Clinical Simulation Test Bank |
Complete Questions & Answers
Graded A+ 100% Verified (2026)
‣ Emphysema . Answer: Presence of permanent enlargement of the air
spaces distal to the terminal bronchioles, accompanied by destruction
of their walls and without obvious fibroisis
‣ Chronic bronchitis . Answer: Chronic productive cough for three
months in each of two successive years in a pt for whom other causes
of the productive cough have been excluded
‣ Etiology of COPD . Answer: - tobacco smoke
-genetic predisposition
- indoor and outdoor pollution
‣ Pt Assessment of Emphysema Pt (Primary assessment) . Answer: AKA
pink puffer or Type A COPD
Body build = thin, underweight
Past medical history = Tobacco use
Cough = Less common, muciod secretions
Appearance of chest = Barrel chest, increased A-P diameter (Hoover's
Sign)
,Respiratory Pattern = Dyspnea, pursed-lip breathing, accessory muscle
use, especially during exacerbations
Color= Often reddish
Clubbing = Late stage
Diagnostic Chest Percussion = Hyperresonant/ Tympanic note
Breath Sounds = Diminished, prolonged expiration
‣ Body build of Type A COPD (pink puffer) Emphysema . Answer: Thin,
underweight
‣ Past medical history for emphysema pts . Answer: Tobacco use
‣ Cough (Emphysema) . Answer: Less common, muciod secretions
‣ Appearance of the chest (Emphysema) . Answer: Barrel chest,
increased A-P diameter
‣ Respiratory pattern ( Emphysema) . Answer: Dyspnea, pursed lip
breathing, accessory muscle use, especially during exacerbations
‣ Color (Emphysema) . Answer: Often reddish
‣ Clubbing (Emphysema) . Answer: Late stage
,‣ Diagnostic Chet Percussion (Emphysema) . Answer:
Hyperresonant/tympanic note
‣ Breath sounds ( Emphysema) . Answer: Diminished, prolonged
expiration
‣ Patient Assessment (Primary) Chronic Bronchitis . Answer: AKA Blue
bloater Type B COPD
Body build = Stocky, overweight
Past Medical History = Tobacco use
Cough = Productive, copious amounts, purulent secretions
Chest Appearance = Ocassionally barrel chest
Color = Cyanotic
Clubbing = Common
Diagnostic Chest Percussion = normal
Breath Sounds = Rhonchi, crackles , wheezing
‣ Body build (Chronic Bronchitis) . Answer: Stocky, overweight
‣ Past Medical History (Chronic Bronchitis) . Answer: Tobacco use
, ‣ Cough (Chronic Bronchitis ) . Answer: Productive, copious amounts of
purulent secretions
‣ Chest Appearance (Chronic Bronchitis) . Answer: Occasionally barrel
chest
‣ Respiratory Pattern (Chronic Bronchitis ) . Answer: Use of accessory
muscles less common
‣ Clubbing ( Chronic Bronchitis ) . Answer: Common
‣ Diagnostic Chest Percussion ( Chronic Bronchitis) . Answer: Normal
‣ Breath Sounds (Chronic Bronchitis ) . Answer: Rhonchi, crackles,
wheezing
‣ Secondary Assessment Emphysema pt . Answer: Chest X-ray =
translucent (dark) lung fields, depressed or flattened diaphragms, long
and narrow heart, increased retrosternal air spaces, possibly
hypertrophy or right ventricle
ABG = Mild to moderate stages: Acute alveolar hyperventilation with
hypoxemia Severe Stages: Chronic ventilatory failure with hypoxemia
Pulmonary Function = Decreased flowrates (FEV1 , FEF 25-75%, FEF
200-1200, FEV1/FVC, and PEFR) Decreased DLCO
Complete Questions & Answers
Graded A+ 100% Verified (2026)
‣ Emphysema . Answer: Presence of permanent enlargement of the air
spaces distal to the terminal bronchioles, accompanied by destruction
of their walls and without obvious fibroisis
‣ Chronic bronchitis . Answer: Chronic productive cough for three
months in each of two successive years in a pt for whom other causes
of the productive cough have been excluded
‣ Etiology of COPD . Answer: - tobacco smoke
-genetic predisposition
- indoor and outdoor pollution
‣ Pt Assessment of Emphysema Pt (Primary assessment) . Answer: AKA
pink puffer or Type A COPD
Body build = thin, underweight
Past medical history = Tobacco use
Cough = Less common, muciod secretions
Appearance of chest = Barrel chest, increased A-P diameter (Hoover's
Sign)
,Respiratory Pattern = Dyspnea, pursed-lip breathing, accessory muscle
use, especially during exacerbations
Color= Often reddish
Clubbing = Late stage
Diagnostic Chest Percussion = Hyperresonant/ Tympanic note
Breath Sounds = Diminished, prolonged expiration
‣ Body build of Type A COPD (pink puffer) Emphysema . Answer: Thin,
underweight
‣ Past medical history for emphysema pts . Answer: Tobacco use
‣ Cough (Emphysema) . Answer: Less common, muciod secretions
‣ Appearance of the chest (Emphysema) . Answer: Barrel chest,
increased A-P diameter
‣ Respiratory pattern ( Emphysema) . Answer: Dyspnea, pursed lip
breathing, accessory muscle use, especially during exacerbations
‣ Color (Emphysema) . Answer: Often reddish
‣ Clubbing (Emphysema) . Answer: Late stage
,‣ Diagnostic Chet Percussion (Emphysema) . Answer:
Hyperresonant/tympanic note
‣ Breath sounds ( Emphysema) . Answer: Diminished, prolonged
expiration
‣ Patient Assessment (Primary) Chronic Bronchitis . Answer: AKA Blue
bloater Type B COPD
Body build = Stocky, overweight
Past Medical History = Tobacco use
Cough = Productive, copious amounts, purulent secretions
Chest Appearance = Ocassionally barrel chest
Color = Cyanotic
Clubbing = Common
Diagnostic Chest Percussion = normal
Breath Sounds = Rhonchi, crackles , wheezing
‣ Body build (Chronic Bronchitis) . Answer: Stocky, overweight
‣ Past Medical History (Chronic Bronchitis) . Answer: Tobacco use
, ‣ Cough (Chronic Bronchitis ) . Answer: Productive, copious amounts of
purulent secretions
‣ Chest Appearance (Chronic Bronchitis) . Answer: Occasionally barrel
chest
‣ Respiratory Pattern (Chronic Bronchitis ) . Answer: Use of accessory
muscles less common
‣ Clubbing ( Chronic Bronchitis ) . Answer: Common
‣ Diagnostic Chest Percussion ( Chronic Bronchitis) . Answer: Normal
‣ Breath Sounds (Chronic Bronchitis ) . Answer: Rhonchi, crackles,
wheezing
‣ Secondary Assessment Emphysema pt . Answer: Chest X-ray =
translucent (dark) lung fields, depressed or flattened diaphragms, long
and narrow heart, increased retrosternal air spaces, possibly
hypertrophy or right ventricle
ABG = Mild to moderate stages: Acute alveolar hyperventilation with
hypoxemia Severe Stages: Chronic ventilatory failure with hypoxemia
Pulmonary Function = Decreased flowrates (FEV1 , FEF 25-75%, FEF
200-1200, FEV1/FVC, and PEFR) Decreased DLCO
