Term
| The primary problem with guaifenasin is: |
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Definition
| It works only at higher concentrations than available OTC. |
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Term
| Barrel chest in COPD is caused by |
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Definition
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Term
| The number one diagnostic test for COPD is: |
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Definition
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Term
| In emphysema without chronic bronchitis, there is: |
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Definition
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Term
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Definition
| Respiratory rate x tidal volume |
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Term
| Lightheadedness after hyperventilating is caused by: |
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Definition
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Term
| What is the term for coughing up blood? |
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Definition
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Term
| What is the term for abnormal, persisten dilation of the bronchi? |
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Definition
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Term
| What is the term for inflammatory obstruction of the bronchioles? |
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Definition
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Term
| Which of the following blood gas findings is indicative of respiratory failure? |
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Definition
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Term
| The key pathological processes in emphysema are (check all that apply): |
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Definition
-Decreased surface area for diffusion
-Decreased lung compliance |
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Term
| Theophylline is considered a third line asthma agent because: |
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Definition
| It has a narrow therapeutic range |
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Term
| The primary benefit of systemic steroids over inhaled steroids for respiratory diseases is: |
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Definition
| Their absorption is not affected by diseased airways |
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Term
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Definition
| Works by blocking cholinergic receptors |
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Term
| The main side effect of inhaled steroids is: |
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Definition
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Term
| Mast cell stabilizers such as cromolyn: |
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Definition
| Are available for intranasal use for allergic rhinitis |
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Term
| Monteleukast (Singulair): |
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Definition
| Inhibits leukotriene receptors |
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Term
| In patients with advanced COPD |
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Definition
| Oxygen can be used, but cautiously |
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Term
| The main side effects of first generation antihistamines are: |
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Definition
| Dry-mouth, constipation, drowsiness |
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Term
| The most popular OTC cough suppressant is: |
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Definition
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Term
| Cecilia is recovering from her pulmonary embolism. Her PaCO2 is 84, and she is complaining of excessive drowsiness. Cecilia has: |
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Definition
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Term
| Cecilia is recovering from her pulmonary embolism. Her PaCO2 is 84, and she is complaining of excessive drowsiness. You suspect that her drowsiness is from: |
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Definition
| Increased cranial pressure 2° cerebral artery dilation |
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Term
| Cecilia is recovering from her pulmonary embolism. Her PaCO2 is 84, and she is complaining of excessive drowsiness. You ask the physician to order diagnostic tests and labs (choose the two most appropriate): |
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Definition
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Term
| Cecilia is recovering from her pulmonary embolism. Her PaCO2 is 84, and she is complaining of excessive drowsiness. The most appropriate action is |
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Definition
| Provide ventilatory assistance |
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Term
| The most common etiology of aspiration in the hospital is: |
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Definition
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Term
| Your patient has recently returned from a one night stay in the SICU recovering from a CABG. Which of the following symptoms would lead you to ask the physician to evaluate for ARDS? (Check all that apply) |
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Definition
-A drop in SpO2 from 96 to 88
-Respiratory rate of 30 breaths/min |
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Term
| Your patient has recently returned from a one night stay in the SICU recovering from a colon resection. In order to prevent respiratory complications you should: (check all that apply) |
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Definition
-Ensure adequate pain management
-Encourage turning, cough, deep breathing
-Encourage incentive spirometer use |
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Term
| A patient asks you why he has trouble breathing during an asthma attack. You tell him: (Check all that apply) |
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Definition
-Your bronchi squeeze in on themselves
-Excess mucus blocks the opening of the bronchi
-The bronchial walls become swollen |
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Term
| A patient asks you about smoking and COPD. You tell him: |
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Definition
| Stopping smoking will not reverse the damage, but can prevent further damage. |
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Term
| The main difference between chronic bronchitis and acute bronchitis other than time is: |
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Definition
| In chronic bronchitis, the number of goblet cells is increased. |
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Term
| Cecilia is a 68 yowf with a hx of COPD brought to the ER after falling from a four foot ladder. Her right wrist is swollen and painful and she has several head lacerations and a purplish bruise on her right cheek. She is complaining dyspnea and right sided pain. You listen to her lungs and here very faint breath sounds throughout the right side along with slight gurgling noises. Her trachea is midline. You suspect |
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Definition
| Open secondary pneumothorax |
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Term
Cecilia is a 68 yowf with a hx of COPD brought to the ER after falling from a four foot ladder. Her right wrist is swollen and painful and she has several head lacerations and a purplish bruise on her right cheek. She is complaining dyspnea and right sided pain. You listen to her lungs and here very faint breath sounds throughout the right side along with slight gurgling noises. Her trachea is midline.
Chest x-ray reveals a partially collapsed right lung and four fractured ribs. The expected treatment for the pneuothorax is: |
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Definition
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Term
Cecilia is a 68 yowf with a hx of COPD brought to the ER after falling from a four foot ladder. Her right wrist is swollen and painful and she has several head lacerations and a purplish bruise on her right cheek. She is complaining dyspnea and right sided pain. You listen to her lungs and here very faint breath sounds throughout the right side along with slight gurgling noises. Her trachea is midline. Chest x-ray reveals a partially collapsed right lung and four fractured ribs.
Cecilia has had a chest tube placed and her lung is now fully expanded, but you notice that with every breath, her chest over the area of broken ribs is pushed outward and then sucked inward. This is: |
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Definition
| Flail chest and requires surgical fixation |
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Term
Cecilia is a 68 yowf with a hx of COPD brought to the ER after falling from a four foot ladder. Her right wrist is swollen and painful and she has several head lacerations and a purplish bruise on her right cheek. She is complaining dyspnea and right sided pain. You listen to her lungs and here very faint breath sounds throughout the right side along with slight gurgling noises. Her trachea is midline. Chest x-ray reveals a partially collapsed right lung and four fractured ribs.
Cecilia has had a chest tube placed and her lung is now fully expanded, but you notice that with every breath, her chest over the area of broken ribs is pushed outward and then sucked inward.
Cecillia asks you difference on the lung between a pulmonary effusion and a pneumothorax. You tell her: |
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Definition
| Pulmonary effusion usually compresses the lung, but does not not cause it to collapse. |
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Term
Cecilia is a 68 yowf with a hx of COPD brought to the ER after falling from a four foot ladder. Her right wrist is swollen and painful and she has several head lacerations and a purplish bruise on her right cheek. She is complaining dyspnea and right sided pain. You listen to her lungs and here very faint breath sounds throughout the right side along with slight gurgling noises. Her trachea is midline. Chest x-ray reveals a partially collapsed right lung and four fractured ribs.
Cecilia has had a chest tube placed and her lung is now fully expanded, but you notice that with every breath, her chest over the area of broken ribs is pushed outward and then sucked inward.
Cecilia is recovering from internal fixation of her fractured ribs and has been doing fine. This morning, her respirations are 24/min. You get the Cecilia out of bed to ambulate when she reports dyspnea. Which of the following complications does Cecilia need immediate diagnostic work up for? |
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Definition
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Term
Cecilia is a 68 yowf with a hx of COPD brought to the ER after falling from a four foot ladder. Her right wrist is swollen and painful and she has several head lacerations and a purplish bruise on her right cheek. She is complaining dyspnea and right sided pain. You listen to her lungs and here very faint breath sounds throughout the right side along with slight gurgling noises. Her trachea is midline. Chest x-ray reveals a partially collapsed right lung and four fractured ribs.
Cecilia has had a chest tube placed and her lung is now fully expanded, but you notice that with every breath, her chest over the area of broken ribs is pushed outward and then sucked inward.
Cecilia is recovering from internal fixation of her fractured ribs and has been doing fine. This morning, her respirations are 24/min. You get the cecilia out of bed to ambulate when she reports dyspnea. You immediately |
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Definition
| Listen to Cecilia's lungs, take her O2 sat and put her back on oxygen |
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Term
Cecilia is a 68 yowf with a hx of COPD brought to the ER after falling from a four foot ladder. Her right wrist is swollen and painful and she has several head lacerations and a purplish bruise on her right cheek. She is complaining dyspnea and right sided pain. You listen to her lungs and here very faint breath sounds throughout the right side along with slight gurgling noises. Her trachea is midline. Chest x-ray reveals a partially collapsed right lung and four fractured ribs.
Cecilia has had a chest tube placed and her lung is now fully expanded, but you notice that with every breath, her chest over the area of broken ribs is pushed outward and then sucked inward.
Cecilia is recovering from internal fixation of her fractured ribs and has been doing fine. This morning, her respirations are 24/min. You get the cecilia out of bed to ambulate when she reports dyspnea.
Her lungs are clear, but her O2 sat is 91%; her 02 sat last night was 96%. This is |
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Definition
| Serious and needs further investigation. |
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Term
Cecilia is a 68 yowf with a hx of COPD brought to the ER after falling from a four foot ladder. Her right wrist is swollen and painful and she has several head lacerations and a purplish bruise on her right cheek. She is complaining dyspnea and right sided pain. You listen to her lungs and here very faint breath sounds throughout the right side along with slight gurgling noises. Her trachea is midline. Chest x-ray reveals a partially collapsed right lung and four fractured ribs.
Cecilia has had a chest tube placed and her lung is now fully expanded, but you notice that with every breath, her chest over the area of broken ribs is pushed outward and then sucked inward.
Cecilia is recovering from internal fixation of her fractured ribs and has been doing fine. This morning, her respirations are 24/min. You get the cecilia out of bed to ambulate when she reports dyspnea.
Her lungs are clear, but her O2 sat is 91. The physician asks you what you suggest. You ask for (check all that apply): |
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Definition
-V/Q scan
-Chest X-ray
-Arterial Blood gases |
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Term
Cecilia is a 68 yowf with a hx of COPD brought to the ER after falling from a four foot ladder. Her right wrist is swollen and painful and she has several head lacerations and a purplish bruise on her right cheek. She is complaining dyspnea and right sided pain. You listen to her lungs and here very faint breath sounds throughout the right side along with slight gurgling noises. Her trachea is midline. Chest x-ray reveals a partially collapsed right lung and four fractured ribs.
Cecilia has had a chest tube placed and her lung is now fully expanded, but you notice that with every breath, her chest over the area of broken ribs is pushed outward and then sucked inward.
Cecilia is recovering from internal fixation of her fractured ribs and has been doing fine. This morning, her respirations are 24/min. You get the cecilia out of bed to ambulate when she reports dyspnea.
Her lungs are clear, but her O2 sat is 91.
The physician agrees with your request for diagnostic tests and asks you if you need anything else. You suggest |
|
Definition
| -Starting the patient on Heparin now |
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Term
| V/Q scan is performed and the report shows a cold spot in the left lower lobe. This indicates |
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Definition
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Term
| Martin is a 26 yowm patient who comes to the emergency room with complaints of shortness of breath and a productive cough. You take a sputum culture and note that the sputum is green. Martin most likely had |
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Definition
| Impossible to tell without a culture |
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Term
| Martin complains about burning pain high in his chest that is worst after a coughing fit. |
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Definition
| The pain is most likely pulmonary pain. |
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Term
| You aucultate Martin's chest and note decreased breath sounds and increased tactile fremitus over the right middle lobe. Where did you auscultate to find this abnormality? |
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Definition
| right anterior chest about the level of the nipple |
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Term
| You aucultate Martin's chest and note decreased breath sounds and increased tactile fremitus over the right middle lobe. You know that Martin's physical exam is most consistent with |
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Definition
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Term
| Martin asks you what consolidation means. You tell him it is: |
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Definition
| An accumulation of pathogens, cellular debris, fluid, and white blood cells |
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Term
| Martin is diagnosed with community acquired pneumonia (CAP). He is most likely to be infected with: |
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Definition
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Term
| Which respiratory medication is most likely to be prescribed for Martin? |
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Definition
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Term
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Definition
| a late sign of respiratory distress |
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Term
| The most common etiology of pulmonary edema is: |
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Definition
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Term
| When educating a patient on their asthma medications you tell them: |
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Definition
| When using Foradil Aerolize (Formoterol) Dry Powder inhaler, take one smooth, deep, breath. |
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