoma or mass
  • Partially chewed food
  • Relaxed tongue
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